SLE/Immune
Signs and Symptoms of Anaphylaxis?
Swollen lips and tongue, hives, and hypoxia, wheezing and cyanosis
Ways for patients with AIDS to prevent infection?
Avoid undercooked fruits and vegetables, Notify physician if temperature is > 100, and avoid drinking water that has been standing for > 1 hour.
Patient is an autopsy patient, what does the nurse do before sending to the morgue?
Leave all lines and tubes in place.
Greatest risk for Testicular Cancer?
Young Caucasian males 20-40
Immunocompromised (HIV)
Twin brother or brother who had testicular cancer.
Complications of kidney transplant include?
Thrombosis, Infection, Rejection, Renal Artery stenosis, Hematoma
Signs and symptoms of rejection? (extra 100 points)
Patient has had a BEE sting and presents with dyspnea, bronchospasm, and stridor. Priority nursing intervention?
Initiate Oxygen
Does a nurse wear a mask for a patient with PJP?
No
High altitude sickness treatment consists of?
Nifedipine, Acetazolamide, and Dexamethasone
Signs and Symptoms of Lung Cancer?
Weight loss, rust colored sputum, persistent cough, dyspnea, recurrent pleural effusions, and chest wall pain
Kidney transplant signs and symptoms of rejection?
Increased CRT and BUN, with an increased potassium and possible increased temperature.
Complications of SLE
JVD, murmurs, Pericarditis (hear what?), Oliguria, Seizures, Memory issues, and Raynauds's
AIDS patient comes in with coughing, chills, fever, shortness of breath, and hemoptysis. They have a low CD4v count. First intervention?
Initiate airborne precautions
Severe hypothermia expected findings?
Acid base imbalance, bradycardia, sever hypotension, dysrhythmias, decreased reflexes
Laryngeal cancer s/p laryngectomy, what are appropriate nursing interventions
Preprinted flashcards to communicate, HOB elevated to enhance comfort, humidified oxygen to tracheostomy
Liver transplant sign of rejection
Tachycardia, decreased bile pigment, increasing jaundice, fever, and flank pain
Patient has had an immunization and develops swelling of the eyes, lips, reports SOB, and feeling dizzy. Priority action of the nurse?
Perform a respiratory assessment
Fungal infection in HIV/AIDS
Candida Albicans
Signs and symptoms? for an extra 100 points
What are the triage colors and their meanings in Emergency and Disaster care?
Red - Emergent
Yellow - Urgent
Green - Non-urgent
Black - expected to die and allowed to die
Tumor Lysis Syndrome expected findings?
Hyperkalemic, Hyperuricemia, AKI, Hyperphosphatemia, Hypocalcemia, Elevated LDH
Patient has had a heart transplant. What are signs and symptoms of rejection?
SOB, activity intolerance, weight gain, fatigue, abdominal bloating, hypotension
SLE teaching points
Cryptosporidium infection is what?
Intestinal infection causing diarrhea, weight loss, N/V, fever, and stomach cramping or pain.
Triage in the ED and meaning?
Emergent - immediate threat to life
Urgent - Major injuries the require immediate attention
Non-urgent - Minor injuries that do not need immediate treatment
Oncologic Emergencies include?
Hypercalcemia, Tumor Lysis Syndrome, Superior Vena Cava Syndrome, DIC, Sepsis, SIADH, Spinal Cord Compression
Contraindications for organ transplant