Caring for Clients with Multisystem Disorders
What disadvantages of chemotherapy should the patient be informed about prior to starting the regimen?
It targets normal body cells as well as cancer cells
While auscultating the lungs of a client with asthma, the nurse hears a continuous, high-pitched whistling sound on expiration.What sound is this?
Wheezes
What is Rheumatic endocarditis?
A disease that can result from inadequately treated strep throat or scarlet fever. It can cause mitral stenosis
How does low platelet count affect the client?
Their ability to clot blood is decreased. The client is at increased risk for bleeding
If a client is experiencing anaphylactic shock, what medication do they need ASAP? How is it administered?
Epinephrine, IM
What is normal potassium levels? Sodium levels?
3.5-5. 135-145
A client recovering from an acute asthma attack experiences respiratory alkalosis. The nurse measures a respiratory rate of 46 breaths/minute, a heart rate of 110 beats/minute, a blood pressure of 162/90 mm Hg, and a temperature of 98.6° F (37° C). To help correct respiratory alkalosis, the nurse should:
Instruct the client to breathe into a paper bag
The nurse is caring for a client who is scheduled to undergo mechanical valve replacement. Client education should include which of the following?
Long-term anticoagulant therapy
Decades ago, before the role of the tonsils and adenoids was better understood, it was typical after repeated bouts with tonsillitis to have a tonsillectomy and adenoidectomy. Today it is understood that the tonsils and adenoids are lymphoid tissues that:
filter bacteria from tissue fluid.
Name 2 ways to prevent a client from having a serious and potentially fatal allergic reaction?
Avoid the item they are allergic to, carry an EpiPen, seek immediate medical treatment
Which of the following is the most common cause of symptomatic hypomagnesemia in the United States?
Alcoholism
Diagnostic testing reveals a backflow of blood in the client's left ventricle from the left atrium. The nurse is aware that the patient is suffering from a defect in which valve?
Mitral valve
Which medication is an antidote to heparin?
Protamine sulfate
For which type of anemia does a client need lifelong administration of vitamin B12?
Pernicious anemia
What is the connection between HIV and AIDS?
AIDS is the end stage of HIV infection
Which is considered an isotonic solution?
0.9% normal saline
A client with acquired immune deficiency syndrome (AIDS) informs the nurse of difficulty eating and swallowing, and shows the nurse white patches in the mouth. What problem related to AIDS does the nurse understand the client has developed?
Candidiasis
What type of diet should a client be avoiding if they have atherosclerosis?
High-fat diet
A client with leukemia has developed a cough and increased fatigue. What is the primary nursing intervention?
Deteremine if the client is getting an infection...
Which type of immunity becomes active as a result of infection by a specific microorganism?
Naturally acquired active immunity
Which type of shock is caused by an infection?
Septic
The nurse is caring for a client who has just had a tracheostomy. What should the nurse monitor frequently?
Airway patency
Explain the difference between left and right sided heart failure
...
A teenaged client has been brought to the clinic by his mother and is suspected of having an immune system disorder. What tests would the nurse expect to be ordered for this young client?
Complete blood count with differential
When the nurse assesses her patient's laboratory studies, the nurse notes an increase in several cell counts on the full blood count. The nurse would expect an increase in what cell count due to the fact that these are the first cells to arrive at the site where inflammation occurs?
Neutrophils