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patient with thrombocyopenia
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autoimmune hemolytic anemia
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| Question | Answer |
|---|---|
| patient with thrombocyopenia | could be decreased platelet production |
| autoimmune hemolytic anemia | splenectomy |
| A patient with renal failure has decreased erythropoietin production. what to expect in bloodwork | decreased H and H |
| what medications that potentially alter platelet function? | sulfa containing, aspirin based,NSAIDS |
| A patient's absolute neutrophil count (ANC) is 440/mm3.action should the nurse prioritize | meticulous hand hygiene |
| leukemia patient what rn assessments needed? | monitor electrolytes,daily weights,I and O, auscultate lungs frequently |
| myelofibrosis. What nursing diagnoses should the nurse address | Disturbed Body Image, Impaired Mobility, Imbalanced Nutrition: Less than Body Requirements, Risk for Infection |
| What assessment most directly addresses the most common cause of death among patients with leukemia? | monitoring for infection |
| patient with acute myeloid leukemia who is preparing to undergo induction therapy.what rn dx highest priority? | r/o infection |
| patient with a diagnosis of acute myeloid leukemia (AML) is being treated with induction therapy what is priority in care plan | Protective isolation and vigilant use of standard precautions |
| inability to fight infection due to the fact that her bone marrow is unable to produce a sufficient amount of what? | lymphocytes |
| previously been immunized for mumps. What type of immunity does she possess? | acquired immunity |
| circulating lymphocytes containing the antigenic message returned to the nearest lymph node. During what stage of the immune response did this occur? | proliferation stage |
| What immune response predominates in uro sepsis | humoral |
| phagocytic cell disorder | Chronic otitis media, Cutaneous abscesses, Pneumonia |
| What are key elements of standard precautions? | Using appropriate personal protective equipment, Using safe injection practices, Performing hand hygiene |
| patient with Wiskott-Aldrich syndrome is admitted | protective isolation |
| patient diagnosed with severe combined immunodeficiency disease (SCID). What treatment is likely of most benefit to this patient? | Hematopoietic stem cell transplantation |
| Members of what group currently have the greatest risk of contracting HIV? | Gay, bisexual, and other men who have sex with men |
| patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. these symptoms related to the onset of what complication | HIV encephalopathy |
| nutritional status of aids pt. what to include in assessment? | Serum albumin level,Weight history,Body mass index Blood urea nitrogen (BUN) level |
| admission assessment of a patient who has AIDS. What components should the nurse include in assessment | current meds, ID pt support system, immune system f/x, h/x of sexual practices |
| CD4+ count has recently fallen, the nurse carefully assesses for signs and symptoms related to opportunistic infections. What is the most common life-threatening infection | Pneumocystis pneumonia |
| what test to confirm the EIA test results for HIV d/x | western blot |
| sexually active teen worried about HIV | Other than abstinence, only the consistent and correct use of condoms is effective in preventing HIV |
| infection with HIV has subsided and an equilibrium now exists between HIV levels and the patient's immune response | viral set-point |
| Kaposi's sarcoma | impaired skin integrity r/t KS |
| diagnosis of acute lymphocytic leukemia, a patient is visibly distraught, stating, "I have no idea where to go from here | Assess the patient's specific needs for education and support |
| full course of treatment for acute lymphocytic leukemia and has failed to respond appreciably | Identify the patient's specific wishes around end-of-life care |
| diagnosed with a secondary myelodysplastic syndrome (MDS). | Were you ever exposed to toxic chemicals in any of the jobs that you held?" |
| What should the nurse monitor for as a potential adverse effect of IVIG administration? | anaphylaxis |
| brother died of a severe infection at age 6 months. He says he never knew what was wrong mother had him undergo "blood testing" what rn should suspect | x-linked agammaglobulinemia |
| The tetanus injection will allow for the release of what? | Antibodies |
| admitting an adolescent patient with a diagnosis of ataxia-telangiectasis. RN d/x? | Risk for Falls Due to Loss of Muscle Coordination |
| infection prevention for the patient with an immunodeficiency includes which of the following guidelines? | cook all food thoroughly |
| primary immunodeficiency informs the nurse that he has been experiencing a new onset of a dry cough and occasional shortness of breath | assess for s/s infection |
| The nurse describes the clumping effect that occurs when an antibody acts like a cross-link between two antigens | agglutination |
| nurse has administered a child's scheduled vaccination for rubella. This vaccination will cause the child to develop | active acquired immunity |
| complications of long-term corticosteroid therapy | immunosuppression |
| patient with cystic fibrosis has received a double lung transplant and is now experiencing signs of rejection. What is the immune response that predominates | cellular |
| care for a patient who has multiple sclerosis. The nurse recognizes the autoimmune etiology of this disease and the potential benefits of what treatment? | stem cell transplant |
| What are the first cells to arrive at a site of inflammation | neutrophils |
| patient's risk for impaired immune function if the patient has undergone surgical removal of which of the following? | spleen removal |
| condition resolved spontaneously prior to discharge home from the hospital. This infant's recovery was most likely due to what type of immunity? | nonspecific immunity |
| ongoing treatment and infection-control precautions because of an inherited deficit in immune function. The nurse should recognize that this patient most likely has what type of immune disorder | autoimmune |
| pathogens are engulfed by white blood cells that ingest foreign particles. What is this process known as | phagocytosis |
| Inadequate intake of what nutrient increases a patient's susceptibility to infection | proteins |
Created by:
marnluc
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