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ATI-MedSurge-IMMUNE

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Question
Answer
Non-Hodgkin's Lymphoma - pt. on Chemo - priority nursing assessment   Erythema at IV site (may be sign of extravasation / infection)  
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Lymphomas can metastasize which organs?   Almost any  
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Adverse effect of chemotherapy   - alopecia - anorexia - mucositis of oral cavity  
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Pt. with bone marrow suppression - pt. teaching   - avoid eating fresh fruits/veges (which may carry bacteria, increases risk of infection) - no aspirin (increases risk bleeding)  
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Sun exposure (Does or Does Not) present a risk to pt. on chemotherapy?   Does Not  
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High risk factors for pneumonia   - older adult - living in long-term facility - dysphagia  
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What is? CAP...   Community Acquired Pneumonia: the most common type and often occurs as a complication of influenza  
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What is? HAP...   Hospital Acquired Pneumonia: has a higher mortality rate/more resistant to antibiotics (w/n 24-48 hrs)  
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The leading cause of skin cancer is...   sunlight exposure  
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Actinic keratoses are?   Precancerous skin lesions: common in people with chronically sun-damaged skin, such as older adults  
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3 types of skin cancer are?   - Squamous cell carcinoma - Basal cell carcinoma - Malignant melanoma  
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Squamous Cell Carcinoma, is?   cancer of the top layer of epidermis that can be localized, but may metastasize to other tissue and organs  
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Basal Cell Carcinoma, is?   cancer of basal layer, can damage surrounding tissue and underlying structures. Not usually metastatic, rate of recurrence high  
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Malignant Melanoma, is?   aggressive, metastatic cancer that originates in the melanin-producing cells of the epidermis  
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SPF for skin/lip protection should be?   15 or higher  
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Small, waxy nodule with small, superficial blood vessels, may be an physical finding in?   Basal cell carcinoma  
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In darker people, melanoma lesions may appear...   on the palms and soles  
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ABCDs of suspicious lesions?   Asymmetry – One side does not match the other Borders – Ragged, notched, irregular, or blurred edges Color – Lack of uniformity in pigmentation Diameter – Width >6 mm (pencil eraser/pea)  
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SLE (Systemic Lupus Erythematosus) Criteria...   SOAP BRAIN MD Serositis (pleuritis, pericarditis) Oral Ulcers Arthritis Photosensitivity Blood (all are low - anemia, leukopenia, thrombocytopenia) Renal (protein) ANA Immunologic (DS DNA etc.) Neurologic (psyc, seizures)  
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PAP Smears are a test for?   Cervical cancer  
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Bethesda System    
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Cervical Intraepithelial Neoplasia (CIN)    
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Brachytherapy    
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External Radiation Therapy (Teletherapy)   is delivered over the course of several weeks and aimed at the body from an external source  
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Radiation therapy is given as adjuvant therapy, usually after which procedure?   Hysterectomy  
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Radiation can cause which foods to become unpalatable?   red meats due to dysgeusia (distorted sense of taste)  
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Include in pt. teaching of irradiated area?   - avoid antibacterial soaps (use mild) - avoid lotions - pat area dry (do not rub) - avoid sun  
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Systemic complication of chemotherapy include:   nausea, vomiting, neutropenia  
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Cancer cells specific to Hodgkin's Lymphoma?   Reed-Sternberg Cells (usually found in lymph nodes)  
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Prostate Specific Antigen    
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Digital Rectal Examination, reveals?   a hard prostate with palpable irregularities  
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Transrectal ultrasound (TRUS, are performed?   to definitively diagnose or rule out prostate cancer in the presence of an enlarged prostate.  
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Tests to asses for metastases include?   - magnetic resonance imaging (MRI) - computed tomography (CT) scans - bone scans  
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Osteoarthritis - disease process   cartilage destruction with bone spur growth at joint ends; degenerative  
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Rheumatoid Arthritis - disease process   synovial membrane inflammation resulting in cartilage destruction and bone erosion; inflammatory  
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Osteoarthritis - sign / symptoms   - pain with activity that improves at rest - localized inflammatory response - usually overweight  
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Rheumatoid Arthritis - sign / symptoms   Swelling, redness, warmth, pain at rest or after immobility (morning stiffness) - all joints - usually underweight  
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Testicular cancer, demographic?   - white males - age: 15 - 35 - cryptorchidism  
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TSE (Testicular self-exam) should be performed?   starting at puberty, monthly, after shower in front of mirror  
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Testing for ticks is done?   4 to 6 weeks after bite, earlier is not reliable  
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Ticks should be removed with?   tweezers or fingers  
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When hiking, individual should wear (light / dark) colored clothing?   light colored, so ticks can be easily seen  
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Stage I of Lyme disease, symptoms   flu-like symptoms, "bulls-eye" rash, muscle/joint pain & stiffness  
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Highest priority nursing teaching of individual allergic to peanuts   carry emergency anaphylactic kit  
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Clindamycin (Cleocin), highest adverse effect is?   Water diarrhea, puts pt. at risk for pseudomembranous colitis, report to HCP  
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Hepatitis A (HAV), route / risks?   Oral-fecal route / contaminated food/water / Daycares and communal living facilities  
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Hepatitis B (HBV), route / risks?   Blood / Drug abuse / Sexual contact / Health care work  
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Hepatitis C (HCV), route / risks?   Blood / Drug abuse / Sexual contact  
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Hepatitis D (HDV), route / risks?   Co-infection with HBV / Drug abuse  
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Hepatitis E (HEV)   Oral-fecal route / contaminated water  
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Orange-peel appearance of breast tissue may be an indication of?   breast cancer  
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Asymmetric pigmented, papulae may be an indication of?   skin cancer  
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A patch of silvery-white scales with a red epidermal base, may be an indication of?   psoriasis  
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A collection of irregular dry papules that are black in color, may be an indication of?   seborrheic ketosis  
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Bacterial pharyngitis is diagnosed with what test?   a throat culture  
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Indirect layrngoscopy is used to?   visually assess pharyngeal structures  
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Monospot test is used to   detect mononucleosis, a viral infection  
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Hyperacute rejection occurs when?   a few minutes after the transplant / tissue must be removed right away so the recipient does not die  
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Amoxicillin (Amoxil) should be taken (with / without) food   with food  
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HPV Vaccine, should be given?   3 doses, beginning at age 11 / 12, 2nd dose: 1-2 mo. after 1st, 3rd dose: 6 mo. after 2nd.  
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A pt. who is thrombocytopenic is at risk for?   occult bleeding  
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Occult bleeding is?   a term for blood present in the feces that is not visibly apparent  
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CD4+ count as a diagnosis for AIDS?   < 200 cell/mm3  
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Malar rash, is?   butterfly-shaped rash over the cheeks  
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Discoid rash, is?   red rash with raised round or oval patches  
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Pt. w/SLE should wear sunscreen with minimum SPF of?   30  
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SLE is usually accompanied with ____ Syndrome   Raynaud's  
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Systemic Lupus Erythematousus (SLE), S/S   rashes, mouth sores, arthritis, lung/heart inflammation, kidney issues, neurologic issues, abnormal blood tests  
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A positive indication of HIV Tx is a ____ ____-____.   decreased viral-load  
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Pts. with HIV usually have a lymphocyte count of?   < 1,500 cells/mm3  
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WBC reference range   5,000 to 10,000/mm3  
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Leukopenia is?   a total WBC <4,300/mm3  
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Leukocytosis is?   a total WCB >10,000/mm3  
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Neutropenia is?   a neutrophil count <2,000/mm3  
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Left shift in WBC Differential is an indication of?   bacterial pneumonial  
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Methotrexate (Trexall) for RA therapeutic effects take?   4 to 6 weeks  
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