NUR 2356 / NUR2356 Multidimensional Care I Final exam Review / MDC I Final Exam | Highly Rated, Guide| Latest 2021 / 2022 | Rasmussen College 1. Patient at risk for infection - (AKA a susceptibl... e host) (A person at risk because of inadequate defenses against the pathogen) - Age (older adults) - Compromised immune system –cancer treatment - Conditions causing immune deficiency –HIV - Low socioeconomic classes related to inability to obtain immunizations - Non-immunized adults - Clients with substance abuse disorders - Clients with a genetic risk of decrease or excessive immunity 2. Breaking the chain of infection - Reduce exposure to pathogens by using aseptic techniques - Maintain skin integrity and support natural defense systems of the body against infections - Reduce stress - Reduce the length of time clients require invasive devices (medical equipment) 3. Infection: agent, host, reservoir, port of entry/exit, transmission - Agent (bacteria, virus, fungus): an invasion and multiplication of pathogens in the body b. - Reservoir: place where the organisms survive and multiply - Portal of exit: - Mode of transmission: droplet, airborne, vector, direct contact, indirect contact - Portal of entry: normal body openings; cut, scrapes and surgical incisions; invasive devices such as IV sites, urinary catheters - Susceptible host: person who is at risk because of inadequate defenses against the pathogen (age, compromised immune system –cancer treatment, conditions causing immune deficiency –HIV) 4. Scleroderma - AKA systemic sclerosis - Rare autoimmune connective tissue disorder - Abnormal thickening of the skin - Secondary Raynaud’s phenomenon can occur 5. Lupus - 2 classifications: o Discoid (affects the skin) o Systemic (causes major body organs to fail) (has remission and exacerbations, causes direct damage and causes vasculitis which deprives organ of blood and oxygen) (Butterfly rash across the nose, nephritis, pericarditis, Raynaud’s phenomenon) - Lupus nephritis is the leading cause of death for lupus because of the damage done to the kidneys 6. Rheumatoid arthritis - Autoimmune inflammatory systemic disease of the synovial joints. CD4+ helper cells stimulate release of cytokine release, stimulates neutrophils to break down cartilage. Steroids [Show More]
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