NUR2356; Multidimensional Care I Final Exam Spring / MDC1 Final Exam Spring(2022)

Document Content and Description Below

Infection signs and symptoms (ANS- fever, BP drops, high respiratory rate, fast heart rate, altered mental status if wound gets infected it may be red and hot Hyperthermia temperature (ANS- ... Above 99.5 antipyretics, ice packs under armpits, take off layers of clothing Hypothermia temperature (ANS- Below 96.4 F blankets Normal body temperature (ANS- 98.6 F or 37 C nursing interventions to decrease risk of pressure injury: positioning (ANS- pad - pad hard surfaces with pressure redistribution properties do not elevate - do not elevate head of bed greater than 30 degrees suspend - suspend heels off the bed surface nursing interventions to decrease risk of pressure injury: nutrition (ANS- encourage protein intake at each meal serve protein shakes between meals nursing interventions to decrease risk of pressure injury: skin care (ANS- complete a daily skin inspection moisture dry skin with lotion do not massage bony prominences nursing interventions to decrease risk of pressure injury: skin cleaning (ANS- clean - clean skin asap after soiling occurs pat - pat skin dry use - use tepid rather than hot water Dosage and Calc Basic Conversions (ANS- 1 tsp = 5 mL 1 tbsp = 15 mL 1 oz = 30 mL 1 cup = 8 oz 16 oz = 1 lb 1 kg = 2.2 lbs 1 L = 1 kg 1 kg = 1000g 1 g = 1000 mg 1 mg = 1000 mcg 98.6 F = 37 C 1 cup = 0.5 pint 1 pint = 480 mL Signs and Symptoms of HIV/AIDS (ANS- Wasting Syndrome - skinny and lost a lot of weight in a short period of time skin lesions malaise fever anorexia flu like symptoms night sweats non-hodgskins lymphoma risk Kaposi's Sarcoma - skin lesions that occur primarily in individuals with a compromised immune system HIV: CD4 and CD8 (ANS- CD4 is decreased CD8 is normal AIDS: CD4 and CD8 (ANS- CD4 is decreased CD8 is increased CD4 count less than 200 equals (ANS- AIDS Antiretroviral drugs - combination drug therapy (ANS- HIV patients on it for life It stops the virus from replicating already have HIV and exposed again (ANS- progression to AIDS is faster HIV/AIDS Labs (ANS- CD4 and CD8 counts HIV Viral Load testing - highest after infection Other Assessments -pulmonary function test -liver spleen scans -chest x-ray Priority of HIV patient is to (ANS- prevent infection Prevent Infection Compromised Immunity (ANS- avoid crowds bathe daily with antimicrobial soap wash hands thoroughly avoid raw fruits and vegetables avoid working in the garden or with houseplants monitor for signs and symptoms of infection -increase temperature -purulent drainage -foul smelling drainage -cloudy urine Prevent Infection when Hospitalized Compromised Immunity (ANS- -private room -clean patient room and bathroom daily -vital signs every 4 hours -change gauze dressings daily -encourage cough and deep breathing exercises -strict aseptic technique for invasive procedures -no fresh flowers or potted plants in room -avoid undercooked meat Steroids (ANS- increase blood sugar delay bone healing mask infection manage pain (ANS- pressure relieving mattress pads warms baths or hydrotherapy massage heat or cold packs lift sheets drug therapy [Show More]

Last updated: 1 year ago

Preview 1 out of 32 pages