Nurse 623 Exam 1 with Complete Solution

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Nurse 623 Exam 1 with Complete Solution What are the Stages of Lyme Disease? Correct Answer- Early localized Early disseminated Late Lyme Early Localized Lyme Disease Correct Answer- -occurs days t... o months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Early diseminated Lyme Disease Correct Answer- -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies (esp. VII) and radiculoneuritis Swelling of joints, numbness in extremities, palpatations adn difficulty concentrating. -NO RASH Late Lyme Disease Correct Answer- -occurs months to years after exposure -May have intermittent arthritis -May also experience neurological manifestations ie: encephalopathy, peripheral neuropathy or neurocognitive impairment. S/S of HIV Correct Answer- -Majority of acute HIV asymptomatics -Flu like symptoms the firststages 6 days to 6 weeks -Fever, sore throat myalgias, headache, cervival lymphadenopathy and nightsweats Risk Factors for HIV Correct Answer- Sexual history, sexually transmitted disease, substance abuse, transfusion history, infection history and occupation history Hypersensitivity Reactions Correct Answer- Type 1 Hypersensitivity RX Correct Answer- Type II Hypersensitivity Rx Correct Answer- Type III Hypersensitivity RX Correct Answer- Type IV Hypersensitivity Rx Correct Answer- MCV Correct Answer- the size of the RBC MCH Correct Answer- Volume of RBC MCHC Correct Answer- the concentration % Normocytic anemia Correct Answer- MCV 82-92 (normal size) MCH 25-30 (normal color) MCHC 32-36 EX: anemia of chronic disease, sepsis, hemorrhagic, aplastic anemia and heriditary spherocytosis Microcytic Anemia Correct Answer- " Small light incompetant" MCV<80 (small ) MCH 20-25 (pale) MCHC 27 EX: iron deficiency anemia , Thalassemia Macrocytic Anemia Correct Answer- " Big Dark Dumb" MCV>96 (large) MCH 30-50 (dark) MCHC 32-36 EX: Pernicious anemia, Vitamin B12 deficiency, folic acid deficiency, Antimetabolite drugs ( methotrexate) Normal H&H Male versus Female Correct Answer- Male Hgb:13.5-17.5 HCT: 40-54% Female Hgb: 12-15.5 HCT: 36-48% Lupus Correct Answer- Malaise fevers, unexplained WL, ABD pain, depression, sleeplessness, swelling of the joints Rheumatoid Arthritis Correct Answer- Early stages: (bilateral )diffuse arthritis, WL, anorexia, and low grade fevers. May also have pain in extremities painful eyes and CP upon inspiration.... ****Joint pain and swelling present on awakening but improves as the day progresses*** Ankylosing Spondylitis Correct Answer- Pain in the ankeles, eyesm hips, joints, lower back neck or shoulders. Pain during excercise or rest Eyes can be inflammed or red. Visual disturbances or light sensitivity Fatigue, malaise, inflammed tendons, IBD sleep d/o or physical deformities Osteoarthritis Correct Answer- Eczema S/S Correct Answer- Early: symmetrical lesions which ooze, crust , and become excoriated occurs in the folds Later: rash become crusted, scaley thickened and lichenified Psoriasis Correct Answer- Eczema treatment Correct Answer- Goal: to control S/S because there is no cure 1.decrease pruritis 2.prevent secondary infection 3.educate the patient so they can control the disease themselves 4.skin hydration 5.barrier restoring theraphies 6. eliminate triggers Sjogrens Syndrome Correct Answer- Very challanging to diagnose because symptoms overlap with many other diseases such as MS., Lupus, chronic fatigue and fibromyalgia S/S: dry gritty burning eyes, dry oral cavities/ tongue, increased [Show More]

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