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A study guide or exam preparation material for a medical-surgical nursing course (nsg233/nsg 233) at herzing university. It contains a series of questions and verified answers related to various topics in medical-surgical nursing, including hiv/aids, cancer, burns, and other related conditions. The questions cover a wide range of topics, such as symptoms, treatments, nursing interventions, and diagnostic tests. The document seems to be a comprehensive resource for students preparing for an exam or seeking to review and reinforce their understanding of the course material. The level of detail and the range of topics covered suggest that this document could be useful for university students enrolled in a medical-surgical nursing program, particularly those studying at the undergraduate level.
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What would be a therapeutic effect after receiving ART Answer: Increased in CD4 count
What would be good to include in a HS presentation on STI Answer: Pre-exposure prophylaxis is available
Patient with AIDS has the wasting syndrome. Which intervention will assist with their assessment? Answer: Do admission assessment and include dietary history
The first step to take after a needlestick from an HIV patient Answer: Report to the supervisor
The client could be in stage 0 HIV due to flu-like symptoms and high-risk behaviors. Last week's test was negative. Which information is appropriate?- Answer: You could have the virus and not produced antibodies yet
HIV encephalopathy is in which HIV stage? Answer: 3
What kind of nursing diagnosis for HIV encephalopathy Answer:
Answer: Rifampin
Why is Leucovorin given along with methotrexate? Answer: Protects health cells against methotrexate
What diagnostic test after cancer and colonsocopy test might be ordered?- Answer: CT scan
A patient with chemical burns over 20% has ordered LR solution. The patient weighs 98 lbs. What are the first 8 hours of total fluid replacement? Answer: 890
Based on age and gender, which group is at the highest risk for burns? Answer:
Male age 28
Which situation is incorrect in providing wound care? Answer: The nurse removes a graft dressing from a wound grafted yesterday
What should be included in a class for burn prevention in children? Answer: 1.keep matches and lighters out of reach 2.practice a home fire drill 3.Never leave a child unattended in a bathtub
Severely burned patients have poor nutritional intake. What might we implement?
What is the adverse effect of trimethoprim-sulfamethoxazole? (Bactrim) Answer:
Fever
What pharmacologic therapy should be administered for immune reconsti- tution inflammatory syndrome (IRIS) Answer: Steroids
A pregnant client is receiving Zidovudine for her HIV. Which lab do we monitor? Answer: Liver enzymes
Standard of care drug for pancreatic cancer?
Answer: Gemcitabine
FOLFOX chemotherapy drug adverse effects Answer:
Stage 4 non-small cell cancer means which of the following? Answer: Metastatic spread
Stage 2 colon cancer patient asks why they are checking my liver Answer: it is routine to check other areas that are nearby
which describes a lobectomy? Answer: Having 1 lobe removed
An early symptom of liver cancer? Answer: Dull backache
A client has a hepatic port implanted to deliver chemotherapy. Which statement indicates an understanding of the teaching? Answer: Return to the cancer center to have port accessed
Milan criteria for liver transplants. Which criteria must be met for consid- eration? Answer:
1.1- 3 lesions <3 cm
What is the highest risk factor for GI cancers? Answer: H. Pylori infections
End-of-life pain relief with morphine ordered. The patient is in and out of consciousness. Which action is appropriate? Answer: Give and assess for pain relief
What is the targeted therapy for advanced gastric cancer Answer: Trastuzumab
Which lab do you expect to see immediately after a burn?
Which route of an opioid would you give to a 50% burn? Answer: IV
Your patient has suffered a burn to their face, neck, and upper extremities. They are now hoarse, have trouble speaking, and are wheezing. What do you suspect? Answer: Inhalation injury
In what order do you implement the following interventions in a burned client? Answer: 1.Assess airway status 2.Insert a large bore IV 3.Estimate % burned 4.Begin fluid resuscitation 5.Assess for secondary injuries
Explain what a xenograft is to your patient Answer:
Comes from a pig usually and is only temporary
Burn patient feels ugly, worthless, lost, and helpless. Which intervention might help? Answer: Include patient in all decisions
Which interventions for a burn patient will be appropriate for a "risk for infection" diagnosis? Answer: 1.Staff wear sterile gloves for wound care 2.Change tube feedings every 24 hours 3.Restrict visitors 4.Restrict fresh flowers from the room
The patient has deep partial thickness burns to both lower legs and feet. What is TBSA % using the Rule of Nines? Answer: 18%