Reference no: EM133972902
NUR 263 301 Unit three study guide Challenge questions
1. What does it mean when a CBC comes back and the provider says, "There is a left shift" What does this mean? Think of a patient situation that this would refer. What interventions would you expect to do as a nurse?
2. What changes can you identify of the immune system of the older adult?
3. A nurse in an outpatient clinic is assessing a patient who reports night sweats, and fatigue. He states he has had a cough along with nausea and diarrhea. His temperature is 38.1 C (100.6 F) orally. The patient is afraid he has HIV. Name three things that should be included in your physical assessment today. In order of priority.
4. A 19-year-old female college student comes to the student health clinic stating she had unprotected sexual intercourse with a partner she suspects is HIV positive. What questions do you have for her? What diagnostic test treatments may you anticipate the provider to order?
5. What is Kaposi Sarcoma? What does this mean? How is this confirmed? What is the prognosis?
6. Develop a teaching plan for HIV prevention. What would you include in this teaching Plan? Describe your plan.
7. Discuss the pharmacological management of the patient with AIDS.
8. Explain the diagnostic evaluation for HIV infection.
9. What are five nursing diagnosis that you would develop for the plan of care in a patient with AIDS. Please place in order of priority and explain why?
10. Define Pneumocystis Pneumonia. What is the Medical management of this problem?
11. Define Mycobacterium avium complex? What is the medical management of this.
12. The 75-year-old patient tells you that she is afraid to visit her 5-year-old grand daughter who has the chicken pox because she does not want to get the chicken pox. What patient teaching are you going to provide her with?
13. The patient is undergoing a splenectomy as a result of splenic rupture and hemorrhage after a MVA. What teaching will the patient need?
14. Your patient is having prolonged, severe allergic reactions during the fall pollen season. What would you expect his CBC with differential to read? Define 3 medications that you could recommend he take over the counter and how do they work?
15. Your patient has an allergy to "Bees" How would you treat this? What patient teaching would you provide for this treatment?
16. Patient presents to the ER with a high fever, malaise, myalgia, vomiting and diarrhea. Upon assessment, the patient tells you he just returned from Africa a week ago. What is your priory treat for this patient? How is this diagnosed?
17. Your patient has been prescribed AFRIN nasal spray. What is the most important precaution you should give this patient?