NUR2571 Exam 3 Review Professional Nursing II PN 2.pdf, Quizzes of Chemistry

Download NUR2571 Exam 3 Review Professional Nursing II PN 2.pdf and more Quizzes Chemistry in PDF only on Docsity! 1 NUR2571 Exam 3 Review : Professional Nursing II / PN 2 ❖ Cellulitis o Red, heat, swelling, glassy looking skin, pain, odorous, weeps/drains o Abx, ice for stopping burning/inflammatory process and inhibits infection spread, elevation, anti-inflammatory ❖ Herpetic Whitlow o Bacterial infection or warts on fingertips o Nurse needs gloves and good hand hygiene o Contact precautions are used ❖ Impetigo o Bacterial infection on face, contagious, honey-colored discharge (IE: pruritic vesicles around mouth) o Treat with antivirals like acyclovir o Easily spread from one to another o Nurse needs to educate family on good hand washing, close contact, bleach wipes for surfaces o Analgesics OTC for pain ❖ Psoriasis (autoimmune) o Scaly, red, itchy, silvery scales that are usually on elbows, knee’s, and scalp o Finger and toenail lifting may occur, as well as pitting o Morning stiffness, neck and back pain common o Associated with arthritis o Treat with Humira (edalamumab), steroid creams, “-MABS”, UV-ray tx is done a lot (tanning beds) ▪ Other meds used • Enbrel (etanercept), Stelara (ustekinumab), Remicade (infliximab) • Hydrocortisone cream 1% is very effective in the short term ❖ DKA o s/s ▪ acetone breath (fruity, sweet smelling), Kussmaul respirations, dehydration, abdominal pain, extreme thirst and hunger • (**“hot and dry, sugar is high”** = dehydration) ▪ Blood sugar greater than 500 o Treat with insulin Humulin-R via IV (short acting) ▪ Humulin R is the only insulin that can be given via IV • Side note: Humalog is rapid and CANNOT be used IV ❖ Type 1 DM o Usually born with it o Pancreas beta cells fail to make or respond to insulin o Treat with pump insulin o Still need check blood glucose check 4x/day and before meals o If you want to drink alcohol, patient will need bolus insulin from their pump to cover themselves for eating pizza, beer, etc. (if they don’t, they end up in DKA) ❖ Short and long acting insulin used together to mimic normal body process o Humulin-R and NPH 2 ▪ How to draw up: • Roll bottle in between hands • Air in cloudy (NPH) air in clear (Humulin-R) draw clear draw cloudy o Insulin can sit out for 30 days (discard after 30 days – date and time the bottle) ▪ Refrigerate until you open it the first time, then it can sit out for 30 days before needing to dispose of ❖ Type 2 DM o If low, give carbs (milk, graham crackers, peanut butter) o Orange juice can spike potassium ❖ Carb-controlled diet used for diabetics (complex carbs are those that take a while to break down) o Oats, sweet potatoes, whole grains, beans, nuts, vegetables ❖ S/S of hyperglycemia o Constant thirst (polydipsia), polyuria (increased urination), polyphagia (increased hunger) o Lethargy, weakness, confusion, headache, irritable, diaphoresis, palpations ❖ A1C = want less than 7 if diabetic; if non-diabetic and checking for first time we want less than 6 o If higher = diet, exercise, education ❖ If you get a needle stick o Report to charge nurse, fill out an incident report, wash site, BBP draw, squeeze out blood o Right away blood draw, then blood draw again in 6 months o Take antiretroviral therapy drugs such as Retrovir for 6 months if negative results both at first blood draw and at 6-month blood draw ❖ HIV o Pneumonia