Immunity & Nursing

Question 0

Health Hx

Answer 0

1. Ask about alcohol use

- Lowers inhibition and can increase high risk behavior

Question 1

Immunity

-Physical Assessment

Answer 1

1. General Appearance (Stated and apparent age coincide)
2. VS (Elevated Temp)
3. Mucous membranes (Pale, boggy indicate chronic allergy)
4. Inspect Skin (Pale and jaundiced indicate hemolytic reaction)
5. Cervical lymph nodes (swelling or tenderness) **
6. Recent Weight Loss with no indication

Question 2

Immunity

-Nursing Care

Answer 2

1. Reverse Isolation

- Protect the patient with immunodeficiency

Question 3

Immunity

-Nursing Dx

Answer 3

1. Ineffective Protection
2. Skin Integrity
   - Discoid SLE - wear hats

Question 4

Immunity

-Teaching

Answer 4

1. Avoid Triggers

- STRESS

Question 5

Techniques for Avoiding STRESS

-In the Hospital

Answer 5

1. Massage & acupuncture
2. Deep breathing
3. Tell each part of your body to relax
4. Start a Stress journal
   - What caused your stress, how you felt, your response, what makes it better

Question 6

Implications of Physical Exam

Answer 6

1. Sleep, nutrition, exercise, stress reduction for ALL immune system problems
2. Target other interventions towards the area of involvement

Question 7

Pt Education on Exercise

Answer 7

1. Non-strenuous mild to moderate exercise is encouraged with immune conditions