Physiological Adaptation

Diagnostic and Therapeutic Procedures for Female Reproductive Disorders: Client Teaching About

Genital Herpes:

● Herpes viral culture: Fluid from a lesion is obtained using a swab and placed in a cup for culture.

● Polymerase chain reaction (PRC) test: Identifies genetic material of the virus. Cells from a lesion,

blood, or other body fluids can be tested. Identifies type of virus (herpes simplex 1 [HSV 1] or herpes

simplex 2 [HSV 2]).

● Antibody test: Blood is tested for antibodies to the virus. Some tests can identify the type of virus. An

immunobiot and ELISA test can be used to differentiate between HSV 1 and HSV 2.

Nasogastric Intubation and Enteral Feedings: Selecting Equipment for Gastric Lavage:

● Lavage: Washing out the stomach to treat active bleeding, ingestion of poison, or for gastric dilation

● Tube types: Ewald, Levin, Salem sump

● Compression: Using an internal balloon to apply pressure for preventing Gl or esophageal

hemorrhage; Tube type: Sengstaken-Blakemore

Hepatitis and Cirrhosis: Priority Finding to Report

● LABORATORY TESTS:

● Blood liver enzymes: Elevated initially; Lactate dehydrogenase (LDH), ALT and AST are elevated due

to hepatic inflammation. ALT and AST return to normal when liver cells are no longer able to create an

inflammatory ALP increases in cirrhosis due to intrahepatic response.

● biliary obstruction. ALT: Expected reference range 4 to 36 units/L AST: Expected reference range 0 to

35 units/L ALP: Expected reference range 30 to 120 units/L

● Blood bilirubin: Elevated Bilirubin levels are elevated in cirrhosis due to the inability of the liver to

excrete bilirubin. Bilirubin, indirect (unconjugated): Elevated; expected reference range 0.2 to 0.8

mg/dL Bilirubin, total: Elevated; expected reference range 0.3 to 1.0 mg/dL; Blood protein

● Decreased due to the lack of hepatic synthesis Expected reference range 6.4 to 8.3 g/dL; Blood

albumin Decreased due to the lack of hepatic synthesis Expected reference range 3.5 to 5 g/d

Hematological tests: RBC: Decreased Hemoglobin: Decreased Hematocrit: Decreased Platelet count:

Decreased.

Cancer Treatment Options: Prioritizing Care for a Group of Clients

● Assign the client a private room. Have the client remain in the room unless they need to leave for a

diagnostic procedure or therapy. In this case, place a mask on the client during transport; Protect the

client from possible sources of infection (live plants, stagnant water, contaminated equipment); Have

client, staff, and visitors perform frequent hand hygiene. Restrict visitors who are ill.

● Avoid invasive procedures that could cause a break in tissue (rectal temperatures, injections,

indwelling urinary catheters) unless necessary; Keep dedicated equipment (blood pressure machine

thermometer, stethoscope) in the client's room; Administer colony-stimulating factors (filgrastim) as

prescribed to stimulate WBC production.

● Avoid crowds while undergoing chemotherapy; Take temperature daily. Report elevated temperature

to the provider; Avoid food sources that could contain bacteria (fresh fruits and vegetables;

undercooked meat, fish, and eggs: pepper and paprika); Avoid yard work, gardening, or changing a

pet's litter box. Wear disposable gloves when working with house plants or doing outdoor gardening;

Discard liquid beverages that have been sitting at room temperature for longer than 1 hr; Wash all

dishes in hot, soapy water or a dishwasher. Wash glasses and cups after each use; Wash toothbrush

daily in the dishwasher or rinse in a bleach solution.

Esophageal Disorders: Teaching About Self-Management of GERD

● Maintain a weight below BMl of 30; Stop smoking; Limit or avoid alcohol and tobacco use; Eat a low-fat

diet; Avoid foods that lower the LES pressure; Avoid eating or drinking 2 hr before bed; Avoid

tight-fitting clothes; Elevate the head of the bed 6 to 8 inches.

● Diet: Maintain a soft diet for 1 week following procedure; Avoid offending foods; Avoid large meals;

Avoid carbonated beverages; Remain upright after eating; Avoid eating before bedtime.; Consume four

to six small meals throughout the day