1.

Hodgkin s disease is extremely vulnerable to infection due todefective immune responses

caused by tumor as well as bone marrow depression and low white blood cell count that result from radiation therapy,

fever

is the most sensitive indicator of infection that should be

reported immediately so that the treatment can be initiated.

2. Normal Values:

potassium(k) = 3.5-5.5meq/L

Chloride(Cl)= 98-106meq/L Sodium(Na)= 135-145meq/L The serum electrolyte vaues of an infant reflects hypokalemia (K level of 3.2), hypochloremia (Cl level of 92), and hyponatremia(Na level of 120). Cl and Na function together to maintain fluid and electrolyte balance . With vomiting , NaCl and H2o are lost in gastric fluid, as dehydration occurs, K moves into the extracellular fluid. With persistent vomiting, hypokalemia (from movement of K into extracellular fluid), hypochloremia (due to increased losses in gastric fluid0, and hyponatremia (due to increased losses of gastric fluid) would result.

PSYCH-

depress wife of an accident victim= Conveying warmth, empathy and support to the

wife to encourage to release of feelings is priority nursing action.

OB

A platelet count of less than 100,000/uL indicates thrombocytopenia, a component of

HELLP syndrome, which consists of hemolysis, elevated liver enzymes, and low platelet count (below 100,000/uL) , is associated with severe pre-aclampsia. Notifying the physician immediately is crucial because this syndrome is associated with high rates of morbidity and mortality for the mother and her offspring Normal findings deep tendon reflex of 2+ Proteinuria of 3+ to 4+ (for client with severe pre-eclampsia) A clear to whitish vaginal discharge.

Rheumatic Fever-

The joints, especially the knees, ankles, elbows, and wrists are

painful,swollen,red, and hot to touch. Limiting movement of the affected joints typically minimizes pain.

Theophylline ethylenediamide

is a xanthine derivative that acts directly on bronchial

smooth muscle to relax and dilate the bronchi and relieve bronchial constriction and spasms. When the drug exerts its primary desired effect, dyspnea and shortness of breath decrese.

Plaster cast is used to correct club foot

complete drying of the plaster cast takes several

hours. Thus, turning the child with a newly applied cast at least every 2 hours helps the cast to

dry uniformly. The cast must evaporation from the plaster.

NOT

be coated with any substance that would inhibit moisture

Oxytocin

vasoconstrictor , given to stimulate contractions,

Induction of labor with oxytocin is associated with risks. Hyperstimulation of the uterus can lead to fetal distress. A drop in the fetal heart rate to 60bpm at the end of a contraction may be indicative of late decelerations due to placental insufficiency. Stopping the oxytocin infusion will reduce uterine activity and improve uteroplacental perfusion. - turn the client to her left side, increases placental perfusion. Oxygen should be administered at 8Liters.

Stages of labor *
A client whose cervix is 10cm dilated has completed the first stage of labor, which lasts from the beginning of cervical dilation to complete dilation (10cm), and is starting the second stage of labor. Usually the secong stage of labor (pushing) for primigravida client lasts about 1-2 hours.

Conversions 1kg = 2.2 pounds Lab tests Activated partial thromboplastin time(APTT) used to measure the clotting status when the client is receiving heparin. International normalized ration (INR) clotting status in a client receiving warfarin. Prothrombin time (PT) client receiving warfarin. is used to measure

is used to measure clotting status in a