Module 6 Post Activities

 Briefly answer the following: 

1. What are the possible side effects of lupus medication? Could they cause another
disease? Explain your answer.

Answer: The most common side effects are nausea, diarrhea, and fever.
CorticosteroidsCorticosteroids. Oral steroids – such as prednisone and prednisolone -- can be a
lifesaving treatment for people with lupus. During serious lupus flares that affect organs such as
the kidneys, Lupus nephritis occurs when lupus autoantibodies affect structures in your kidneys
that filter out waste. This causes kidney inflammation and may lead to blood in the urine,
protein in the urine, high blood pressure, impaired kidney function or even kidney failure.

2. What will you do to prevent infection in children with type 1 diabetes? 

Answer: Helping child maintain good blood sugar control as much as possible.Teaching child
the importance of eating a healthy diet and participating in regular physical activity. Scheduling
regular visits with child's diabetes doctor and a yearly eye exam beginning no more than five
years after the initial diabetes diagnosis or by age 10.

3. What is your nursing responsibility if the patient will undergo for barium enema?
Answer: Monitor diarrhea and check stool for occult blood. Administer ordered medication to
treat constipation or diarrhea. After the barium enema instruct the patient to resume usual
diet, fluids, medications, or activity, as directed by the HCP.

4. What is the primary nursing diagnosis for acute glomerulonephritis? Explain your
answer.
Answer: Risk for electrolyte imbalance (Hypernatremia)
Sodium and fluid restriction should be advised for treatment of signs and symptoms of fluid
retention (eg, edema, pulmonary edema); protein restriction for patients with azotemia should
be advised if there is no evidence of malnutrition.

5. While having your duty in the community, one of your client suddenly manifest signs of
allergic reaction after eating shellfish, what will be your immediate nursing action?
Answer: Give antihistamines to reduce signs and symptoms, such as a rash and itchiness. If it is
a severe allergic reaction to shellfish (anaphylaxis), emergency injection of epinephrine is a
must (adrenaline).
6. Why live vaccines is contraindicated for patient with Rheumatoid Arthritis?
Answer: Live vaccines are generally contraindicated for most people who are severely
immunocompromised. Live vaccines can cause severe or fatal reactions in immunosuppressed
persons due to uncontrolled replication of the vaccine virus. Live vaccines should usually not be
administered to severely immunosuppressed persons with congenital immunodeficiency,
leukemia, lymphoma, or generalized malignancy

7. Nursing consideration that you must always remember when handling MS client. Explain
your answer.
Answer: Impaired physical mobility related to fatigue and weakness must be always addressed
as a nurse because Multiple sclerosis (MS) is a potentially disabling disease of the brain and
spinal cord (central nervous system), this means that patient can hardly do things for his/her
own daily life routine that's why giving full assistance is a must in dealing with MS clients.

8. What is the role of innate and adaptive immunity in transplant rejection?

Answer: To be effective the immune system must have the ability to discriminate between self
and non-self cells in the body. Those identified as non-self, for example bacteria, viruses and
antigens are attacked and destroyed by the immune system. The lack of an immune response
against the body's own tissues is known as tolerance. When an organ transplant is introduced
to the body, the immune system recognises it as foreign material and therefore attempts to
attack and destroy it. It is this immune response that leads to transplants being rejected. When
a transplant is carried out therefore, immunosuppressive drugs must also be administered to
prevent the body attacking it, in an attempt to introduce tolerance of the transplanted organ.
The rejection of a transplant is primarily due to the immune response of the T lymphocytes,
also called T cells, which attempt to attack and destroy any foreign material in the body. After
being stimulated by the presence of an antigen the T cells reproduce by mitosis, producing a
large number of cells which can attack the foreign material. Therefore most
immunosuppressants work by interfering with their proliferation. To understand how
rapamycin works we must therefore examine the events leading up to cell division in T cells.