Page 1590 - Saunders Comprehensive Review For NCLEX-RN

2. Positive skin test for histoplasmosis

3. Positive agglutination test
4. Splenomegaly, hepatomegaly
C. Interventions

1. Administer oxygen as prescribed.

2. Monitor breath sounds.
3. Administer antiemetics, antihistamines, antipyretics,
and corticosteroids as prescribed.
4. Administer fungicidal medications as prescribed.
5. Encourage coughing and deep breathing.
6. Place the client in a semi-Fowler’s position.
7. Monitor vital signs.

8. Monitor for nephrotoxicity from fungicidal

medications.
9. Instruct the client to wear a mask and spray the floor
with water before sweeping barn and chicken coops.
XIX. Sarcoidosis
A. Description
1. Presence of epithelioid cell tubercles in the lung
2. The cause is unknown, but a high titer of Epstein-Barr
virus may be noted.
3. Viral incidence is highest in African Americans and
young adults.
B. Assessment
1. Night sweats
2. Fever
3. Weight loss
4. Cough and dyspnea
5. Skin nodules
6. Polyarthritis

7. Kveim test: Sarcoid node antigen is injected

intradermally and causes a local nodular lesion in
about 1 month.
C. Interventions
1. Administer corticosteroids to control symptoms.
2. Monitor temperature.
3. Increase fluid intake.
4. Provide frequent periods of rest.
5. Encourage small, frequent, nutritious meals.
XX. Occupational Lung Disease
A. Description
1. Caused by exposure to environmental or occupational
fumes, dust, vapors, gases, bacterial or fungal

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