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NURS5463 Exam 3 Questions and Answers

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NURS5463 Exam 3 Questions and Answers

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NURS5463
Course
NURS5463

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NURS5463 Exam 3
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Terms in this set (111)


Staph gram stain? grape like clusters, gram positive cocci

Strep gram stain? chains or in pairs, gram positive cocci

autoimmune disease by drugs or disease Systemic Lupus Erythematosus (SLE)
triggers (EBV), UV light, or estrogen?

autoantibodies cause damage to SLE
tissue/organs, deficient complement 3&4?

common initial complaint of SLE? arthralgias

, Butterfly shaped, malar rash on face, kidney most common affected organ-
skin and kidney characteristics of SLE?
glomerulonephritis

ANA? antinuclear antibody- detects autoantibodies; positive in SLE

anti-dsDNA? >25 during SLE exacerbation

Treatment of SLE? Methylprednisolone IV in severe case, Prednisone for maintenance or mild flares

triggers SLE exacerbation? Sulfa and UV light

baseline ophthalmologic exam prior to Hydroxychloroquine for SLE
ordering?

perioperative in SLE? Continue meds if severe SLE, hold for 1 week if not severe for THA or TKA

localized swelling of skin and mucous Angioedema
tissues?

Mast cell mediated rxn Angioedema? accompanied by urticaria and pruritus; Tx with antihistamines and glucocorticoids

Bradykinin mediated rxn Angioedema? doesn't involve histamine; from ACE inhibitors

anaphylaxis usually includes urticaria or angioedema; airway obstruction

Epi, H1 and H2 blockers, corticosteroids if histamine blockers no controlling swelling,
Tx anaphylaxis with?
glucagon to reverse BB

inflamed synovium, morning stiffness, RA
better with activity, symmetrical joint
swelling

arthrocentesis for synovial fluid analysis, ANA negative to rule out SLE, Rheumatoid
DX RA?
factor, Anti-CCP antibodies

Methotrexate- DMARD; myelosuppression and hepatic fibrosis SE; CI in child-
1st line treatment for RA?
bearing women

Non-biologic DMARDS continued through Methotrexate, Leflunomide, Hydroxychloroquine, and Sulfasalazine
perioperative period?

Dx of Giant cell arteritis (vasculitis temporal artery biopsy; MRA of CTA if unable to do biopsy, elevated CRP >10

highly specific for Temporal Arteritis? jaw claudication

tx of giant cell arteritis high dose corticosteroids (prednisone), aspirin to decrease risk of vision loss or CVA

? binds to CD4 receptor and co-receptor gp 120 = HIV protein
CCR5 or CXCR4?

most common, most aggressive and world HIV-1
wide HIV?

AIDs? CD4 <200 &/OR AIDs defining illness

can be detected in blood in 10 days after P24 antigen- NOT a standalone test
infection?

serum testing, EIA and Western Blot? 3rd generation immunoassasy for HIV antibody testing @12 weeks post infection

4th generation antigen/antibody test; if positive, differentiation HIV1 or 2
better for acute HIV infection detection?
immunoassay should be completed

perform to clarify Dx in negative or indeterminate differentiation immunoassasy and
viral load?
Tx monitoring

goal of viral load? every 3 months on tx for viral suppression monitoring; <50

test to determine which drug to avoid with Resistant Testing for HIV treatment
viral load >500?

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