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NR507 Midterm Exam Study Guide (V2)(Up-to-date, ) / NR 507 Midterm Exam Study Guide: Advanced Pathophysiology: Chamberlain College of Nursing | Download to Score “A”|

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NR507 Midterm Exam Study Guide (V2)(Up-to-date, ) / NR 507 Midterm Exam Study Guide: Advanced Pathophysiology: Chamberlain College of Nursing | Download to Score “A”| NR507 Week 4 Midterm Exam Study Guide (Up-to-date, ) / NR 507 Week 4 Midterm Exam Study Guide: Advanced Pathophysiology: Chamberlain College of Nursing | Download to Score “A”|

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1

,Cancer

In terms of epigenetic modifications, the role of environmental stressors associated with development of cancer

 When considering abnormal epigenetics modifications, what factor is currently being viewed as strongly
associated with the development of some cancers? Environmental stressors

Defects in Mechanism of Defense

Hemolytic defects in the newborn

 To explain hemolytic disorders in the new born to new parents, the nurse who cares for the new born
population must be aware of the physiologic characteristics related to these conditions. What is the most
common cause of pathologic hyperbilirubinemia? Hemolytic disorders
 Which infant is most likely to express Rh incompatibility? Infant of an Rh- negative mother and a father who
is Rh Positive and homozygous for the Rh factor
 Rh hemolytic disease is suspected in a mother's second baby, a son. Which factor is important in
understanding how this could develop?
The first child was Rh positive
 The nurse is caring for an infant with hemolytic disease. Which medication should the nurse anticipate to be
prescribed to decrease the bilirubin level?
Phenobarbital
 A newborn is found to have hemolytic disease. Which combination would be found related to the blood types
of this newborn and the parents of the newborn?
Newborn who is Type A, mother who is type O
 The nurse is caring for a newborn with hemolytic disease of the newborn who is receiving phototherapy.
Which nursing intervention would be the most appropriate for the nurse to do?
The nurse turns the newborn every 3 to 4 hours

Understand the meaning of infectivity

Most effective treatment for HIV

 A patient diagnosed with acute primary HIV infection is in the clinic. What treatment should be initiated for
this patient?
Combination antiretroviral therapy

Defected cells of HIV

 A patient has human immunodeficiency virus (HIV). A nurse realizes the HIV will attack:
Helper T cells



3

,  The nursing instructor is discussing the development of human immunodeficiency disease (HIV) with the
students. What should the instructor inform the class about helper T cells?
They are activated on recognition of antigens and stimulate the rest of the immune system.
Signs of T-Lymphocyte deficiency-

 T-cell defects
Present early
-Failure to thrive
-Opportunistic (viral & often bacterial)
 A patient has DiGeorge syndrome. Which assessment findings should the nurse monitor for in this patient?
Low calcium levels and tetany
 A nurse is caring for a client who is deficient in T cells. Which result of this T cell deficiency does the nurse
anticipate?
Decrease in leukocytes and impaired cellular immunity
Pulmonary Alterations

Pulmonary function tests

 Identify purposes for preforming PFT’s? to identify and measure pulmonary disease
 What is the role of pulmonary function testing? It serves both a diagnostic and therapeutic role,determines
how well the lungs work.
 What do PFT screening do? It may detect pulmonary abnormalities caused by disease or environmental
factors in general populations, occupational settings, smokers or other high-risk groups.
 A 15-year-old female is diagnosed with restrictive lung disease caused by fibrosis. The patient had a
pulmonary functions test. Which of the following findings is expected?
Decreased functional residual capacity
Relationship of lung compliance and residual volume
 A nurse is teaching about the functions of the pulmonary system. Which information should the nurse
include? One of the functions of the pulmonary system is the:
Exchange of gases between the environment and blood
 An 80-year-old male presents to his primary care provider reporting difficulty breathing. Pulmonary function
tests reveal that he has increased residual volume. A nurse suspects the most likely cause of this disorder is
_____in lung compliance?
Increase
Shifts in the oxyhemoglobin dissociation




4

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