WGU D115 Comprehensive Questions and Answers (Latest Update () (61 Questions Answered) ACTUAL

WGU D115 Comprehensive A child with Down's syndrome has had frequent respiratory tract infections since birth. What should the APRN tell the parent is the underlying cause of this illness? - correct answers Gastroesophageal reflux disease causes aspiration of thin fluids. Feedback: Gastroesophageal reflux is commonly seen in children with Down syndrome and can be severe enough to result in aspiration of stomach contents, causing respiratory symptoms such as persistent coughing, wheezing, and pneumonia The FNP understands that a female patient with a complete or partial absence of the second sex chromosome may also display which of the following physical signs? - correct answers Ovarian failure Feedback: Turner's syndrome occurs in approximately 1 in 2500 live births. It is diagnosed by complete or partial absence of the second sex chromosome (45, X). Patients may also demonstrate congenital lymphedema of hands and feet, webbed neck, high-arched palate, and short fourth metacarpal. Short stature, Ovarian failure, cardiovascular and renal issues, ear malformations, and other health problems, as well as amenorrhea due to premature ovarian failure An example of a disease that is caused by a chromosomal deletion is cri du chat syndrome. Children affected with this disorder commonly display which of the following symptoms? - correct answers Symptoms associated with cri du chat include low birth weight, severe intellectual disability, microcephaly, and heart defects. What type of immunity is the body's 3rd line of defense and includes the primary characteristics of specificity and memory. - correct answers Adaptive Feedback: The third line of defense in the human body is adaptive (acquired) immunity. The local manifestations of inflammation result from vascular changes and the circulation of associated components into the tissue. The 4 cardinal signs of inflammation include all of the following: - correct answers Swelling, pain, heat, and redness are the cardinal signs of inflammation. Patients with trisomy of the 21st chromosome are also predisposed to which of the following diseases, which is also affected by alterations in the 21st chromosome? - correct answers Alzheimer Disease Which assessment findings are typically associated with a diagnosis of systemic lupus erythematous? - correct answers Joint pain, malar rash, and photosensitivity Feedback: The symptoms most often experiences with SLE are arthritis, arthralgias, fatigue, Reynaud phenomenon, chronic low-grade fever, sun sensitivity, hair loss, weakness, malar facial rash, and weight loss. The FNP understands the the most common form of facial paralysis is bells palsy. This disorder primarily affects which cranial nerve? - correct answers Bell palsy may be caused by reactivation of herpesviruses in cranial nerve VII A patient presents with symptoms of fever, tachycardia, chills, throbbing headache, severe photophobia, and nuchal rigidity. Based on the presumed diagnosis, the FNP understands that the following symptoms may also occur in response to irritation and inflammation of the cranial nerves: - correct answers deafness, tinnitus, and vertigo Feedback: These symptoms can occur due to damage to cranial nerve VIII. The clinical manifestations of myasthenia gravis include diplopia, ptosis, ocular palsies, facial droop, and difficulty swallowing and chewing. The symptoms are a direct result of a defect in nerve impulse transmission at the neuromuscular junction. These symptoms usually have an insidious onset and can commonly occur during which significant life event? - correct answers Pregnancy When prescribing an antibiotic to treat acute otitis media, the FNP is aware that there are 4 common bacteria that cause AOM. Which of the following is not a common cause? - correct answers Streptococcus pyogenes - The most common pathogens are Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pneumonia, and Staphylococcus aureus. During an intake interview with a 26-year-old patient diagnosed with generalized anxiety disorder, the FNP might observe what type of behavior? - correct answers Inability to concentrate and irritability when questioned When assessing a patient who has a diagnosis of major depressive disorder, which would be considered a cognitive symptom of depression? - correct answers Cognitive deficits associated with depression include deficits in problem solving, decision making, and impaired judgment, memory loss, and lack of concentration. The FNP would expect which symptoms in a patient with a diagnosis of schizophrenia? - correct answers Paranoia, delusions, hallucinations, and diminished self-care Feedback: The characteristics of schizophrenia are paranoia, delusions, tangential thought, suspiciousness, disorganized behavior, and hallucinations.