Unit2 MN551 patho
Increased thrombopoietin levels - ANS-Following a course of measles, a 5-year-old girl
developed scattered bruising over numerous body surfaces and was diagnosed with
immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work
was performed. Which of the following results is most likely to be considered
unexpected by the health care team?
"Stem cells can be used as a source of reserve cells for the entire blood production
system." - ANS-A couple who are expecting their first child have been advised by
friends to consider harvesting umbilical cord blood in order to have a future source of
stem cells. The couple have approached their nurse practitioner with this request and
are seeking clarification of exactly why stem cells are valuable and what they might
expect to gain from harvesting them. How can the nurse practitioner best respond to the
couple's inquiry?
Bacterial - ANS-Sputum samples from a patient with pneumonia contain an infective
agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in
broth and on agar, grows in clusters, has pili, and does not stain when exposed to
crystal violet. This pneumonia is most likely:
Splenomegaly and hepatomegaly - ANS-A child has been diagnosed with thalassemia.
Which of the following other health problems is the child at risk for?
Neutrophils - ANS-A patient presented to the emergency department of the hospital with
a swollen, reddened, painful leg wound and has been diagnosed with
methicillin-resistant Staphylococcus aureus cellulitis. The patient's nurse practitioner
has ordered a complete blood count and white cell differential. Which of the following
blood components would the nurse practitioner most likely anticipate to be elevated?
"My baby could become infected either across the placenta or during the birth itself." -
ANS-A nurse practitioner is providing prenatal care and education for a first-time
expectant mother, 22 weeks' gestation, who has a diagnosis of a sexually transmitted
infection. Which of the following statements by the expectant mother demonstrates an
adequate understanding of vertical disease transmission and congenital infections?
The lymph nodes involved are located in a large number of locations in the lymphatic
system. - ANS-A 60-year-old woman is suspected of having non-Hodgkin lymphoma
, (NHL). Which of the following aspects of her condition would help to rule out Hodgkin
lymphoma?
"Inflammation helps your body to produce the right antibodies to fight the infection." -
ANS-A 23-year-old man has received a recent diagnosis of appendicitis following 24
hours of acute abdominal pain. The nurse practitioner providing care for the man is
explaining that while it is unpleasant, the inflammation of his appendix is playing a role
in his body's fight against the underlying infectious process. Which of the following
teaching points should the nurse practitioner eliminate from his teaching for the patient?
"Interferon can bolster your father's immune system by stimulating natural killer cells
that attack viruses." - ANS-A 60-year-old male patient with an acute viral infection is
receiving interferon therapy. The nurse practitioner is teaching the family of the patient
about the diverse actions of the treatment and the ways that it differs from other
anti-infective therapies. Which of the following teaching points should the nurse
practitioner exclude?
Some viruses are capable of transforming normal host cells into malignant cells. -
ANS-A patient has been admitted to an inpatient medical unit of a hospital with an acute
viral infection. The health care team providing care for the patient would recognize
which of the following statements as an accurate description of the role of viruses in
human infections?
Which of the following patients is most likely to benefit from transplantation of thymic
tissue or major histocompatibility complex (MHC)-compatible bone marrow? - ANS-A
7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
A 66-year-old female patient has presented to the emergency department because of
several months of intermittently bloody stools that has recently become worse. The
woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of
nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care
team would realize that which of the following situations is most likely? - ANS-She will
have iron-deficiency anemia due to depletion of iron stores.
A tourist presented to a primary care health clinic complaining of malaise, fever, and
headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a
pathology caused by Rickettsiaceae. Which of the followed statements best captures a
characteristic trait of Rickettsiaceae? - ANS-They have both RNA and DNA.
Increased thrombopoietin levels - ANS-Following a course of measles, a 5-year-old girl
developed scattered bruising over numerous body surfaces and was diagnosed with
immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work
was performed. Which of the following results is most likely to be considered
unexpected by the health care team?
"Stem cells can be used as a source of reserve cells for the entire blood production
system." - ANS-A couple who are expecting their first child have been advised by
friends to consider harvesting umbilical cord blood in order to have a future source of
stem cells. The couple have approached their nurse practitioner with this request and
are seeking clarification of exactly why stem cells are valuable and what they might
expect to gain from harvesting them. How can the nurse practitioner best respond to the
couple's inquiry?
Bacterial - ANS-Sputum samples from a patient with pneumonia contain an infective
agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in
broth and on agar, grows in clusters, has pili, and does not stain when exposed to
crystal violet. This pneumonia is most likely:
Splenomegaly and hepatomegaly - ANS-A child has been diagnosed with thalassemia.
Which of the following other health problems is the child at risk for?
Neutrophils - ANS-A patient presented to the emergency department of the hospital with
a swollen, reddened, painful leg wound and has been diagnosed with
methicillin-resistant Staphylococcus aureus cellulitis. The patient's nurse practitioner
has ordered a complete blood count and white cell differential. Which of the following
blood components would the nurse practitioner most likely anticipate to be elevated?
"My baby could become infected either across the placenta or during the birth itself." -
ANS-A nurse practitioner is providing prenatal care and education for a first-time
expectant mother, 22 weeks' gestation, who has a diagnosis of a sexually transmitted
infection. Which of the following statements by the expectant mother demonstrates an
adequate understanding of vertical disease transmission and congenital infections?
The lymph nodes involved are located in a large number of locations in the lymphatic
system. - ANS-A 60-year-old woman is suspected of having non-Hodgkin lymphoma
, (NHL). Which of the following aspects of her condition would help to rule out Hodgkin
lymphoma?
"Inflammation helps your body to produce the right antibodies to fight the infection." -
ANS-A 23-year-old man has received a recent diagnosis of appendicitis following 24
hours of acute abdominal pain. The nurse practitioner providing care for the man is
explaining that while it is unpleasant, the inflammation of his appendix is playing a role
in his body's fight against the underlying infectious process. Which of the following
teaching points should the nurse practitioner eliminate from his teaching for the patient?
"Interferon can bolster your father's immune system by stimulating natural killer cells
that attack viruses." - ANS-A 60-year-old male patient with an acute viral infection is
receiving interferon therapy. The nurse practitioner is teaching the family of the patient
about the diverse actions of the treatment and the ways that it differs from other
anti-infective therapies. Which of the following teaching points should the nurse
practitioner exclude?
Some viruses are capable of transforming normal host cells into malignant cells. -
ANS-A patient has been admitted to an inpatient medical unit of a hospital with an acute
viral infection. The health care team providing care for the patient would recognize
which of the following statements as an accurate description of the role of viruses in
human infections?
Which of the following patients is most likely to benefit from transplantation of thymic
tissue or major histocompatibility complex (MHC)-compatible bone marrow? - ANS-A
7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
A 66-year-old female patient has presented to the emergency department because of
several months of intermittently bloody stools that has recently become worse. The
woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of
nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care
team would realize that which of the following situations is most likely? - ANS-She will
have iron-deficiency anemia due to depletion of iron stores.
A tourist presented to a primary care health clinic complaining of malaise, fever, and
headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a
pathology caused by Rickettsiaceae. Which of the followed statements best captures a
characteristic trait of Rickettsiaceae? - ANS-They have both RNA and DNA.
