Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
1. Physical assessment for immunity: General
appearance Vital signs
Inspect mucous membranes
Assess skin color, temp, &
moisture inspect lymph nodes
Assess MS
system check
joint ROM
2. artificially acquired active immunity: Immunity developed after
exposure to a pathogen (i.e. live animal)
Examples: rabies and tetanus shot
3. Active immunity: Exposure to disease or through vaccination. Usually
lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural
immunity) Vaccination is introduced in a weakened or killed form of the
disease into the body (vaccine-induced immunity)
4. Passive immunity: receives antibodies from someone else rather than
producing them through their own immune system. Protection is
immediate but lasts for a short period (weeks to months)
Example: passing antibodies from mother to the fetus via placenta or
breast milk; administering blood product; immunoglobulins
5. Difference between antibodies and antigens: Antibodies = good, fight
invaders Antigens = bad, attack cells
6. Diagnostic labs for infection: WBC w/
differential Procalcitonin
wound cultures
Urinalysis
Serological test
Direct antigen
detection antibiotic
peak
Trough levels
Radiological examinations
(X-ray) Lumbar puncture
Ultrasound examination
7. Complications of NSAIDS for older adults: GI issues such as stomach
1/
,Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
ulcers and bleeding
Renal (excreted) toxicity
2/
, Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for systematic reaction to inflammation: Oral temperature
greater than 38C or less than 36C
Increased HR and RR
Increased WBC
(>12,000) Generalized
edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3
seconds) Altered mental status
Decreased urine
output Wound
culture
9. Signs & Symptoms of acute ulcerative colitis: LLQ abdominal
pain Anorexia and weight loss
Fever
Hypotensi
ve
Diarrhea (5-30 stools/day)
Stools contain
mucus/blood/pus
Abdominal
distention/tenderness/firmness High-
pitched bowel sounds
Rectal
bleeding
Malnutrition
Hypovolemia
Anemia
10. Nursing actions to decrease cancer cells and support normal cell
function-
:
Nutritio
n
Hydratio
n
Exercise
Optimal
3/
, Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
homeostasis*
Promote sleep
Manage tx side
effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to
germs Discourage smoking
Drink alcohol in moderation
11.Collaborative tx plan for client with leukemia: Bone marrow
transplant Stem cell transplant
4/
With Complete Solutions
1. Physical assessment for immunity: General
appearance Vital signs
Inspect mucous membranes
Assess skin color, temp, &
moisture inspect lymph nodes
Assess MS
system check
joint ROM
2. artificially acquired active immunity: Immunity developed after
exposure to a pathogen (i.e. live animal)
Examples: rabies and tetanus shot
3. Active immunity: Exposure to disease or through vaccination. Usually
lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural
immunity) Vaccination is introduced in a weakened or killed form of the
disease into the body (vaccine-induced immunity)
4. Passive immunity: receives antibodies from someone else rather than
producing them through their own immune system. Protection is
immediate but lasts for a short period (weeks to months)
Example: passing antibodies from mother to the fetus via placenta or
breast milk; administering blood product; immunoglobulins
5. Difference between antibodies and antigens: Antibodies = good, fight
invaders Antigens = bad, attack cells
6. Diagnostic labs for infection: WBC w/
differential Procalcitonin
wound cultures
Urinalysis
Serological test
Direct antigen
detection antibiotic
peak
Trough levels
Radiological examinations
(X-ray) Lumbar puncture
Ultrasound examination
7. Complications of NSAIDS for older adults: GI issues such as stomach
1/
,Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
ulcers and bleeding
Renal (excreted) toxicity
2/
, Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for systematic reaction to inflammation: Oral temperature
greater than 38C or less than 36C
Increased HR and RR
Increased WBC
(>12,000) Generalized
edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3
seconds) Altered mental status
Decreased urine
output Wound
culture
9. Signs & Symptoms of acute ulcerative colitis: LLQ abdominal
pain Anorexia and weight loss
Fever
Hypotensi
ve
Diarrhea (5-30 stools/day)
Stools contain
mucus/blood/pus
Abdominal
distention/tenderness/firmness High-
pitched bowel sounds
Rectal
bleeding
Malnutrition
Hypovolemia
Anemia
10. Nursing actions to decrease cancer cells and support normal cell
function-
:
Nutritio
n
Hydratio
n
Exercise
Optimal
3/
, Ecpi, Charleston Nur 138 pharmacology FINAL!!! Questions
With Complete Solutions
homeostasis*
Promote sleep
Manage tx side
effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to
germs Discourage smoking
Drink alcohol in moderation
11.Collaborative tx plan for client with leukemia: Bone marrow
transplant Stem cell transplant
4/
