NR 507 / NR507 Advanced Pathophysiology Final / Midterm Exam | Q & A | Highly rated Study Guide | Chamberlain College - €12,05   In winkelwagen

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NR 507 / NR507 Advanced Pathophysiology Final / Midterm Exam | Q & A | Highly rated Study Guide | Chamberlain College

NR 507 / NR507 Advanced Pathophysiology Final / Midterm Exam | Q & A | Highly rated Study Guide | Chamberlain College A. Chronic inflammatory joint disease 1. In assessing the joints of a patient with rheumatoid arthritis, the nurse understands that the joints are damaged by bony ankylosis following inflammation of the joints invasion of pannus into the joint causing a loss of cartilage 2. Assessment data in the patient with osteoarthritis commonly include joint pain that worsens with use 3. The nurse is working with a 73-year-old patient with osteoarthritis (OA). In assessing the patient's understanding of this disorder, the nurse concludes teaching has been effective when the patient describes the condition as which of the following Degeneration of articular cartilage in synovial joints 4. A 60-year-old woman has pain on motion in her fingers and asks the nurse whether this is just a result of aging. The best response by the nurse includes the information that changes in the cartilage and bones of joints may cause symptoms of pain and loss of function in some people as they age 5. The basic pathophysiologic process of rheumatoid arthritis (RA) is an immune response that activates complement and produces inflammation of joints and other organ systems 6. During the physical assessment of the patient with moderate RA, the nurse would expect to find spindle-shaped fingers 7. After teaching a patient with RA about the prescribed therapeutic regimen, the nurse determines that further instruction is needed when the patient says, I should perform most of my daily chores in the morning when my energy level is highest 8. A 70-year old patient is being evaluated for symptoms of RA. The nurse recognizes that a major problem in the management of RA in the older adult is that drug interactions and toxicity are more likely to occur with multidrug therapy B. Clonal selection 1. When a nurse uses the term clonal diversity, what is the nurse describing? The ability of the population of lymphocytes to recognize almost any antigenic molecule 2. Which of the following statements indicates the nurse has a good understanding of clonal selection? Lymphocytes that can recognize and react to a specific antigen proliferate. 3. Cytokines that stimulate bone marrow pluripotent stem and progenitor or precursor cells to produce large numbers of platelets, erythrocytes, lymphocytes, neutrophils, and monocytes, eosinophils, basophils, and dendritic cells are known as: Colony-stimulating factors (CSFs) C. Complications of gastric resection surgery 1. Care for the postoperative client after gastric resection should focus on which of the following problems? Nutritional needs 2. Which of the following complications of gastric resection should the nurse teach the client to watch for? Dumping syndrome D. Concept of pain 1. The nurse is using the neuromatrix theory when determining a patient's pain. What should the nurse consider when assessing a patient's pain? cultural and genetic factors 2. The patient complaining of pain has been waiting for medication to relieve the pain. What should the nurse understand about this patient? The patient's pain is real. 3. The nurse is assessing a patient's pain perception. What should the nurse use to make this assessment? PQRST guide 4. A patient is being treated for chronic pain. What should the nurse keep in mind when assessing this patient's level of pain? The pain rating may be inconsistent with the underlying pathology. 5. A patient is seen talking and laughing in the clinic's waiting room yet complains of excruciating pain. What should the nurse realize this patient is demonstrating? inconsistent behavioral response to pain E. Congenital heart defects 1. The comment made by a parent of a 1-month-old that would alert the nurse about the presence of a congenital heart defect is: "He tires out during feedings." 2. The nurse explains that which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? Atrial septal defects (ASDs), Patent ductus arteriosus, Ventricular septal defects (VSDs) 3. A newborn is diagnosed with a congenital heart defect (CHD). The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as patent ductus arteriosus or PDA. 4. Congenital heart defects (CHDs) are classified by which of the following? Defects with increased pulmonary blood flow, Defects with decreased pulmonary blood flow., Mixed defects, Obstructive defects. 5. Hypoxic spells in the infant with a congenital heart defect (CHD) can cause which of the following? Polycythemia, Blood clots, Cerebrovascular accident, Developmental delays, Brain damage.

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NR 507 / NR507 Advanced Pathophysiology Final Exam Review | NR 507 / NR507 Advanced Pathophysiology Midterm Exam Review| Q & A | Highly Rated Study guide | Chamberlain College

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