MN551 Quiz 2 [2021]

MN551 Quiz # 2 Which of the following patients is most likely to benefit from transportation of thymic tissue or major histocompatibility complex ( MHC) – compatible bone marrow? A 7 yo boy whose blood work indicates decreased IgA and IgG with increased IgM As part of his diagnostic workup, a 77 yo man nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care is unfamiliar with ferritin and it’s role. Which of the following explanations by the nurse practitioner is most accurate? Ferritin is a stored form of iron that indirectily shows me whether you would benefit from iron pills. The blood work of a 44 yo male with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? Fluid imbalances A 14 yo boy has been diagnosed with infectious Mono. Which of the following pathophysiological phenomena is most responsible for his symptoms? Viruses are killing some of his B cells and becoming incorporated into the genomes of others. This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.comWhich of the following phenome would be least likely to result in activation of the complement system? Activation of Toll-like recptors on complement proteins. Following a course of the measles a 5yo girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenia purpura (ITP). Diagnostic workup, blood work was performed. Which results is most likely to be considered unexpected by the health care team? Increased thrombopoietin levels A patient presented to the ED with a swollen, reddened, painful leg wound , diagnosed with MRSA cellulitis. The nurse practitioner ordered a CBC and white cell diff. Which of the following blood components would the nurse anticipate to be elevated? Neutrophils A nurse practitioner is explaining to a 40 yo male pt the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the NP explanation? Macrophages are unable to digest the bacteria, resulting in immune granulomas. A 29 yo construction worker got silver under his fingernail 4 days ago. The affected finger is reddened, painful, swollen, and warm. Which of the following hematological processes is most likely occurring in response to the infection? Prolieration of immature neutrophils This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.comWhich of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical historory? A 21 yo male with a diagnosis of cellulitis and suspected endocarditis secondary to IV drug use. 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 NP with this request and are seeking clarification of exactly why stem cells are valuable. How can the nurse practitioner best respond to the couple’s inquiry? Stem cells can be used as a source of reserve cells for the entire blood production system. A 16 yo female has been brought to her primary NP by her mother due to perisistent sore throat and malaise. Which of the following facts revealed in the girl history and exam would lead the NP to r/o infectious mono? Chest auscultation reveals crackles in her lower lung fields bilaterally. A 60 yo woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to r/o Hodgkin lymphoma? The lymph nodes involved are located in a large number of locations in the lymphatic system. This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.comA NP is providing prenatal care and eduction for a first-time expectant mother, 22 wks gest, who has a diagnosis of a STD. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? My baby could become infected either across the placenta or during the birth itself. A 71 yo male pt w/ a hx of MI and peripheral vascular disease has been advised by his NP to begin taking 81 mg of ASP once daily. Which of the underlying rationale for the NP suggestion? Platelet aggregation can be precluded thru inhibition of prostaglandin production by aspirin. Which of the following statements most accurately conveys an aspect of lymphatic system activity? B and T lymphocyte development begins I the bone marrow and ends in the peripheral lymphoid structures. A 23 yo man has received a recent dx of appendicitis following 24 hrs of acute abd pain. The NP 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 NP eliminate from his teaching for the patient? Inflammation helps your body to produce the right antibodies to fight the infection. This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.comA 66yo female pt has presented to the ED w/ several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed w/ a GI bleed secondary to overuse of NSAIDs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? She will have iron-deficiency anemia due to depletion of iron stores. A 40 yo woman experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? Injections of allergens stimulate production of IgG which blocks antigens from combining with IgE. A 44 yo female patient presents to the ED with abnormal bleeding and abd pain that is later attributed to gallbladder disease. Which of the following diagnoses would the medical team be most justified in suspecting as a caus of the patient’s bleeding? Vitamin K deficiency A NP is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use. This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.com A 24 yo woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: A sever bacterial infection A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has been diagnosed with Rocky Mountain Spotted fever, a pathology caused by Rickettsiaceae. Which of the following statements best captures a characteristic trait of Rickettsiaceae? They have both RNA and DNA. A 22 yo female who adheres to a vegen diet has been diagnosed with irondeficiency anemia. Which of the following componets of her diagnostic blood work would be most likely to necessitate further investigation? Decreased erythropoietin levels Sputum samples from a pt 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: Bacterial This study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.comThis study source was downloaded by 100000805705997 from CourseHero.com on 05-16-2021 13:14:48 GMT -05:00 https://www.coursehero.com/file/22956237/MN551-Quiz-2/ This study resource was shared via CourseHero.com Powered by TCPDF (www.tcpdf.org