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Exam (elaborations)

NURS 242 Exam

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Exam of 22 pages for the course NURS 242 at NURS 242 (NURS 242 Exam)

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  • March 3, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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NURS 242 Exam 2023-2024
What is the purpose of Cancer Marker CA 19-9? - ANSWER>>>It is the tumor marker
for diagnosis, evaluation of pancreatic or hepatobiliary cancers. It also monitors
response to and surveillance of treatment.

CA 125 Normal - ANSWER>>><35 units/mL

What is the purpose of Cancer Marker CA 125? - ANSWER>>>It is an indicator for
ovarian tumors.

What can cause some false + for CA 125? - ANSWER>>>Pregnancy
STIs
Menstrual Cycle
PID

CEA Normal - ANSWER>>><5 ng/mL

BRCA 1 susceptibility - ANSWER>>>55% Breast
39% Ovarian

BRCA 2 susceptibility - ANSWER>>>65% Breast
17% Ovarian

Normal Population's Risk for Breast and Ovarian Cancers - ANSWER>>>12% Breast
1.4% Ovarian

What is the purpose of Broca's area? - ANSWER>>>Voluntary speech/ language
production

Damage to Broca's area results in...? - ANSWER>>>Broca's Aphasia- inability to speak
or understand language

What neurotransmitter is released by the frontal cortex to inhibit negative actions? -
ANSWER>>>GABA

What medication boosts GABA; best for anxiety, psychosis, or a seizure disorder? -
ANSWER>>>Benzodiazepines; Long Acting vs. Short Acting

Cranial Nerve I - ANSWER>>>Olfactory

Loss of smell; damage to CN I - ANSWER>>>anosmia

A patient presents with repetitive swallowing or chewing motions. You know this to be
called? - ANSWER>>>Automatisms

,What is the purpose of Wernicke's Area - ANSWER>>>Reception of language;
interpretation of speech and sounds

Damage to Wernicke's area results in...? - ANSWER>>>Wernicke's aphasia- inability to
speak clearly "I'm going to kredistant to get a freebie- want one?"

Testing of recent memory tests function of which area of the brain? - ANSWER>>>The
Hippocampus

Testing of tactile sensations through writing numbers or letters in the pts palm for
interpretation. - ANSWER>>>Graphesthesia

Testing of tactile sensations through placing familiar objects within the pts hands for
interpretation. - ANSWER>>>Stereognosis

What are some personal/ social hx r/t neurological symptoms? -
ANSWER>>>Environment/ Occupational Hazards
Hand, Eye, Foot dominance
Ability to care for oneself
Sleeping/ eating patterns
Use of drugs/ alcohol
Head injuries/trauma
Birth trauma

What are some family hx r/t neurological symptoms? - ANSWER>>>Hereditary disease
Medical/ metabolic disorder
Alcoholism
Intellectual disabilities
Epilepsy or seizure disorder/ headaches
Alzheimer disease/ dementia
Learning disorder- dyslexia, reading delay

What are some specific notes of hx for older adults in relation to neurological disorders?
- ANSWER>>>Increased stumbling/ falls
Decreased agility
Safety modification at home
Interfere with performance of ADLs
Sensory deficits (hearing, vision, smell)
Tremors
Fecal/ urinary incontinence
Transient neurologic deficits

What are some specific notes of hx for those with seizures? - ANSWER>>>Sequence of
events
Character of Symptoms

, Aura
Level of Consciousness
Automatism
Muscle tone/rigidity
Postictal Behavior
Relationship of seizure to other events
Frequency of seizures
Medication

What are some specific notes of hx for pain r/t neurological disorders? -
ANSWER>>>Onset
Location
Quality
Associated symptoms
Efforts to treat
Medications

When BJP is present in the urine, what does it indicate or monitor? - ANSWER>>>It
detects and monitors multiple myeloma.

What is the normal for Bence Jones Protein? - ANSWER>>>To find none in the urine
specimen.

What can cause false positives for BJP? - ANSWER>>>Penicillin, Aspirin, RA

Which markers are used to detect bladder cancer? - ANSWER>>>Bladder Tumor
Antigen
Nuclear Matrix Protein 22
Survivin

What are the normals for the Bladder Cancer markers? - ANSWER>>>BTA: <14
units/mL
NMP22: <10 units/ mL
Surviving: not detectable

What are some causes of false positives in the Bladder Cancer Markers? -
ANSWER>>>Renal Calculi
STIs

Nuclear scans are contraindicated in what patients? - ANSWER>>>Pregnant or
lactating patients.

CA 15-3 Normal - ANSWER>>><31 units/mL

CA 27.29 Normal - ANSWER>>><38 units/mL

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