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NURS5463 Exam 3 Questions and Answers 100% Verified

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Mast cell mediated rxn Angioedema? - ️️accompanied by urticaria and pruritus; Tx with antihistamines and glucocorticoids Treatment of SLE? - ️️Methylprednisolone IV in severe case, Prednisone for maintenance or mild flares Staph gram stain? - ️️grape like clusters, gram positive coc...

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  • November 9, 2024
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  • 2024/2025
  • Exam (elaborations)
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  • NURS5463
  • NURS5463
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ACADEMICMATERIALS
NURS5463 Exam 3
Mast cell mediated rxn Angioedema? - ✔️✔️accompanied by urticaria and pruritus; Tx
with antihistamines and glucocorticoids


Treatment of SLE? - ✔️✔️Methylprednisolone IV in severe case, Prednisone for
maintenance or mild flares


Staph gram stain? - ✔️✔️grape like clusters, gram positive cocci

Strep gram stain? - ✔️✔️chains or in pairs, gram positive cocci

autoimmune disease by drugs or disease triggers (EBV), UV light, or estrogen? -
✔️✔️Systemic Lupus Erythematosus (SLE)

autoantibodies cause damage to tissue/organs, deficient complement 3&4? - ✔️✔️SLE

common initial complaint of SLE? - ✔️✔️arthralgias

skin and kidney characteristics of SLE? - ✔️✔️Butterfly shaped, malar rash on face,
kidney most common affected organ-glomerulonephritis

ANA? - ✔️✔️antinuclear antibody- detects autoantibodies; positive in SLE

anti-dsDNA? - ✔️✔️>25 during SLE exacerbation
triggers SLE exacerbation? - ✔️✔️Sulfa and UV light

baseline ophthalmologic exam prior to ordering? - ✔️✔️Hydroxychloroquine for SLE

perioperative in SLE? - ✔️✔️Continue meds if severe SLE, hold for 1 week if not
severe for THA or TKA

localized swelling of skin and mucous tissues? - ✔️✔️Angioedema

Bradykinin mediated rxn Angioedema? - ✔️✔️doesn't involve histamine; from ACE
inhibitors

anaphylaxis - ✔️✔️usually includes urticaria or angioedema; airway obstruction

Tx anaphylaxis with? - ✔️✔️Epi, H1 and H2 blockers, corticosteroids if histamine
blockers no controlling swelling, glucagon to reverse BB

, inflamed synovium, morning stiffness, better with activity, symmetrical joint swelling -
✔️✔️RA

DX RA? - ✔️✔️arthrocentesis for synovial fluid analysis, ANA negative to rule out SLE,
Rheumatoid factor, Anti-CCP antibodies


Non-biologic DMARDS continued through perioperative period? - ✔️✔️Methotrexate,
Leflunomide, Hydroxychloroquine, and Sulfasalazine

Dx of Giant cell arteritis (vasculitis - ✔️✔️temporal artery biopsy; MRA of CTA if unable
to do biopsy, elevated CRP >10

highly specific for Temporal Arteritis? - ✔️✔️jaw claudication

tx of giant cell arteritis - ✔️✔️high dose corticosteroids (prednisone), aspirin to
decrease risk of vision loss or CVA

? binds to CD4 receptor and co-receptor CCR5 or CXCR4? - ✔️✔️gp 120 = HIV
protein

most common, most aggressive and world wide HIV? - ✔️✔️HIV-1

AIDs? - ✔️✔️CD4 <200 &/OR AIDs defining illness

can be detected in blood in 10 days after infection? - ✔️✔️P24 antigen- NOT a
standalone test

serum testing, EIA and Western Blot? - ✔️✔️3rd generation immunoassasy for HIV
antibody testing @12 weeks post infection

better for acute HIV infection detection? - ✔️✔️4th generation antigen/antibody test; if
positive, differentiation HIV1 or 2 immunoassay should be completed

viral load? - ✔️✔️perform to clarify Dx in negative or indeterminate differentiation
immunoassasy and Tx monitoring

goal of viral load? - ✔️✔️every 3 months on tx for viral suppression monitoring; <50

test to determine which drug to avoid with viral load >500? - ✔️✔️Resistant Testing for
HIV treatment

test hypersensitivity to Abacavir, 100% sensitivity? - ✔️✔️HLA-B*5701 Screening

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