NURS 5463 Exam 3 Questions And Accurate Answers
2025-2026 100% Pass
Perioperative in SLE? - Answer Continue meds if severe SLE, hold for 1 week if not
severe for THA or TKA
Localized swelling of skin and mucous tissues? - Answer Angioedema
Mast cell mediated rxn Angioedema? - Answer associated with urticaria and pruritus; Tx
w/ antihistamines and glucocorticoids
Bradykinin mediated rxn Angioedema? - Answer does not involve histamine; due to ACE
inhibitors
Anaphylaxis - Answer typically involves urticaria or angioedema; obstruction of the
airway
Tx anaphylaxis with? - Answer 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 -
Answer RA
DX RA? - Answer arthrocentesis for synovial fluid analysis, ANA negative to rule out
SLE, Rheumatoid factor, Anti-CCP antibodies
1st line treatment for RA? - Answer Methotrexate- DMARD; myelosuppression and
hepatic fibrosis SE; CI in child-bearing women
, Non-biologic DMARDS continued through perioperative period? - Answer Methotrexate,
Leflunomide, Hydroxychloroquine, and Sulfasalazine
Dx of Giant cell arteritis (vasculitis - Answer temporal artery biopsy; MRA of CTA if
unable to do biopsy, elevated CRP >10
highly specific for Temporal Arteritis? - Answer jaw claudication
tx of giant cell arteritis - Answer high dose corticosteroids (prednisone), aspirin to
decrease risk of vision loss or CVA
? binds to CD4 receptor and co-receptor CCR5 or CXCR4? - Answer gp 120 = HIV
protein
most common, most aggressive and world wide HIV? - Answer HIV-1
AIDs? - Answer CD4 <200 &/OR AIDs defining illness
can be detected in blood in 10 days after infection? - Answer P24 antigen- NOT a
standalone test
serology testing, EIA and Western Blot? -Answer 3rd generation immunoassasy for HIV
antibody testing @12 weeks post infection
better for acute HIV infection detection? -Answer 4th generation antigen/antibody test;
if positive, differentiation HIV1 or 2 immunoassay should be completed
viral load? -Answer perform to clarify Dx in negative or indeterminate differentiation
immunoassasy and Tx monitoring
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