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NURS5463 Latest Exam 3 Questions With Verified Solutions.
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Staph gram stain? - Answer grape like clusters, gram positive cocci Strep gram stain? - Answer chains or in pairs, gram positive cocci autoimmune disease by drugs or disease triggers (EBV), UV light, or estrogen? - Answer Systemic Lupus Erythematosus (SLE) autoantibodies cause dam...

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  • October 24, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NURS5463 Latest Exam 3 Questions
With Verified Solutions.
Staph gram stain? - Answer grape like clusters, gram positive cocci



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



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



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



common initial complaint of SLE? - Answer arthralgias



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



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



anti-dsDNA? - Answer >25 during SLE exacerbation



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



triggers SLE exacerbation? - Answer Sulfa and UV light



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



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 accompanied by urticaria and pruritus; Tx with
antihistamines and glucocorticoids



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



anaphylaxis - Answer usually includes urticaria or angioedema; airway obstruction



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

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