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NURS 5315 FINAL EXAM 2024 COMPLETE 250 QUESTIONS WITH 100% DETAILED VERIFIED AND CORRECT ANSWERS ACTUAL BRANDNEW EXAM ALREADY GRADED A+$20.49
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NURS 5315 FINAL EXAM 2024
COMPLETE 250 QUESTIONS WITH
100% DETAILED VERIFIED AND
CORRECT ANSWERS ACTUAL BRAND-
NEW EXAM ALREADY GRADED A+
A patient in the ED is given an IV antibiotic to treat an
acute infection. Fifteen minutes after receiving the
antibiotic the patient is short of breath, has hives and
swollen eyes. Which process best describes the
immune response in this scenario?
An IgE mediated immune reaction.
An immune response is trigged by an antigen/antibody
complex made of IgM and IgG antibodies.
Autoantibodies attack cellular nuclear material. A T-
cell mediated immune response.
The condition this patient is experiencing is an acute
allergic reaction which is an IgE mediated response.
A patient with a cough, fever and fatigue is diagnosed
with influenza. Which of the following is the best
explanation for the patient s symptoms?
A systemic viremia Release
of cytokines
Release of acute phase reactants
1
,Release of bradykinin
The patient's symptoms are directly related to the
inflammatory response which has been triggered by the
influenza infection. The release of cytokines are
responsible for the symptoms experienced by patients
infected with influenza. Influenza is not a systemic
infection and remains isolated to the pulmonary cells;
therefore, a viremia does not occur when a person has
influenza. Acute phase reactants include ferritin, platelets,
coagulation proteins, c-
reactive protein, complement proteins and are released
during times of inflammation but are not responsible for
the symptoms. Bradykinin is released during times of
inflammation and causes pain. The patient is not
experiencing any pain.
A 40-year-old African American female presents with a
complaint of a discoid, malar rash, photosensitivity, and
oral ulcers. Which of the following pathological
processes best explains the patient s symptoms?
A T-cell mediated immune response has been initiated
secondary to the presence of an antigen.
A deficiency in complement proteins has resulted in a
streptococcal skin infection.
A foreign antigen has triggered an immediate IgE
immune response.
Antibody nucleic acid immune complexes are
deposited throughout the body and trigger an
immune response.
2
,The clinical scenario is consistent with systemic lupus
erythematosus (SLE). The pathophysiology of SLE is
characterized by the formation of autoantibodies to
cellular nucleic acids. Option A is an example of solid
organ transplant rejection.
Option B is an example of an immune deficiency.
Option C is an example of an allergic reaction.
3
, Which example is the best representation of innate
immunity?
PPD reaction
An IgE mediated allergic response
Intact mucous membranes
Autoantibodies form against cellular DNA
Intact mucous membranes are an example of innate
immunity. The skin and mucous membranes are the first
line of defense against infection. The other options are
examples of adapative immunity.
The nurse practitioner is following up with a patient
who is actively abusing alcohol. Which action should be
completed by the nurse practitioner to foster health
promotion?
a. Prescribe daily thiamine supplementation
b. Educate the patient to eat less leafy green
vegetables.
c. Prescribe daily vitamin E supplementation.
d. Send the patient to the hospital for admission.
ANS: A
Patients who abuse ETOH have many nutritional
deficiencies, some of which include B vitamins, folic
acid, and phosphate. Therefore they should receive
4
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