NR 324 Exam 2 QUESTIONS
AND VERIFIED ANSWERS
________ _______, or recurring problems, characterize chronic diseases to where those with
HIV disease in which infections, cancers, debility, and psychosocial or economic issues may
interact to overwhelm the patient's ability to cope - correct answer Acute exacerbations
Some HIV-infected patients, especially those who have been infected and on ART for a long
time, are at risk to develop ? - correct answer metabolic disorders
How do you manage metabolic disorders with HIV patients? - correct answer By detecting
problems early, dealing with symptoms, and helping the patient cope with emerging
problems ???
This reaction reinforces the immune system and causes the artrioles to cause brief
vasoconstriction. - correct answer Inflammation
Name some s/s of inflammation - correct answer Itchy
Hot to touch
Redness
Swelling
What is the redness color caused by in acute inflammation? - correct answer Vasoconstriction
People with this condition usually have other autoimmune diseases such as RA and can lead to
tumor necrosis factors (TNF). - correct answer Chronic inflammation
,This condition is caused by a protein in your body that causes inflammation and helps
coordinate processes. - correct answer Tumor necrosis factor (TNF)
This kind of medication helps reduce inflammation, and the shutdown response that can cause
immunosuppresion. - correct answer Steroids
How do immunosuppressed patients present with infection? - correct answer the signs and
symptoms of infection (purulent exudate, odor, erythema, warmth, tenderness, edema, pain,
fever, high WBC count) may not be present even when the areas of injury is infected
What is an immediate response from vaccinations? - correct answer Inflammation
Why should patients not take NSAIDs before getting vaccines? - correct answer They will not
have an inflammatory response that will allow antibodies to form properly in their body
These 2 groups of people are not able to receive a live virus vaccination. - correct answer
Immunosuppressed
Pregnant patients
These cells are first responders of the immune system, rapidly migrating into affected tissues in
response to injury or infection - correct answer Neutrophils
How would a neutrophil count appear in patients with acute infections and chronic infections? -
correct answer Acute - high count
Chronic - not as high
,Why is the neutrophil count not as high in chronic infections compared to acute infections? -
correct answer Long term infections cause an increase in monocyte cells (immature
macrophages)
How will a neutrophil appear when it dies? How does it result to wound healing? - correct
answer Will create pus
Fibrin in pus > fibrinogen > traps bacteria > becomes a scab
This causes tightening of airway muscles/ the production of excess mucus and fluid and helps
promote the production of inflammatory cytokines. - correct answer Leukotreines
Leukotrienes are mostly administered to what group of patients? - correct answer Asthma
patients
How does croup sound and what creates that sound? - correct answer Barking seal
Sound is from edema causing inflammation, making the airway to become narrow and create a
barking sound
Where do high pitched sounds come from? - correct answer Upper airway
What group of people is croup more common in and why? - correct answer Children
Because their airways are smaller
This condition causes widespread inflammation and causes fluid to shift into areas where it
shouldnt be and can shut down gas exhange. - correct answer Sepsis
Patients with sepsis could eventually snowball into what 2 conditions? - correct answer Acute
respiratory distress syndrome
Systemic inflammatory response syndrome (SIRS)
, This medication is given to stop vasoconstriction in the airway caused by fluid shifts and built up
edema. - correct answer Epinephrine
What are two systemic manifestations of inflammation? - correct answer Fever
Tachycardia
When do you treat patients with fever? - correct answer When they are symptomatic
What is a side effect of fever? - correct answer Dehydration
Name 3 signs of infection in wounds. - correct answer Purulent drainage
COCA
Significant inflammation of the wound
What is the difference in purulent and serous drainage? - correct answer Purulent drainage-
sign of infection
Serous drainage- fine, sign of healing
Name 4 kinds of medications that are given to treat wounds. - correct answer NSAIDs
Corticosteroids
Cox inhibitors
***Celebrex
The Braden Scale is used for? - correct answer predicting pressure sore risk
AND VERIFIED ANSWERS
________ _______, or recurring problems, characterize chronic diseases to where those with
HIV disease in which infections, cancers, debility, and psychosocial or economic issues may
interact to overwhelm the patient's ability to cope - correct answer Acute exacerbations
Some HIV-infected patients, especially those who have been infected and on ART for a long
time, are at risk to develop ? - correct answer metabolic disorders
How do you manage metabolic disorders with HIV patients? - correct answer By detecting
problems early, dealing with symptoms, and helping the patient cope with emerging
problems ???
This reaction reinforces the immune system and causes the artrioles to cause brief
vasoconstriction. - correct answer Inflammation
Name some s/s of inflammation - correct answer Itchy
Hot to touch
Redness
Swelling
What is the redness color caused by in acute inflammation? - correct answer Vasoconstriction
People with this condition usually have other autoimmune diseases such as RA and can lead to
tumor necrosis factors (TNF). - correct answer Chronic inflammation
,This condition is caused by a protein in your body that causes inflammation and helps
coordinate processes. - correct answer Tumor necrosis factor (TNF)
This kind of medication helps reduce inflammation, and the shutdown response that can cause
immunosuppresion. - correct answer Steroids
How do immunosuppressed patients present with infection? - correct answer the signs and
symptoms of infection (purulent exudate, odor, erythema, warmth, tenderness, edema, pain,
fever, high WBC count) may not be present even when the areas of injury is infected
What is an immediate response from vaccinations? - correct answer Inflammation
Why should patients not take NSAIDs before getting vaccines? - correct answer They will not
have an inflammatory response that will allow antibodies to form properly in their body
These 2 groups of people are not able to receive a live virus vaccination. - correct answer
Immunosuppressed
Pregnant patients
These cells are first responders of the immune system, rapidly migrating into affected tissues in
response to injury or infection - correct answer Neutrophils
How would a neutrophil count appear in patients with acute infections and chronic infections? -
correct answer Acute - high count
Chronic - not as high
,Why is the neutrophil count not as high in chronic infections compared to acute infections? -
correct answer Long term infections cause an increase in monocyte cells (immature
macrophages)
How will a neutrophil appear when it dies? How does it result to wound healing? - correct
answer Will create pus
Fibrin in pus > fibrinogen > traps bacteria > becomes a scab
This causes tightening of airway muscles/ the production of excess mucus and fluid and helps
promote the production of inflammatory cytokines. - correct answer Leukotreines
Leukotrienes are mostly administered to what group of patients? - correct answer Asthma
patients
How does croup sound and what creates that sound? - correct answer Barking seal
Sound is from edema causing inflammation, making the airway to become narrow and create a
barking sound
Where do high pitched sounds come from? - correct answer Upper airway
What group of people is croup more common in and why? - correct answer Children
Because their airways are smaller
This condition causes widespread inflammation and causes fluid to shift into areas where it
shouldnt be and can shut down gas exhange. - correct answer Sepsis
Patients with sepsis could eventually snowball into what 2 conditions? - correct answer Acute
respiratory distress syndrome
Systemic inflammatory response syndrome (SIRS)
, This medication is given to stop vasoconstriction in the airway caused by fluid shifts and built up
edema. - correct answer Epinephrine
What are two systemic manifestations of inflammation? - correct answer Fever
Tachycardia
When do you treat patients with fever? - correct answer When they are symptomatic
What is a side effect of fever? - correct answer Dehydration
Name 3 signs of infection in wounds. - correct answer Purulent drainage
COCA
Significant inflammation of the wound
What is the difference in purulent and serous drainage? - correct answer Purulent drainage-
sign of infection
Serous drainage- fine, sign of healing
Name 4 kinds of medications that are given to treat wounds. - correct answer NSAIDs
Corticosteroids
Cox inhibitors
***Celebrex
The Braden Scale is used for? - correct answer predicting pressure sore risk
