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NUR 402 EXAM 4 QUESTIONS WITH COMPLETE ANSWERS

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NUR 402 EXAM 4 QUESTIONS WITH COMPLETE ANSWERS

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A patient diagnosed with acquired immunodeficiency syndrome (AIDS) comes to the
clinic to find out which tests would determine the prognosis of the syndrome. What
information will the nurse provide? Select all that apply.


Prognosis can be assessed by viral load.


Prognosis can be assessed by CD4 +T-cell count.


Prognosis can be assessed by red blood cell count.


Prognosis can be assessed by testing for hepatitis B virus (HBV).

,Prognosis can be assessed by immunoglobulin M (IgM) antibody levels.


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Prognosis can be assessed by viral load.

Prognosis can be assessed by CD4 +T-cell count.


The progression HIV infection is monitored by two important laboratory
assessments: CD4+T-cell counts and viral load. Laboratory tests that
measure viral levels provide an assessment of disease progression. The
CD4 +T-cell count is done to monitor the progression of HIV infection and
response to treatment. The normal range for CD4 +T cells is 800 to 1200
cells/μL. The red blood cell count indicates presence or absence of
anemia. The tests for HBV and HCV indicate the infection with respective
hepatitis virus. IgM antibody levels are nonspecific and do not indicate the
progress of AIDS.




A specimen of adult stem cells is to be obtained from a patient for culture. The nurse
provides the patient with information about adult stem cells. Which statement would
be appropriate for the nurse to include?


"Adult stem cells can be used to cure any disease."


"Adult stem cells can be used to regenerate any tissue."


"Adult stem cells can be obtained only on day 4 of embryonic development."


"Adult stem cells can regenerate or repair tissues from which they are obtained.


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"Adult stem cells can regenerate or repair tissues from which they are
obtained.

Adult stem cells can be used to regenerate only those tissues from which

, they are obtained; for example, stem cells from liver can be used only to
regenerate liver. Stem cell therapy cannot be used to cure all possible
diseases. Embryonic stem cells can be used to regenerate any tissue and
can be obtained on the fourth or fifth day of embryonic development.




The patient with a history of lung cancer and hepatitis C has developed liver failure
and is considering liver transplantation. After the comprehensive evaluation, the nurse
knows that which factor discovered may be a contraindication for liver
transplantation?


The patient has completed a college education.


The chest x-ray showed another lung cancer lesion.


The patient has been able to stop smoking cigarettes.


The patient has well controlled type 1 diabetes mellitus.


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check x-ray showed another lung cancer lesion

Contraindications for liver transplant include severe extrahepatic disease,
advanced hepatocellular carcinoma or other cancer, ongoing drug or
alcohol abuse, and the inability to comprehend or comply with the rigorous
post-transplant course. It does not matter if the patient has a college
education. The fact that the patient has quit smoking is not a
contraindication for liver transplant. The patient is a well-controlled
diabetic, which is not a contraindication.




Which is an ethical and social issue of genetic testing?


The information only pertains to the patient.

, The genetic test can be diagnostic of illnesses.


Tests in the medical records may not be kept private.


The test may guide a health care practitioner's treatment plan.


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tests in the medical records may not be kept private

Tests in medical records may not be kept private. However, the Genetic
Information Nondiscrimination Act (GINA) protects people from
discrimination by employers and insurance companies. The genetic test
may be diagnostic of illnesses. This is not an ethical or social issue. The
information does not only pertain to the patient. If an individual has genetic
testing, it may uncover information that also may affect the family, who may
not want this information or to undergo testing. Genetic testing may help
guide the health care practitioner's plan of care for treatment or need for
further consultation, which would benefit a patient.




A patient with acute hepatitis B will be discharged tomorrow. The nurse should
include which measures in the discharge teaching plan? Select all that apply.


Restrict fluid intake.


Avoid alcohol for the first three weeks.


Avoid foods that are very hot or very cold.


Be sure to allow for periods of rest during the day.


Participate in an exercise regimen to build stamina.


Eat small meals frequently rather than three times a day.


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