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Exam (elaborations)

NRSG 2350 Exam 1 Questions With Complete Solutions

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NRSG 2350 Exam 1 Questions With Complete Solutions

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NRSG 2350 Exam 1 Questions With Complete Solutions

-emia Correct Answer blood

-itis Correct Answer inflammation

3 antibiotics to take an empty stomach Correct Answer
tetracyclines, fluoroquinolines, macrolides

4 types of allergic reactions Correct Answer anaphylactic
reaction
-hives, rash, difficulty breathing, increased bp, dilated pupils,
diaphoresis, panic feeling, increased heart rate, respiratory
arrest, administer epi

cytotoxic reaction
-antibodies circulate in blood, attack the antigens or drug on cell
site, causes death of cell, my be seen over a few days, dc drug,
support patient to prevent infection and conserve energy

-serum sickness- rare
antibodies circulate in blood, cause damage to tissues by
depositing in blood vessels, may take 1 week or more, dc drug,
provide comfort measures to help pt. cope, amin antipyretic or
anti inflammatory agents as appropriate

delayed allergic reaction,
-rash, hives, swollen joints, similar to poison ivy, dc drug,
comfort measures, antihistamine or topical corticosterioids

,Absorption of drug Correct Answer what happens to a drug
from the time it enters the body until it enters circulating fluid
(drug interactions can occur at this point)

Acetaminophen (tylenol) Correct Answer analgesic,
antipyretic
LACKS INFLAMMATORY EFFECT- DOES NOT CAUSE
BLEEDING
can cause hepatotoxicity

acquired active immunity Correct Answer Usually long-
lasting immunity
Produced by the immune system in response to antigens
Antigens can be from natural infection or form vaccination
Immune system makes antibodies to help destroy antigens
EXAMPLES: Hep A virus (HAV)infection and subsequent
recovery gives rise to an acquired active immune response
usually leading to lifelong protection Receive chickenpox
(Varicella) or MMR vaccine as a child and body makes
antibodies to this antigen
The benefit of vaccination is that active immunity occurs
without disease or disease complications

Acquired immunodeficiency Correct Answer Acquired
immunodeficiency syndrome (AIDS) is a chronic, potentially
life-threatening condition caused by the human
immunodeficiency virus (HIV). By damaging your immune
system, HIV interferes with your body's ability to fight infection
and disease.

,acquired resistance Correct Answer microorganisms that were
once sensitive to the drug have begun to develop acquired
resistance

activates complement system Correct Answer IgG and IdM
and IgE causes anaphylaxis

active transport Correct Answer Movement of ions/ molecules
across cell membrane into area of higher concentration
(endocytosis, phagocytosis, receptor mediated active transport)

Acute inflammation- Cellular stage Correct Answer
phagocytes (neutrophils) migrate to injured area- destroy
infective organisms- remove damaged cells

Acute inflammation- Vascular stage Correct Answer
vasodilation- increases blood flow to injured area- REDNESS
AND WARMTH

Adverse drug effects Correct Answer an unpleasant/
undesired or dangerous effect caused by administration of a drug

allergen Correct Answer triggers: smoke, pollutants,
perfumes, dust, mold, cold exposure, animal dander (allergen
combines with IgE)

Allergic response Correct Answer skin rash, nausea,
vomiting, difficulty breathing, shock

Allergy Correct Answer abnormal hypersensitivity acquired
by exposure to an antigen

, Aminoglycosides (Gentamicin (Garamycin), Neomycin)
Correct Answer Actions: Bactericidal for G-

Indications: E Coli, staph, USE WHEN PENICILLIN
CONTRAINDICTED

Contraindications: renal/ hepatic disease, preexisting hearing
loss, pregnancy

Adverse: deafness, vestibular paralysis, sinusitis

Considerations: DRINK PLENTY OF FLUIDS, test uterine
function frequently, can be given before culture sensitivity
results can be obtained

AVOID: Potent diuretics, anesthetics

Amphotericin B (Other Antifungal Agent) Correct Answer
Actions: fungicidal and fungistatic

Indications: VERY POTENT, used for aggressive infections
(lung infections such as Aspergillosis)

Contraindications: pregnancy, renal impairment

Adverse: severe hepatic/ renal toxicity, rash, bone marrow
suppression, N/V/D

AVOID: Nephrotoxic drugs Cyclosporine Corticosteroids Due
to increased r/o severe renal toxicity

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