Final Exam: NUR631/ NUR 631 (Latest 2023/2024 Update) Advanced Physiology and Pathophysiology Study Guide| Questions and Verified Answers| 100% Correct – GCU
Final Exam: NUR631/ NUR 631 (Latest 2023/2024 Update) Advanced Physiology and Pathophysiology Study Guide| Questions and Verified Answers| 100% Correct – GCU Q: Patient comes in with chronic wounds that aren't healing. What are you thinking? Answer: -Diabetes -Something else is going on with those patient/other comorbidities Q: If a newborn doesn't have enough collectin-like protein what kind of infec- tion might they develop? Answer: -Pneumonia -Anything RESPIRATORY related Q: Where do B lymphocytes grow up and develop Answer: Bone marrow Q: I go over to a friend's house to get chickenpox. What type of immunity is that? Answer: Active acquired immunity/Body will make antibodies Q: What is happening at a cellular level with a type two sensitivity reaction?- Answer: -Antibodies are attaching to the cellular surface of the antigen. -release of histamines and IgE Q: What does Rhogram do? Answer: -Stops hemolytic anemia -Give to Rh - moms with a Rh + baby Q: If we have a patient that went under some organ transplant, why would we have tissue damage? Answer: Start to see TH1 cells release too many cytokines so we will see the cytotoxic effects. Cytokines will actually attack the endothelial cells. Q: What is an exotoxin? Answer: When bacteria is growing they release exotoxins. Q: What do we have that helps us fight fungal infections? Answer: -Phagocytes -T-Lymphocytes Q: Why, if I'm really stressed, am I more likely to get sick? Answer: Stress releases cortisol, cortisol increases, helper T cells are suppressed. Q: Stressed patient (long period of time), what can we see develop with lab results? Answer: -Hypoglycemia -Cortisol increase causes hyperglycemia initially, but with chronic stress cortisol levels become depleted causing hypoglycemia. (Adrenal insufficiency) Q: What happens when we have cellular metabolism that just isn't working right? What will develop? Answer: Build up of waste Q: What is the least likely IL to cause endothelial cells to go into that proin- flammatory state? Answer: IL4 Q: If you had a patient that developed MODS, what substances stimulate the normal endothelial cells to go into a proinflammatory state? Answer: Interleukins tumor necrosis factor IL-6 Q: How dehydrated does a child have to be before we see them have low BP Answer: 10% Q: Why a patient can develop a reperfusion injury. Answer: Once we've had oxygen cut off for a while we can actually see damage happen from that reexposure to oxygen Q: Why do burn patients go into kidney failure? Answer: Damaged muscles produce Myoglobin Myoglobin is huge and hard for kidneys to filter out. Not meant to filter it. Q: What type of cancer do we recommend exercise to decrease prevalence?- Answer: Colon CA Q: In children, exposure to what virus develops a carcinogenic relationship?- Answer: EBV Q: Risk factors of kids being exposed to and might develop CA due to (SE- LECT ALL THAT APPLY) Answer: Ionizing radiation Chemo Cigarette smoke EBV
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