NUR 138 FINAL EXAM | COMPLETE QUESTIONS WITH 100% GRADED CORRECT
EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET A+
1. Physical assessment for immunity: General appearance
Vital signs
Inspect mucous membranes
Assess skin color, temp, &
moisture inspect lymph nodes
Assess MS system check joint
ROM
2. artificially acquired active immunity: Immunity developed after exposure to a pathogen (i.e. live animal)
Examples: rabies and tetanus shot
3. Active immunity: Exposure to disease or through vaccination. Usually lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural immunity)
Vaccination is introduced in a weakened or killed form of the disease into the body (vaccine-induced immunity) 4. Passive
immunity: receives antibodies from someone else rather than producing them through their own immune system.
Protection is immediate but lasts for a short period (weeks to months)
Example: passing antibodies from mother to the fetus via placenta or breast milk; administering blood product;
immunoglobulins
5. Difference between antibodies and antigens: Antibodies = good, fight invaders
Antigens = bad, attack cells
6. Diagnostic labs for infection: WBC w/ differential
,Procalcitonin
wound cultures
Urinalysis
Serological test
Direct antigen detection antibiotic
peak
Trough levels
Radiological examinations (X-ray)
Lumbar puncture
Ultrasound examination
7. Complications of NSAIDS for older adults: GI issues such as stomach ulcers and bleeding
Renal (excreted) toxicity
Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for systematic reaction to inflammation: Oral temperature greater than 38C or less than 36C Increased
HR and RR
Increased WBC (>12,000)
Generalized edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3 seconds)
Altered mental status
Decreased urine output
Wound culture
9. Signs & Symptoms of acute ulcerative colitis: LLQ abdominal pain
,Anorexia and weight loss
Fever
Hypotensive
Diarrhea (5-30 stools/day)
Stools contain mucus/blood/pus
Abdominal distention/tenderness/firmness
High-pitched bowel sounds
Rectal bleeding
Malnutrition
Hypovolemia
Anemia
10. Nursing actions to decrease cancer cells and support normal cell function-
: Nutrition
Hydration
Exercise
Optimal homeostasis*
Promote sleep
Manage tx side effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to germs
Discourage smoking
Drink alcohol in moderation
, 11. Collaborative tx plan for client with leukemia: Bone marrow transplant
Stem cell transplant
*Splenectomy
Chemotherapy
Biological therapy (cytokines)
Radiation therapy
Acupuncture and massage
*Nutritionist, dietician, pharmacist, family, OT/PT, social worker, recreational therapist, child life specialist
12. Strategies for cancer prevention and early detection: - Make healthy lifestyle choices;
avoid smoking, limit alcohol consumption, exercise, wear sunscreen, avoid prolonged sun exposure, follow
occupational safety protocols
- Early detection leads to more successful and less extensive tx (routine x-ray/CT/MRI/Ultrasound/nuclear
imaging/angiography/PET scan)
13. Assessment findings that are positive indicators for breast cancer: Nontender lump in the breast on the upper
outer quadrant*
Abnormal nipple discharge
Rash around the nipple area
Nipple retraction
Dimpling of the skin "Orange peel"
Change in the position of the nipple
14. Discharge teaching instructions for iron deficiency anemia: -Eat iron-rich foods and
protein
-Iron or folic acid supplements
-Vitamin C (helps with iron absorption)
EXPERT SOLUTIONS| 2026 LATEST UPDATED | GET A+
1. Physical assessment for immunity: General appearance
Vital signs
Inspect mucous membranes
Assess skin color, temp, &
moisture inspect lymph nodes
Assess MS system check joint
ROM
2. artificially acquired active immunity: Immunity developed after exposure to a pathogen (i.e. live animal)
Examples: rabies and tetanus shot
3. Active immunity: Exposure to disease or through vaccination. Usually lasts for a long period.
Body creates antibodies by the immune system to that antigen (natural immunity)
Vaccination is introduced in a weakened or killed form of the disease into the body (vaccine-induced immunity) 4. Passive
immunity: receives antibodies from someone else rather than producing them through their own immune system.
Protection is immediate but lasts for a short period (weeks to months)
Example: passing antibodies from mother to the fetus via placenta or breast milk; administering blood product;
immunoglobulins
5. Difference between antibodies and antigens: Antibodies = good, fight invaders
Antigens = bad, attack cells
6. Diagnostic labs for infection: WBC w/ differential
,Procalcitonin
wound cultures
Urinalysis
Serological test
Direct antigen detection antibiotic
peak
Trough levels
Radiological examinations (X-ray)
Lumbar puncture
Ultrasound examination
7. Complications of NSAIDS for older adults: GI issues such as stomach ulcers and bleeding
Renal (excreted) toxicity
Hepatic (metabolized) toxicity
Labs to obtain: LFT and renal function
8. Indicators for systematic reaction to inflammation: Oral temperature greater than 38C or less than 36C Increased
HR and RR
Increased WBC (>12,000)
Generalized edema
Enlarged and tender lymph nodes
Altered perfusion (slow cap refill >3 seconds)
Altered mental status
Decreased urine output
Wound culture
9. Signs & Symptoms of acute ulcerative colitis: LLQ abdominal pain
,Anorexia and weight loss
Fever
Hypotensive
Diarrhea (5-30 stools/day)
Stools contain mucus/blood/pus
Abdominal distention/tenderness/firmness
High-pitched bowel sounds
Rectal bleeding
Malnutrition
Hypovolemia
Anemia
10. Nursing actions to decrease cancer cells and support normal cell function-
: Nutrition
Hydration
Exercise
Optimal homeostasis*
Promote sleep
Manage tx side effects
Myelosuppression
Bruising/oral care
Administering platelet transfusion
Prevent infection and exposure to germs
Discourage smoking
Drink alcohol in moderation
, 11. Collaborative tx plan for client with leukemia: Bone marrow transplant
Stem cell transplant
*Splenectomy
Chemotherapy
Biological therapy (cytokines)
Radiation therapy
Acupuncture and massage
*Nutritionist, dietician, pharmacist, family, OT/PT, social worker, recreational therapist, child life specialist
12. Strategies for cancer prevention and early detection: - Make healthy lifestyle choices;
avoid smoking, limit alcohol consumption, exercise, wear sunscreen, avoid prolonged sun exposure, follow
occupational safety protocols
- Early detection leads to more successful and less extensive tx (routine x-ray/CT/MRI/Ultrasound/nuclear
imaging/angiography/PET scan)
13. Assessment findings that are positive indicators for breast cancer: Nontender lump in the breast on the upper
outer quadrant*
Abnormal nipple discharge
Rash around the nipple area
Nipple retraction
Dimpling of the skin "Orange peel"
Change in the position of the nipple
14. Discharge teaching instructions for iron deficiency anemia: -Eat iron-rich foods and
protein
-Iron or folic acid supplements
-Vitamin C (helps with iron absorption)
