NURS 340 EXAM 2 NEWEST 2024 /NURS 340 HEALTH ASSESSMENT EXAM 2 AND PRACTICE QUESTIONS NEWEST 2024 ACTUAL EXAM 250 QUESTIONS AND CORRECT DETAILED ANSWERS AND RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

NURS 340 EXAM 2 NEWEST 2024 /NURS 340
HEALTH ASSESSMENT EXAM 2 AND
PRACTICE QUESTIONS NEWEST 2024 ACTUAL
EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS AND RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse works with clinic patients who have chronic
neurological diseases. Which goal is the priority for all
patients with chronic neurological disease?
a. bowel and bladder control
b. independent functional ability
c. adequate nutritional status
d. maintenance of skin integrity -
....ANSWER...Answer: B
What is the body's second line of defense? -
....ANSWER...Inflammatory response, pyrogens,
interferons, and complement proteins
________________________ always causes an
inflammation response - ....ANSWER...Infection
What are the functions of the inflammatory response? -
....ANSWER...Neutralize and dilute an inflammatory
agent
Remove necrotic materials - phagocytosis
Establish an environment suitable for healing and repair
What are the local responses to inflammation? -
....ANSWER...Redness
Heat
Pain
Swelling
Loss of function
What are the systemic effects of inflammation? -
....ANSWER...Increased WBC count with a shift to the
left
increased neutrophil production particularly with
infection
"bands" (immature cells) and "segs" (mature cells)
Increased pulse and respiration
Nausea and anorexia
Fever
What cellular mediators trigger local reactions? -
....ANSWER...Histamine (stimulates vasodilation)
Prostaglandins
Which type of meningitis is more severe? -
....ANSWER...bacterial meningitis
It is a medical emergency. If untreated, mortality rate is
near 100%
What causes bacterial meningitis? - ....ANSWER...S.
pneumoniae or Neisseria meningitidis
What causes viral meningitis? -
....ANSWER...enterovirus, arbovirus, HIV, or herpes
simplex (HSV)
What causes encephalitis? - ....ANSWER...Epidemic
Viruses transmitted by ticks & mosquitoes (i.e. West
Nile)
Non-epidemic
Measles, mumps or chickenpox
HSV
Protozoa
What are prostaglandins? - ....ANSWER...Proteins that
circulate in an inactive state
Activated by antibodies or infectious organisms.
Also active in autoimmune diseases
Considered to be pro-inflammatory
Potent vasodilators
Sensitize pain receptors
Stimulate hypothalamic temperature regulating area
leading to fever
What is the complement system? -
....ANSWER...Works in tandem with inflammatory
process
Group of inactive proteins in circulation that, when
activated, stimulate the release of other chemical
mediators, promote inflammation, chemotaxis, and
phagocytosis.
Major mediator of the inflammatory response through
an enzyme cascade (C1 - C9)
Enhanced phagocytosis
Increased vascular permeability
Chemotaxis
Movement of cells in response to chemical signals.
Cellular lysis
What is peritonitis? - ....ANSWER...Results from
localized or generalized inflammatory process of
peritoneum
ruptured ulcer or appendix
contamination from fistulas
traumatic injury
Inflammatory process leads to massive fluid shifts and
adhesions
What is the most common symptom of peritonitis? -
....ANSWER...Pain
Assessment of pain, including location, very important
in determining cause
Other symptoms vary based on severity and acuteness
of situation
What are the diagnostic tests for peritonitis? -
....ANSWER...CBC
peritoneal aspiration
abdominal X-ray, ultrasound or CT scan
What _____________ circulate to hypothalamic
temperature-regulating center & promote synthesis of
PGE2? - ....ANSWER...cytokines
RATIONALE: PGE2 increases thermostatic set point
ANS causes heat conservation & generation so core
temp increases to new set point