{"id":115203,"date":"2023-08-23T12:34:23","date_gmt":"2023-08-23T12:34:23","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115203"},"modified":"2023-08-23T12:34:26","modified_gmt":"2023-08-23T12:34:26","slug":"nr-324-nr324-adult-health-final-exam-questions-and-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/23\/nr-324-nr324-adult-health-final-exam-questions-and-answers\/","title":{"rendered":"NR 324 \/ NR324 ADULT HEALTH FINAL EXAM . QUESTIONS AND ANSWERS."},"content":{"rendered":"\n<p>NR 324 FINAL EXAM<br>Methotrexate<br>DMARD<br>Humoral response<br>B cells &#8211; antibody mediated<br>Cell mediated<br>t cells and CD4, specific antigen recognized<br>Vaccines<br>active immunity<br>Varicella vaccine<br>live vaccine &#8211; do not give give vaccine to pt. who is immune compromised<br>IgE reaction<br>-quick onset<br>-allergic reaction<br>-release of mast cells and histamines<br>-massive vasodilation (shock &#8211; BP drops)<br>-give epi<br>-mostly concerned about airway &#8211; oxygen will not help much since airway is constricting<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>have oral airway nearby, then give epi and IV fluids to help with tachycardia and<br>hypotension<\/li>\n<\/ul>\n\n\n\n<p>IgG reaction<br>-antibody mediated<br>-blood transfusion reaction<br>-hemolytic anemia<br>Immune Complex Mediated Reaction<br>-inflammatory response<br>-SLE, Acute glomerular nephritis, RA, hyperacute graft rejection<br>Hyperacute graft rejection<br>-will need to take transplant out<br>Chronic Rejection<br>-s\/s: malaise, fatigue, low grade fever, tenderness at graft site, BUN and creatinine<br>increasing<br>-give medications for rejection: more immune suppressants and solumedrol (1000mg IV<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>watch blood sugar since it will increase by a large amount)<br>Cell Mediated Reaction<br>-delays, people that get chronic graft rejection or someone who has a positive PPD,<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">latex allergies, or poison ivy<\/h2>\n\n\n\n<p>Latex Allergy<br>-if patient is allergic to bananas, avocados, papayas, they could also be allergic to latex<\/p>\n\n\n\n<p>Cellular Response with inflammation<br>-neutrophils and monocytes go to site of injury since can now go through capillary walls<br>Rheumatoid Arthritis<br>-not a joint problem, it is an inflammation of synovial fluid so synovial membrane is<br>inflamed, then membrane can become fibrotic<br>-goal for tx: prevent or minimize the # of deformities<br>-will have ulnar deviation and swan neck deformities<br>-affects fingers and toes bilaterally a lot<br>-joints get stiff with limited movement<br>-morning stiffness that lasts more than hour<br>-put heat on joints that stiff to relax the joint and increase ROM<br>-do heat and cold therapy<br>-dont completely limit movement<br>-complications: pleural and lung problems, pericarditis, cataracts, contractures, nodules<br>-get OT AND PT<br>-ESR: &lt;30%<br>-CRP: &lt;1 (to see if inflammation is present in body)<br>-RF: &lt;15 -specific to arthritis<br>-ANA: positive with RA<br>Drug Therapy RA<br>-NSAIDS (watch for ulcers)<br>-COX 2 inhibitors: celebrex<\/p>\n","protected":false},"excerpt":{"rendered":"<p>NR 324 FINAL EXAMMethotrexateDMARDHumoral responseB cells &#8211; antibody mediatedCell mediatedt cells and CD4, specific antigen recognizedVaccinesactive immunityVaricella vaccinelive vaccine &#8211; do not give give vaccine to pt. who is immune compromisedIgE reaction-quick onset-allergic reaction-release of mast cells and histamines-massive vasodilation (shock &#8211; BP drops)-give epi-mostly concerned about airway &#8211; oxygen will not help much since [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115203","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115203"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115203\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}