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NSG 527 Theories of Holistic Nursing Management B Exam | Actual Questions and Answers Lat, Exams of Nursing

NSG 527 Theories of Holistic Nursing Management B Exam | Actual Questions and Answers Latest Updated 2024/2025 (Graded A+) The nurse who is reviewing laboratory data for an 89-year-old patient will be most concerned about a: - ✔✔white blood cell count (WBC) of 2000/mL. A patient who has vague symptoms of fatigue and headaches is found to have a positive enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing the test results with the patient, the nurse informs the patient that: A. it will probably be 10 or more years before the patient develops acquired immunodeficiency syndrome (AIDS). - ✔✔the E

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NSG 527 Theories of Holistic Nursing Management B Exam | Actual
Questions and Answers Latest Updated 2024/2025 (Graded A+)
The nurse who is reviewing laboratory data for an 89-year-old patient will be most concerned about a: -
✔✔white blood cell count (WBC) of 2000/mL.
A patient who has vague symptoms of fatigue and headaches is found to have a positive enzyme
immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing the test results
with the patient, the nurse informs the patient that:
A. it will probably be 10 or more years before the patient develops acquired immunodeficiency
syndrome (AIDS). - ✔✔the EIA test will need to be repeated to verify the results.
A patient is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and HIV testing is
positive. Based on diagnostic criteria established by the Centers for Disease Control and Prevention
(CDC), the patient is diagnosed as having: - ✔✔AIDS
Ten years after seroconversion, an HIV-infected patient has a CD4+ cell count of 1000/µl and an
undetectable viral load. What is the priority nursing intervention at this time? - ✔✔Encourage adequate
nutrition, exercise, and sleep.
Which hypersensitivity reaction releases enzymes that increase tissue damage? - ✔✔Type III
Rationale: Type III reaction occurs when neutrophils attempt to phagocytize the immune complexes,
and enzymes are released that increase tissue damage.
Type I is triggered when an allergen interacts with IgE, which is bound to mast cells and basophils.
A type II reaction is the rupture of cells targeted by the immune response that may affect a variety of
organs and tissues. Hemolytic transfusion reaction caused by blood incompatibility is an example.
Type IV reaction is an exaggerated interaction between an antigen and the normal cell mediated
mechanism.
. A nurse is teaching foot care to a client who has diabetes mellitus. Which of the following information
should the nurse include in the teaching? - ✔✔Dry feet off including in between toes after bathing.
Perform nail care after bathing.
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NSG 527 Theories of Holistic Nursing Management B Exam | Actual

Questions and Answers Latest Updated 2024/2025 (Graded A+)

The nurse who is reviewing laboratory data for an 89-year-old patient will be most concerned about a: - ✔✔white blood cell count (WBC) of 2000/mL. A patient who has vague symptoms of fatigue and headaches is found to have a positive enzyme immunoassay (EIA) for human immunodeficiency virus (HIV) antibodies. In discussing the test results with the patient, the nurse informs the patient that: A. it will probably be 10 or more years before the patient develops acquired immunodeficiency syndrome (AIDS). - ✔✔the EIA test will need to be repeated to verify the results. A patient is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and HIV testing is positive. Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), the patient is diagnosed as having: - ✔✔AIDS Ten years after seroconversion, an HIV-infected patient has a CD4+ cell count of 1000/μl and an undetectable viral load. What is the priority nursing intervention at this time? - ✔✔Encourage adequate nutrition, exercise, and sleep. Which hypersensitivity reaction releases enzymes that increase tissue damage? - ✔✔Type III Rationale: Type III reaction occurs when neutrophils attempt to phagocytize the immune complexes, and enzymes are released that increase tissue damage. Type I is triggered when an allergen interacts with IgE, which is bound to mast cells and basophils. A type II reaction is the rupture of cells targeted by the immune response that may affect a variety of organs and tissues. Hemolytic transfusion reaction caused by blood incompatibility is an example. Type IV reaction is an exaggerated interaction between an antigen and the normal cell mediated mechanism.

. A nurse is teaching foot care to a client who has diabetes mellitus. Which of the following information should the nurse include in the teaching? - ✔✔Dry feet off including in between toes after bathing. Perform nail care after bathing.

Trim toenails straight across and round edges. A nurse is preparing to administer a morning dose of aspart insulin (NovoLog) to a client who has type 1 diabetes mellitus. Which of the following is an appropriate action by the nurse? - ✔✔Administer the insulin when breakfast arrives. A nurse is preparing to administer the morning dose of glargine (Lantus) insulin and regular (Humulin R) insulin to a client who has a blood glucose of 299 mg/dL. Which of the following is an appropriate nursing action? - ✔✔Draw up and administer regular and glargine insulin in separate syringes. A nurse is reviewing the clinical manifestations of hyperthyroidism with a client. Which of the following findings should the nurse not include? - ✔✔Dry skin: Moist skin is an expected finding for the client who has hyperthyroidism. Constipation: Diarrhea is an expected finding for the client with hyperthyroidism Bradycardia: Hyperthyroidism increases metabolism and therefore tachycardia is an expected finding A 55-year-old African American female patient with diabetes requests ibuprofen for a headache soon after returning from the bathroom from showering. While in the shower the patient's breakfast tray was removed and the patient did not get to eat. The patient seems to be crabby and diaphoretic as the nurse is helping the patient back into bed. What is the nurse's priority action to take at this time? - ✔✔Check the patient's blood glucose and be prepared to give the patient 8 ounces of orange juice. A 34-year-old Hispanic male patient with a known history of Diabetes Mellitus arrives to the ED. The nurse assesses the patient and finds the patient is hyperventilating with rapid, deep, and labored breaths with a fruity odor on the breath. Which one of the following nursing interventions is most appropriate for the nurse to perform next? - ✔✔Obtain a blood glucose level to check for hyperglycemia and check the urine for ketones A twenty-one - year-old patient is 16 hours post-procedure for a thyroidectomy. Which of the following clinical symptoms indicates a possible thyroid storm? - ✔✔Temperature of 104.8 F and severe restlessness and agitation A patient reports they do not eat enough iodine in their diet. What condition are they most susceptible to? - ✔✔Hypothyroidism

Explanation: Platelets along with PRBCs or fresh Frozen plasma are used in an acute bleeding situation to restore blood components and promote hemostasis. An NP is performing a health history on an older female adult patient. Which of the following assessment findings would indicate the patient is at risk for osteoporosis? - ✔✔Using glucocorticoids for 15 years because of COPD A patient comes into the ED after experiencing over a week of flu like symptoms, fatigue, poor appetite and chronic pain and discomfort throughout their body. The ED triage nurse assesses the patient and finds a butterfly rash over the bridge of the patient's nose and on the cheeks. Based on this information, which diagnosis best fits the patient's condition? - ✔✔Systemic lupus erythematosus Which of the following manifestations is associated with systemic lupus erythematosus? - ✔✔Thrombocytopenia, Symmetric polyarthritis, Pleural Effusions Which statements about Rheumatoid arthritis (RA) are true? - ✔✔RA is the most common form of autoimmune arthritis. Typical age of onset is between 40-60 years. Affects 1-2% of the world's population. Explanation: RA affects three times more women as men. Anaphylactic reaction to shellfish is which type of hypersensitivity reaction? - ✔✔Type I Explanation: Type I, or immediate hypersensitivity reactions are characterized by rapid development of symptoms after exposure to an antigen. Allergic contact dermatitis is an example of which type of hypersensitivity? - ✔✔Type IV Explanation: Type IV is a delayed-type hypersensitivity, reactions involve a major histocompatibility complex and are characterized by tissue damage at the site of antigen contact within 24-48 hours of exposure

A transfusion reaction of Rh incompatibility is an example of which hypersensitivity? - ✔✔Type II Explanation: Type II or cytotoxic hypersensitivity reactions involve the rupture of cells targeted by the immune response that may affect a variety of organs and tissues Systemic lupus erythematosus (SLE) is an example of which type of hypersensitivity reaction? - ✔✔Type III Explanation: Type III or immune-complex reactions include inflammatory response in the targeted tissues that leads to tissue damage.