Nearpod Questions-Exam 3

True or False? Diarthrodial is bleeding into a joint.

False Diarthrodial is a joint with two freely moveable parts. Hemathrosis is bleeding into a joint.

True or False? An antigen is a protein substance developed by the body in response to and interacting with a specific antibody.

False an antibody not an antigen

True or False? Immunity refers to the body's nonspecific protective response to an invading foreign agent or organism.

False specific not nonspecific

True or False? Over secretion of the adrencorticotropic hormone (ACTH) or the growth hormone results in Graves' disease.

False; Cushing Syndrome not Graves' Disease

_____________________ is another name for hyperthyroidism. Autoimmune in nature.

Graves Disease

__________ is abundant in serum, nasal mucus, saliva, breast milk, and intestinal fluid, accounting for 10-15% of human immunoglobulins.

IgA

____________ also known as motor neuron disease (MND) or Lou Gehrig's disease, is a disease that causes the death of neurons controlling voluntary muscles.

ALS (amyotrophic lateral sclerosis)

__________ is present in small amounts, accounting for no more than 0.001% of human immunoglobulins. Its original role is to protect against parasites and present for allergies.

IgE

_________ detoxifies harmful substances and is important in the recognition of antigen-antibody complexes by leukocytes and macrophages. Is transferred to the fetus through the placenta and protects the fetus

IgG

B cells produce this first in response to microbial infection/antigen invasion?

IgM

_____________________ is the best treatment of hypothyroidism and best to take in the early AM same time each day.

Levothyroxine (Synthroid)

_________________ is an autoimmune disease that occurs when your body's immune system attacks your own soft tissues and organ. Inflammation caused by it can affect many different body systems including your joints, skin, kidneys, blood cells, brain, heart and lungs. Common s/s is a ________________ rash on the face.

Lupus butterfly

______________________ is a medication used to treat hyperthyroidism.

Methimazole

Fluoxetine (Prozac), Sertraline (Zoloft), Paroxetine (Paxil), Escitalopram (Lexapro), Fluvoxamine (Luvox), Citalopram (Celexa), Volazodone (Vibrid), Vortioxetine (Brintellix) are all examples of what class of Mental Health Medications? A. SSRI B. NSRI C. Tricyclic Antidepressants D. MAOI Inhibitors

A. SSRI

The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable? A. The client spends more time by himself B. The client doesn't engage in delusional thinking C. The client doesn't harm himself or others D. The client demonstrates the ability to meet his own self-care needs.

A. The client spends more time by himself

Which immune cell is responsible for the quickest release of histamine that causes the red itchy welts associated with allergies? A. mast cell B. lymphocyte C. eosinophil D. basophil

A. mast cell

A patient is on Lithium for management of bipolar disorder. Which of the following Lithium lab values would indicate toxicity? A. 2.1 B. 1.0 C. 0.9 D. 0.12

A. 2.1

What is a common second-generation nonsedating antihistamine used to treat allergies? A. Cetirizine (Zyrtec) B. Chlorpheniramine (Chlor-Trimeton) C. Diphenhydramine (Benadryl) D. Hydroxyzine (Atarax)

A. Cetirizine (Zyrtec)

When was HIV first recognized in the United States? A. 1970 B. 1975 C. 1981 D. 1986

C. 1981

The client with paranoid personality disorder is admitted to a psychiatric facility. Which remark by the nurse would best establish rapport and encourage the client to confide in the nurse? A. "At times, it's normal not to trust anyone." B. "I get upset once in a while, too." C. "I worry too when I think people are talking about me." D. "I know just how you feel. I'd feel the same way in your situation."

B. "I get upset once in a while, too."

Which outcome indicates that treatment of a male client with diabetes insipidus has been effective? A. The HR is 126 beats/minute B. Fluid intake is less than 2,500 ml/day C. Blood pressure is 90/50mmHg D. Urine output measures more than 200 ml/hour

B. Fluid intake is less than 2,500 ml/day

With which of these diagnoses should the nurse encourage the patient to restrict consumption of foods high in purine? A. Fibromyalgia B. Gout C. Osteoarthritis D. Rheumatoid arthritis

B. Gout

Which medication blocks synthesis of thyroid hormone? A. Dexamethasone B. Methimazole C. Potassium iodide D. Sodium iodide

B. Methimazole

Which of these signs suggests that a male client with the syndrome of inappropriate antidiuretic hormone (SIADH) secretion is experiencing complications? A. Tetanic contractions B. Neck vein distention C. Weight loss D. Polyuria

B. Neck vein distention

What gland releases the TSH hormone? A. Thyroid B. Pituitary C. Adrenals D. Testes

B. Pituitary

Which of these produces and secretes antibodies in the body? A. Bacteria B. Plasma cell C. Red blood cell D. Virus E. Both A & D

B. Plasma cell

After undergoing a subtotal thyroidectomy, a female client develops hypothyroidism. Dr. Smith prescribes levothyroxine (Levothroid), 25mcg PO daily. For which condition is levothyroxine the preferred agent? A. Grave's Disease B. Primary hypothyroidism C. Euthyroidism D. Thyrotoxicosis

B. Primary hypothyroidism

When human immunodeficiency virus (HIV) attaches to a host cell what genetic material is released into the cell's cytoplasm? A. chromosome B. RNA C. DNA D. ligand

B. RNA

Effexor (Venlafaxine), Pristiq (desvenlafaxine), and Cymbalta (duloxetine) are all examples in what group of Mental Health drugs? A. SSRI B. SNRI C. Tricyclic Antidepressants D. MAOI Inhibitors

B. SNRI

Nurse Thomas is developing a teaching plan for a male client diagnosed with diabetes insipidus. The nurse should include information about which hormone lacking in clients with diabetes insipidus? A. follicle-stimulating hormone (FSH) B. antidiuretic hormone (ADH) C. thyroid-stimulating hormone (TSH)

B. antidiuretic hormone (ADH)

What is the term used to describe white blood cells migrating toward bacteria? A. phagocytosis B. chemotaxis C. phototaxis D. zeiosis

B. chemotaxis

Which of these cell types can play a primary role in attacking and killing cancer cells? A. red blood cell B. cytotoxic T cell C. platelet D. mast cell

B. cytotoxic T cell

The nurse is assigned to care for a client with systemic lupus erythematosus (SLE). The nurse plans care knowing that this disorder is: A. A local rash that occurs as a result of allergies B. A disease caused by overexposure to sunlight C. An inflammatory disease of collagen contained in connective tissue D. A disease caused by the continuous release of histamine in the body

C. An inflammatory disease of collagen contained in connective tissue

Where is the location of the thyroid gland? A. Behind the nose in the head B. Near the kidneys in the flank area C. In the throat

C. In the throat

A client in the clinical unit who is allergic to shellfish unknowingly ate a dish brought by a friend that had shellfish as an ingredient. The client quickly develops anaphylaxis. The nurse would focus on which of the following first until additional help arrives? A. Preparing a dose of epinephrine (Adrenalin) B. Preparing a dose of a corticosteroid C. Maintaining a patent airway D. Telling the client to obtain a Medic-Alert bracelet

C. Maintaining a patent airway

Which person is considered to have AIDS when which of these occur? A. Exposure to HIV B. HIV antibodies are detected in the blood C. The CD4+ count is lower than 200 or opportunistic infections develop in an HIV-infected person D. A person has HIV for five years

C. The CD4+ count is lower than 200 or opportunistic infections develop in an HIV-infected person

A female client has a serum calcium level of 7.2 mg/dL. During the physical examination, nurse Noah expects to assess. A. Hegar's sign B. Homans' sign C. Trousseau's sign D. Goodell's sign

C. Trousseau's sign

The nurse is assisting in administering immunizations at a health care clinic. The nurse understands that immunization provides which of the following? A. Protection from all diseases B. Innate immunity from disease C. Natural immunity from disease D. Acquired immunity from disease

D. Acquired immunity from disease

Which of these is a symptom of HIV infection? A. Swollen lymph nodes B. Fever C. Tiredness D. All of the above

D. All of the above

A client is about to be discharged with a prescription for the antipsychotic agent haloperidol (Haldol), 10 mg by mouth twice per day. During a discharge teaching session, the nurse should provide which instruction to the client? A. Take the medication 1 hour before a meal. B. Increase the dosage up to 50mg twice per day if signs of illness don't decrease. C. Decrease the dosage if signs of illness decrease D. Apply a sunscreen before being exposed to the sun.

D. Apply a sunscreen before being exposed to the sun.

When could a "rebound" anaphylactic reaction occur after an initial attack even when epinephrine has been given? A. One hour B. Two hours C. Three hours D. Four hours

D. Four hours

Which leukocytes arrive at the inflammation site first? A. Basophils B. Eosinophils C. Monocytes D. Neutrophils

D. Neutrophils

A client is suspected of having systemic lupus erythematous. The nurse monitors the client, knowing that which of the following is one of the initial characteristic sign of systemic lupus erythematous? A. Weight gain B. Subnormal temperature C. Elevated red blood cell count D. Rash on the face across the bridge of the nose and on the cheeks

D. Rash on the face across the bridge of the nose and on the cheeks

Name the process a cell such as a neutrophil or a macrophage uses to ingest (eat) its prey. A. halitosis B. chemotaxis C. botulism D. phagocytosis

D. phagocytosis

The three (triad) main signs/symptoms of Cushing's Triad include: 1. Increased systolic BP 2.___________________ HR 3.___________________ Respirations

Decreased Decreased

All the following are labs that help measure pituitary function EXCEPT? A. ADH B. LH C. FSH D. TSH E. T3

E. T3

True or False? A normal CD4 count is between 500 and 1400 in most healthy teens and adults and generally a result less than 200 is considered to be HIV if an opportunistic infection present.

False

True or False? Imipramine, Amitriptyline, Amoxapine, Protriptyline are all examples of MAOI inhibitors.

False

___________________ is a common skin condition that speeds up the life cycle of skin cells. It causes cells to build up rapidly on the surface of the skin. The extra skin cells form scales and red patches that are itchy and sometimes painful. It is a chronic disease that often comes and goes. The main goal of treatment is to stop the skin cells from growing so quickly.

Psoriasis

___________________________ is an autoimmune and inflammatory disease, which means that your immune system attacks healthy cells in your body by mistake, causing inflammation in the affected parts of the body. It mainly attacks the joints, usually many joints at once. It commonly affects joints in the hands, wrists and knees.

Rheumatoid Arthritis

___________ and _________ are thyroid specific hormones typically called thyroxine.

T3, T4

_____________ is released by the anterior pituitary gland to tell the thyroid to work.

TSH

True or False The major function of the B-Cells is to produce antibodies.

True

True or False: The posterior pituitary gland is responsible for the release of ADH which can be referred to as Vasopressin.

True

True or False? Autoimmune disorders are more common in females than males.

True

True or False? Extrapyramidal symptoms (EPS) also known as extrapyramidal side effects (EPSE) when drug-induced by typical psychotic medications taken for schizophrenia are movement disorders, which include acute and long-term symptoms. These symptoms include dystonia (continuous spasms and muscle contractions), akathisia (may manifest as motor restlessness), parkinsonism (characteristic symptoms such as rigidity), bradykinesia (slowness of movement), tremor and tardive dyskinesia) irregular, jerky movements.

True

True or False? Severe combined immunodeficiency disease (SCID) is a disorder involving a complete absence of humoral and cellular immunity resulting from an x-linked or autosomal genetic abnormality.

True

True or False? The medicines that treat HIV are called antiretroviral drugs. There are more than two dozen of them and they fall into six main types. Each drug fights the virus in your body in a slightly different way. Research shows that a combination or "cocktail," of drugs is the best way to control HIV and lower the chances that the virus will become resistant to treatment. Your doctor will probably recommend that you take three different medicines from two of the groups.

True

True or False? The thyroid glands specific hormones are T3 and T4.

True

The human growth hormone is released by the ____________________ part of the Pituitary Gland.

anterior

Signs and symptoms of ________________________ is: Muscle weakness, sleeping problems, fast heart beat, Exophthalmos .

hyperthyroidism

Signs and symptoms of __________________________ is: Tired, poor ability to handle cold, slow heart rate, weight gain?

hypothyroidism

Some of the main causes of Cushing's Syndrome (Hyperadrenalism) include: Patient's receiving treatment with __________________, a tumor of the ____________________ or excessive hormone release of ACTH by the _________________ gland.

prednisone adrenal cortex pituitary