2023 Article is attached This is an academic professionally written exercise consisting of a minimum of

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Nursing 2023 Medical Article Oral Health

Article is attached This is an academic professionally written exercise consisting of a minimum of 2023 Assignment

Article is attached 

This is an academic, professionally written exercise consisting of a minimum of 3 to 4 paragraphs in length. 

Each paragraph to contain of a minimum of 4 to 5 sentences.

To consist of 750 to 1000 words. (No Less no more.)

No other reference, can only use article, 0 plagiarism   

Example: INTRODUCTION: First review and summarize the journal article. Describe what the article is about. Present a clear, non-biased understanding of the article’s topic. Mention the article name and source. What makes the article important? “The main topic of this journal article is ….” 

MAIN BODY: Critically review the article. Analyze the evidence. Was the research presented in the article objective or bias? Describe the article’s strength and weakness. Highlight the positive or negative points. “This article presents the material (well / not well) because …

” Do not give your opinion on the article’s topic, we are not experts. Why should or should not the article be recommend reading? Was the article successful or a failure in relaying information based on the topic?  “I (recommend/ don’t recommend) reading this article because…” 

CONCLUSION: Conclude with what you learned from analyzing the article. What knowledge was gained from reading this article? What do the results cited in the article indicate? Do not present new or additional information in the conclusion, stay focused on the article topic at hand. “After reading and analyzing this article I learned that …. “ 

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2023 With a better understanding of change management in healthcare consider the impact of a

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Nursing 2023 Module 04 Written Assignment – Change Management Table Only

With a better understanding of change management in healthcare consider the impact of a 2023 Assignment

 

With a better understanding of change management in healthcare, consider the impact of a new electronic health record (suppose a facility is moving from paper to an electronic health record) on the roles listed in the following table. The the tip outlined on the side will help you answer the questions the table below.

 

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2023 In the role of a health care manager for the final project

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Nursing 2023 In The Role Of A Health Care Manager, For The Final Project You Will Develop And Write A Comprehensive Marketing And Communication Plan For Your Fictitious Health Care Organization. The Final Project Will Be Divided Into Four Parts:

In the role of a health care manager for the final project 2023 Assignment

In the role of a health care manager, for the final project you will develop and write a comprehensive marketing and communication plan for your fictitious health care organization. The final project will be divided into four parts:

  1. Health Care Organization Profile
  2. Communication Plan
  3. Marketing Plan
  4. Community Collaboration Plan

Part 1, “Health Care Organization Profile,” should include the following components:

  1. Name and type of health care organization (stand-alone, multifacility, multicampus, community-based, etc.).
  2. Mission, vision, and goals
  3. Bed number
  4. Type of services provided
  5. Volumes
  6. Quality indicators
  7. Financial performance indicators
  8. Human resource challenges
  9. Diversity issues
  10. Community population statistics 

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2023 I am not interested in receiving offer for help from anyone whose written English

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Nursing 2023 Children’s Functional Health Pattern Using Erickson’s Stages Of Child Development Assessment Tool

I am not interested in receiving offer for help from anyone whose written English 2023 Assignment

I am not interested in receiving offer for help from anyone whose written English I will have to edit extensively even after having made payment.  It is dishonest to be offering help in discilpines for which your command of written English is appalling.   The details of this assignment is attached

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2023 In Week 1 you developed your practicum professional development objectives How have

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Nursing 2023 Discussion 6600 Week 6

In Week 1 you developed your practicum professional development objectives How have 2023 Assignment

In Week 1, you developed your practicum professional development objectives. How have your experiences thus far in the practicum contributed to your growth as nurse leader-manager or nurse informaticist? What difficulties, if any, have you experienced, and how might this affect the achievement of your objectives?

In this Discussion, you assess your progress toward fulfilling your practicum professional development objectives and consider how you could enhance or alter your activities to achieve your aims.

To prepare:

  • Reflect on the practicum professional development objectives you developed and outlined in your Practicum Professional Experience Plan in Week 1.
  • Keeping in mind the practicum activities you have engaged in thus far, consider the following questions:
    • How have these activities helped to promote your professional development?
    • Are you satisfied with your progress toward meeting your objectives? If not, what will you do to ensure you achieve them before the end of your Practicum Experience? As a reminder, you must complete all of your practicum hours on or before Day 5 of Week 11.
    • What challenges or unexpected opportunities have arisen at your practicum site? How has this affected your professional development?
  • Think about the experiences you may have in the forthcoming weeks. Do you foresee any particular challenges on the horizon? If so, what is your plan for addressing those challenges?
  • Think about the time you have spent with your Preceptor. How has this time enhanced or changed your understanding of the role and functions of the nurse leader-manager or nurse informaticist?

Post on or before Day 3 an assessment of your progress toward achieving your practicum professional development objectives, including how your involvement in specific practicum activities has contributed to your development. Explain what you will do to ensure you achieve your objectives by the end of your practicum. Summarize challenges or unexpected opportunities that have arisen, as well as any challenges that you anticipate may arise. Explain how you will address those challenges. Finally, summarize what you have learned about the role and functions related to your specialization through time spent with your Preceptor.

MUST HAVE CIATATIONS, FOLLOW RUBRIC, BE IN FORMAT, BE ONTIME, BE VALID

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2023 Diagnosis and Management of Respiratory Cardiovascular and Genetic Disorders Respiratory disorders such as pneumonia and asthma are

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Nursing 2023 6512 WK 7 DISCUSSION

Diagnosis and Management of Respiratory Cardiovascular and Genetic Disorders Respiratory disorders such as pneumonia and asthma are 2023 Assignment

 

Diagnosis and Management of Respiratory, Cardiovascular, and Genetic Disorders:

 

Respiratory  disorders such as pneumonia and asthma are among the leading causes of hospitalization in pediatric patients (U.S. Department of Health and Human Services, 2011). With such severe implications associated with many respiratory disorders, advanced practice nurses (FAMILY NURSE PRACTITIONER) must be able to quickly identify symptoms, diagnose patients, and recommend appropriate treatment. For this Discussion, consider potential diagnoses and treatments for the patients in the following three case studies.

 

 

 

Case Study 1:

 

 A 14-month-old female presents with a 4-day history of nasal congestion and congested cough. This morning, the mother noted that her daughter was breathing quickly and “it sounds like she has rice cereal popping in her throat.” Oral intake is decreased. Physical examination reveals the following: respiratory rate is 58, lung sounds are diminished in the bases, she has pronounced intercostal and subcostal retractions, expiratory wheezes are heard in all lung fields, and her tympanic membranes are normal. There is moderate, thick, clear rhinorrhea and postnasal drip. Her capillary refill is less than 3 seconds, and she is alert and smiling. Her RSV rapid antigen test is positive

 

 

 

POST I TO 2 PAGES DISCUSSION PAPER ON:  An explanation of the differential diagnosis for the patient in the case study you selected.

 

Explain which is the most likely diagnosis for the patient and why.

 

Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

 

Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

Finally, explain strategies for educating patients and families on the treatment and management of the respiratory, cardiovascular, and/or genetic disorder.

 

 

 

Reference

 

Readings

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 31, “Respiratory Disorders” (pp. 708–738)

 

•Chapter 40, “Genetic Disorders” (pp. 1032–1054)

 

National Heart, Lung, and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm

 

.

 

•Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis by  Ralston, S.L., Lieberthal ,A.S., Meissner, H.C., Alverson, B.K., Baley, J.E., Gadomski ,A.M., Johnson, D.W., Light, M.J., Maraqa, N.F., Mendonca ,E.A., Phelan, K.J., Zorc ,J.J., Stanko-Lopp, D., Brown, M.A., Nathanson ,I., Rosenblum, E., Sayles, S. 3rd, & Hernandez-Cancio, S. in Pediatrics, 134(5), 1474-1502.

 

Dexamethasone for Acute Asthma Exacerbations in Children: A Meta-analysis by Keeney, G.E., Gray, M.P., Morrison, A.K., Levas, M.N., Kessler, E.A., Hill, G.D., Gorelick, M.H., & Jackson J.L. in Pediatrics, 133(3): 493–499.

 

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2023 Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater according to

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Nursing 2023 WK 8 DISCUSSION

Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater according to 2023 Assignment

 

Diagnosis and Management of Hematologic and Metabolic Disorders

 

 

Case Study 2:

 

 Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

 

To prepare:

 

•Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.

 

•Review and select one of the three provided case studies. Analyze the patient information.

 

•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

 

•Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

POST   1 TO 2 PAGES DISCUSSION PAPER ON :  1.An explanation of the differential diagnosis for the patient in the case study you selected.

 

2. Explain which is the most likely diagnosis for the patient and why.

 

3. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

 

4. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

5. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

 

 

References

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556)

 

◦Chapter 26, “Hematologic Disorders” (pp. 557–584)

 

•Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz,H.P., Haberman, B.E., & Ruddy, R.M. in  Pediatric Emergency Care, 27(9), 884-889.

 

 

 

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2023 Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater

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Nursing 2023 WK 8 DISCUSSION

Diagnosis and Management of Hematologic and Metabolic Disorders Case Study 2 Jimmy is a 3 year old picky eater 2023 Assignment

 

Diagnosis and Management of Hematologic and Metabolic Disorders

 

 

 

Case Study 2:

 

 Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

 

 

 

To prepare:

 

•Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text

 

•Review and  Analyze the patient information.

 

•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

 

•Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

TO COMPLETE

 

POST   1 TO 2 PAGES DISCUSSION PAPER ON :

 

  1.An explanation of the differential diagnosis for the patient in the case study you selected.

 

2. Explain which is the most likely diagnosis for the patient and why.

 

3. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

 

4. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

5. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

 

 

 

References

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier

 

 

 

◦Chapter 25, “Endocrine and Metabolic Disorders” (pp. 529–556

 

 

 

◦Chapter 26, “Hematologic Disorders” (pp. 557–584)

 

•Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz,H.P., Haberman, B.E., & Ruddy, R.M. in  Pediatric Emergency Care, 27(9), 884-889.

 

 

 

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2023 Choose one of the cultures described in your Guide to Culturally Competent Health Care Based upon what you have

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Nursing 2023 Choose One Of The Cultures Described In Your “Guide To Culturally Competent Health Care.”

Choose one of the cultures described in your Guide to Culturally Competent Health Care Based upon what you have 2023 Assignment

Choose one of the cultures described in your “Guide to Culturally Competent Health Care.”

Based upon what you have read about people of that particular heritage describe how you would provide patient-centered care for a 75 year old of that culture who has just been admitted to your long term care facility. Include domains of: communication, family roles, high risk health behaviors, death rituals, spirituality, health-care practices and health care practitioners.

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2023 1 A 22 year old female who adheres to a vegan diet has been diagnosed with iron deficiency anemia Which of the following

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Nursing 2023 Quiz2

1 A 22 year old female who adheres to a vegan diet has been diagnosed with iron deficiency anemia Which of the following 2023 Assignment

1. A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)

      [removed] Decreased mean corpuscular volume (MCV)
      [removed] Decreased hemoglobin and hematocrit
      [removed] Microcytic, hypochromic red cells
      [removed] Decreased erythropoietin levels

 

Question 2. 2. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)

      [removed] Hypocoagulation
      [removed] Iron and ferritin deficiencies
      [removed] Splenomegaly and hepatomegaly
      [removed] Neutropenia

 

Question 3. 3. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)

      [removed] A mild parasitic infection
      [removed] A severe bacterial infection
      [removed] A mild viral infection
      [removed] A severe fungal infection

 

Question 4. 4. A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry? (Points : 0.4)

      [removed] “Stem cells can help correct autoimmune diseases and some congenital defects.”
      [removed] “Stem cells can be used to regenerate damaged organs should the need ever arise.”
      [removed] “Stem cells can be used as a source of reserve cells for the entire blood production system.”
      [removed] “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”

 

Question 5. 5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)

      [removed] The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.
      [removed] Her liver and spleen are both enlarged.
      [removed] Blood work reveals an increased white blood cell count.
      [removed] Chest auscultation reveals crackles in her lower lung fields bilaterally.

 

Question 6. 6. A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma? (Points : 0.4)

      [removed] Her neoplasm originates in secondary lymphoid structures.
      [removed] The lymph nodes involved are located in a large number of locations in the lymphatic system.
      [removed] The presence of Reed-Sternberg cells has been confirmed.
      [removed] The woman complains of recent debilitating fatigue.

 

Question 7. 7. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)

      [removed] Tissue destruction results from neutrophil deactivation.
      [removed] Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
      [removed] Macrophages are unable to digest the bacteria, resulting in immune granulomas.
      [removed] Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

 

Question 8. 8. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)

      [removed] The woman has depleted blood volume due to her ongoing blood loss.
      [removed] She will have iron-deficiency anemia due to depletion of iron stores.
      [removed] The patient will be at risk for cardiovascular collapse or shock.
      [removed] She will have delayed reticulocyte release.

 

Question 9. 9. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history? (Points : 0.4)

      [removed] A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
      [removed] A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
      [removed] A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism
      [removed] A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

 

Question 10. 10. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)

      [removed] “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”
      [removed] “Interferon can help limit the replication of the virus that’s affecting your father.”
      [removed] “Interferon helps your father’s body recognize infected cells more effectively.”
      [removed] “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

 

Question 11. 11. A nurse practitioner is providing prenatal care and education for a first-time expectant mother, 22 weeks’ gestation, who has a diagnosis of a sexually transmitted infection. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? (Points : 0.4)

      [removed] “Gonorrhea and chlamydia pose the greatest risks of transmission from mother to child.”
      [removed] “I know that my baby will need observation for HIV signs and symptoms in the weeks following my delivery.”
      [removed] “My baby could become infected either across the placenta or during the birth itself.”
      [removed] “Prophylactic immunization will reduce my baby’s chance of being born with an illness.”

 

Question 12. 12. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)

      [removed] Impaired immune function
      [removed] Acid-base imbalances
      [removed] Impaired thermoregulation
      [removed] Fluid imbalances

 

Question 13. 13. A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system? (Points : 0.4)

      [removed] Presentation of a foreign antigen by a familiar immunoglobulin
      [removed] Recognition of a foreign MHC molecule
      [removed] Recognition of a foreign peptide bound to a self MHC molecule
      [removed] Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

 

Question 14. 14. Which of the following phenomena would be least likely to result in activation of the complement system? (Points : 0.4)

      [removed] Recognition of an antibody bound to the surface of a microbe
      [removed] The binding of mannose residues on microbial glycoproteins
      [removed] Activation of Toll-like receptors (TLRs) on complement proteins
      [removed] Direct recognition of microbial proteins

 

Question 15. 15. A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae. Which of the followed statements best captures a characteristic trait of Rickettsiaceae? (Points : 0.4)

      [removed] They are eukaryotic.
      [removed] They have both RNA and DNA.
      [removed] They have a distinct spiral-shaped morphology.

      [removed] They are neither gram-negative nor gram-positive.

 

Question 16. 16. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)

      [removed] Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.
      [removed] Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.
      [removed] Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.
      [removed] Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

 

Question 17. 17. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)

      [removed] Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.
      [removed] Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.
      [removed] Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.
      [removed] Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

 

Question 18. 18. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)

      [removed] Increased thrombopoietin levels
      [removed] Decreased platelet count
      [removed] Normal vitamin K levels
      [removed] Normal leukocyte levels

 

Question 19. 19. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)

      [removed] “Inflammation can help to remove the body tissue cells that have been damaged by infection.”
      [removed] “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.
      [removed] “Inflammation helps your body to produce the right antibodies to fight the infection.”
      [removed] “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

 

Question 20. 20. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)

      [removed] “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”
      [removed] “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”
      [removed] “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”
      [removed] “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

 

Question 21. 21. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)

      [removed] The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.
      [removed] Viruses are killing some of his B cells and becoming incorporated into the genomes of others.
      [removed] The EBV inhibits the maturation of white cells within his peripheral lymph nodes.
      [removed] The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

 

Question 22. 22. Sputum samples from a patient with pneumonia contain an infective agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in broth and on agar, grows in clusters, has pili, and does not stain when exposed to crystal violet. This pneumonia is most likely: (Points : 0.4)

      [removed] Chlamydial
      [removed] Viral
      [removed] Mycoplasmal
      [removed] Bacterial

 

Question 23. 23. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)

      [removed] Viruses have limited or absent genetic material of their own.
      [removed] Some viruses are capable of transforming normal host cells into malignant cells.
      [removed] Viruses are often implicated in cases of transmissible neurodegenerative disease.
      [removed] Viruses require stimulation after a latent period before they are able to produce symptoms.

 

Question 24. 24. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)

      [removed] A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use
      [removed] A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
      [removed] A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells
      [removed] A 9-year-old girl who has a diagnosis of IgA deficiency

 

Question 25. 25. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)

      [removed] Antibody production by plasma cells is compromised because of impaired communication between B and T cells.
      [removed] The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.
      [removed] The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.
      [removed] The child lacks the antigen presenting cells integral to normal B-cell antibody production.

 

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