Immune System
These structures form the first line of defense
what are the skin and the mucous membranes
These two things are classified as primary lymphatic organs
What are the thymus and red bone marrow
This is commonly attributed as a cause for toxic shock syndrome
What is the use of high absorbency tampons
This classic clinical manifestation of Cushing's is from long term corticosteroid use
What is a rounded facial appearance - "moon" face
when caring for a patient with a wound drain, the nurse knows this needs to be done
What is empty the drain at least every four hours
You pull the ear this way to administer drops to an adult
What is up and back
This is the definition of innate immunity
What is immunity that is present from birth, responds quickly but doesn't retain any memory of a pathogen
These are the essential cells produced by the thymus
What are T-lymphocytes
Without this electrolyte, your blood cannot clot
What is calcium
If the nurse is giving 14 units of regular insulin and 28 units of NPH, how many syringes is used to administer
what is 1 syringe
Other than protection and thermoregulation, this is a major function of the skin
What is the initiation of the production of Vit D
When giving a child a dose of iron syrup to treat anemia, how should it be given
what is through a straw (to prevent staining of teeth and also to help mask taste)
This is the definition of the adaptive immunity
What is immunity that develops over the lifespan as you are exposed to different pathogens. It responds slowly but has a memory
This organ is the largest lymphatic organ in the body.
What is the Spleen
This granulocyte secretes heparin
What is a basophil
which is the best sweetener for someone with DM1
what is a nonnutritive sugar substitute
When caring for a patient with cellulitis, the nurse should recommend the patient do this daily
What is wash the area with antibacterial soap
A nurse knows this about administering an IM injection from an ampule
Draw the medication from the center of the ampule without touching the rim so the needle remains sterile
These are the most important phagocytes
What are macrophages and neutrophils?
This is the role of Peyers Patches
What is to monitor bacterial populations in the gut and help prevent the growth of harmful bacteria
The nurse knows to palpate here for McBurney's point
Where is between the naval and the anterior iliac crest
which manifestation can a nurse expect in a person experiencing thyroid storm
what is tachycardia
When giving fluid resuscitation for a burn patient, these things are used to evaluate the effectiveness of the therapy
what is blood pressure, level of consciousness and urine output
when reinforcing teaching for admin of ophthalmic ointment, the nurse states that the medication should be given this way
what is applied in a thin line into the conjunctival sac
An elevation in which lab could signal a possible infection
What is WBC count
This is a possible reason why the elderly are more prone to infection
What is the thymus begins to shrink as you age beginning at age 14
Which arrhythmia leads to the formation of blood clots
What is A0fib
The key difference between endocrine and exocrine glands
exocrine glands secrete into the external environment and endocrine glands secrete into the bloodstream
The correct calculation of TBSA of a burn for the entire left arm, half the right arm and the entire front torso is this number
what is 31.5. (9 +18+4.5)
which patient statement following teaching about Fosamax would indicate the need for more information
What is I need to take the medication at the same time with a full glass of milk
These are the four classic signs of inflammation
What are swelling, redness, heat and pain
This is the abnormal collection of lymphatic fluid with the tissue surrounding a lymph node
What is lymphedema
The cardinal sign of hypocalcemia is
tetany of the hands and feet called carpopedal spasms
With a patient who BG is 550, which piece of data should be collected if DKA is suspected
What is the patient has mental status changes
When teaching about diet related to wound healing, the nurse knows that this is among the best sources of protein
What is grilled salmon
For an IV bag of NS running at 75ml/hr, if the bag held 300ml at 0700, when should the nurse hang a new bag
What is 1100
The body manufacturers five classes of antibodies: name them
300 point bonus - which one is most abundant 80% of all circulating antibodies
IgA, IgD, IgE, IgG, IgM
****IgG
These are the lymph nodes that will swell if you have a sinus infection
What are the submandibular lymph nodes
This arterial structure ensures adequate blood flow to the brain
What is the circle of Willis
Name three of the six hormones secreted by the anterior pituitary gland
double points if you can name all six
TSH, ACTH, GH, LH, FSH, Prolactin
This clinical appearance is consistent with basal cell carcinoma
What is a pearly, shiny nodule
The mechanism of action for amphotericin B is this
What is disruption of the fungal cell membrane
If you have a patient with an ANC of 1,000 - a key nursing intervention would be to do what
Neutropenic precautions - report a fever of 101 or higher
the two types of lymphocytes
what are t and b
The most common form of male infertility is a low sperm count - defined as this
What is a sperm count lower than 20 million
Taking too much melatonin can increase risk for these
What are blood clots and seizures
Which treatment should a nurse expect for a circumferential burn of the lower leg
what is an escharotomy
If the nurse has an order to instill 3000ml in 24 hours, what rate would the fluids be set at
What is 125ml/hr
This antibody is the only one that can cross the placenta to impart temporary immunity to the fetus
What is IgG
The key difference between lymphatic vessels and blood vessels is this
lymphatic vessels only carry fluid in one direction, away from the tissues
Your intestines are this long if completely stretched out
What is 26 to 30 feet
The most common cause of hyperthyroidism is the disorder
What is Graves disease
Bronzing of the skin is this
A golden-brown skin color that occurs in Addison's disease
If your fluid restrictions allow for 1200ml of fluid per day and the patient takes in 300ml in the first four hours - how much is left for the rest of the day?
what is 900 ml
These immunosuppressant meds are a likely choice for someone with rheumatoid arthritis
What is methotrexate and Tofacitinib
Name the three functions of the lymphatic system:
What is maintenance of the fluid balance, Absorption of fats and immunity
Stress has this effect on your microbiome
Cortisol triggers an immune response that depletes beneficial bacteria thus making your body more susceptible to infections
HHS is characterized by these clinical findings in contrast to DKA which are these findings
HHS is BG >300, severe dehydration, and weakness whereas DKA are these plus serum and urine ketones
In caring for a pt with burns on 50% of their body, these are the clinical finding the nurse should expect to see
what is loss of protein from cellular breakdown, capillary leakage causing decreased plasma volume
A palliative patient has anxiety - this drug is a first-line treatment
What is lorazepam