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MSII Skin, Blood, Immune Flashcards | StudBud
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MSII Skin, Blood, Immune
MSII Skin, Blood, Immune
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1
Anemia caused back deficiency or lack of intrinsic factor
Iron deficiency anemia
Aplastic anemia
Pernicious anemia
Hypovolemic anemia
2
Hypovolemic shock occurs within minutes of a burn injury due to
vomiting from the pain of the injury
fluid loss and shift of fluid out of vascular compartment
increase in release of pancreatic enzymes
increased perfusion to the kidneys
3
Retrovirus that targets CD4+ cells and results in severe compromise of the immune system
HIV
Crohn's
Lupus
AIDS
4
Blood being shunted away from the GI tract following burns causes which of the following to occur
gastric ulcers and paralytic ileus
fluid volume overload
Crohn's disease
Kaposi's sarcoma
5
Assessing skin lesions includes
patient's atrological sign
asking about preferred methods of taking meds
changes in color, size and shape of lesion
finding out the client's birthday
6
Additional treatments for shingles include:
High dose steroids for 4-6 weeks
Gabapentin, tricyclic antidepressants, topical lidocaine
Allowing the patient to scratch the blisters open
Hot showers
7
Symptoms of thrombocytopenia include:
Weight loss, skin changes
Bruising, bleeding
Excessive clotting, fatigue
Hair loss, weight gain
8
Burn involving the epidermis and dermis - blisters present and very painful
partial thickness - 2nd degree
full thickness - 3rd degree
4th degree
superficial - 1st degree
9
Dyspnea, crackles, distended neck veins and cough are signs of
fluid volume deficit
a really bad day
circulatory overload
septic shock
10
Incision made to deeper tissues to relieve constriction - need anesthesia and OR
lobotomy
fasciotomy
fissurotomy
escharotomy
11
Bacterial infection of the skin causing yellow, fluid filled blisters around the nose and mouth
Impetigo
Poison oak
Shingles
Acne vulgaris
12
This additional protein on the blood cell also determines blood type
Antigen-antibody
Rhesus factor
Antigen-antigen
Reese's factor
13
Treatment of Kaposi' sarcoma includes
protective isolation if immunocompromised
radical excision of all lesions
keeping the patient NPO until oral lesions are gone
continuous injection of steroids into lesion
14
Reactivation of the varicella virus results in:
herpes zoster (shingles)
flashbacks of childhood traumas
acne vulgaris
Herpes simplex
15
Burn that results in injury to all skin layers, muscle and possibly bones and ligaments
full thickness
partial thickness
4th degree
superficial
16
Which of the following electrolytes is lost from the cell after crushing injuries and extensive burns
chloride
sodium
potassium
sodium bicarbonate
17
The meme for this question sums up
absolutely nothing
just forget it
really...nothing
how nursing students feel after nursing school is done
18
Common treatments for all types of leukemia include
Chemo, stem cell transplant, targeted cell therapy drugs
High doses of chemo, alternated with blood transfusions
Radiation and frequent blood transfusions
Chemo, radiation and organic food products
19
Small masses of lymphatic tissue found in GI tract that monitor intestinal bacteria
Tonsil patches
Microvilli
Peyer's patches
Tire patches
20
Incision made through the eschar to relieve pressure and constriction
allograting
escharotomy
fasciotomy
super easy to do
21
A monocloncal antibody prescribed to treat lupus
methotrexate
tacrolimus
rituximab
hydroxychloroquine
22
Medications used to treat psoriasis include:
preparations made by Elf magic
coal tar, salicylic acids, monoclonal antibodies
radiation, chemotherapy and calamine
coal tar, aspirin, radiation
23
HIV with a CD4+ level below 200 is now considered to be
AIDS
stable HIV
DIC
cat scratch fever
24
Nursing interventions for a client with psoriasis include:
Stay home until the plaques have healed
Monitor for infection, educate about medications
Have the patient do their own research on the meds
Wearing long sleeve shirts all of the time
25
Nursing interventions for cellulitis include
monitor for wound complications
change dressings weekly
keep wound covered with tight dressings
keep lower extremities dependent to help with edema
26
Clinical manifestations of lupus include
high-grade fever
sensitivity to sound
butterfly rash to cheeks , nose and eyelids
increase in energy
27
An important nursing intervention for a patient with polycythemia is:
Monitor for signs of thrombosis
Discuss estate planning
Administer blood products as ordered
Restrict oral fluids
28
A major contributor to the formation of skin cancer
the fires of Mordor
repeated quizzes in nursing school
folliculitis
excessive sun exposure
29
This type of anemia is due to decreased bone marrow production of RBC, WBC and platelets
Thalassemia
Sickle cell anemia
Pernicious anemia
Aplastic anemia
30
A severe allergic reaction tht results in severe respiratory distress and possible circulatory collapse
anaphylaxis
dermatitis
hives
allergic rhinitis
31
A surgery that may be done to treat thrombocytopenia
Lobectomy
Splenectomy
Nephrectomy
Hemicolectomy
32
Allegen test where labeled patches with allergens are applied to the skin
Patch test
Scratch test
Intradermal test
Hope they don't code test
33
Symptoms of disseminated intravascular coagulation (DIC) include:
Bleeding, blisters, vomiting
Bradycardia, bradypnea
Bleeding, hypotension, tachycardia
Hypertension, bradycardia
34
Nursing interventions for thrombocytopenia include:
administer anticoagulants
razors to shave with
Hard bristle tooth brush
Avoid trauma, plasma or platelet infusions
35
Excessive bone marrow production of RBCs, WBCs, and platelets
Polycythemia
Thrombocytopenia
Pancytopenia
The perfect storm
36
Interventions for lymphedema include:
limit sodium, compression stockings or sleeves
no ROM or exercise
keeping extremity in dependent position
applying a tourniquet to the extremity
37
Pain with shingles that continues after the blisters have healed
Impetigo
Really annoying
Postherpetic neuralgia
Psoriasis
38
Skin cancer forming in lower layer of epidermis
squamous cell carcinoma
melanoma
osteochondroma
basal cell carcinoma
39
Small, bean-shaped structures that filter out bacteria and other impurities in the blood
Kidneys
Hepatocytes
Lymph nodes
Bacteria nets
40
Burn that destroys all layers of skin - damage to hair follicles, sweat glands and nerves
partial thickness
full thickness
superficial
4th degree
41
Why do we check pulses in extremities at the same time?
To show that we are smart
Because we were taught that way
It shortens the assessment time
To ensure equal quality of pulses
42
Deficiency in the number of platelets
Thrombocytopenia
Neutropenia
Hemopenia
Polycythemia
43
If pulses differ in strength in extremities, this may indicate:
we need to go back to Theory and Practice
the patient is being stubborn
the presence of a clot
we don't know what we're doing
44
The term for deficiency or decreased number of red cells, white cells and platelets
Polycythemia
Out of luck
Pancytopenia
Thrombocytopenia
45
A skin condition caused by strep that results in tender, red plaques with a well defined border
folliculitis
erysipelas
lupus
celllulitis
46
Medications are not administered IM or subcutaneously because
the meds are too expensive
aborption of the medication is unreliable
it's too time consuming to do
the patients complain of pain
47
The part of the spleen that filters blood and eliminates old/damaged RBCs
Kleenex tissue
Red pulp tissue
White pulp tissue
Pulp fiction tissue
48
Cancer of the pigment producing cells of the skin
melanoma
squamous cell carcinoma
basal cell carcinoma
psoriasis
49
The universal blood donor
AB-
AB+
O-
O+
50
Mild burn that is the least severe and heals within 7 days
full thickness - 3rd degree
4th degree
partial thickness - 2nd degree
superficial - 1st degree
51
Treatment for basal cell carcinoma may include
surgical excision of the lesion
radiation therapy
chemotherapy
collecting all Infinity stones
52
Abnormal, rod shaped RBCs result in this type of anemia
Sickle cell anemia
Pernicious anemia
Aplastic anemia
Iron deficiency anemia
53
Squamous cell carcinomas look
pink an waxy with regular borders
crusty with a scaly covering
flat with irregular borders
brown or black with irregular borders
54
The first nursing intervention when a blood transfusion reaction is suspected
Obtain blood cultures
Call the physician
Stop the transfusion
Call 911
55
Treatment for impetigo includes:
washing the skin with bleach
exposing everyone in the house to the bacteria
warm compresses , washing lines/towels in hot water
keep infected person in complete isolation
56
Which of the following surgeries is associated with development of pernicious anemia?
Cholecystectomy
Tonsillectomy
Partial or total gastrectomy
Right hemicolectomy
57
Blood cells necessary for clotting
Memory B cells
Platelets
Neutrophils
Basophils
58
Cancer of the tissues in the body that form blood cells
Breast cancer
Melanoma
Leukemia
Adenoma
59
The rehabilitative phase involves:
healing of the patient for return to optimal fuctioning
maintaining strict seizure precautions
maintaining NPO status until return of bowel sounds
removing constrictive clothing and jewelry
60
Diagram used to calcute percentage of body area burned
Cat O'Nines
Rule of thumb
Rule of Nines
Golden Rule
61
The largest organ in the lymphatic system
Spleen
Peyer's patches
Gallbladder
Tonsils
62
Basal cell carcinomas appear
brown or black with irregular borders
red and scaly with irregular borders
blistered with regular borders
waxy and scaly with a regular border
63
Upon arrival to the hospital, treatment for burns would include
maintain the airway, start an IV
guess at the urinary output to determine amount of IV fluids
keep the burned skin open to air
begin PT for ambulation and ROM
64
Autoimmue disorder of the connective tissue
Systemic lupus erythematosus
Psoriasis
Acne vulgaris
Crohn's disease
65
Herpes zoster (shingles) causes which clinical manifestation?
Crusty, fluid filled blisters around the nose
Eruption of fluid filled vesicles along a dermatome
Scaly patches of skin on the face
Petechiae on the chest and upper back
66
Nursing interventions for skin cancer include
Encouraging the client to finalize financial concerns
Monitor for changes in lesions
Exposing skin to the sun for 8 hours a day
Protective isolation
67
Nursing interventions for shingles includes:
Give the pregnant nurse the shingles patient
Allow the patient to scratch the blisters open
Negative air flow room, N-95 masks
Isolation precautions, acyclovir
68
When sickling of erythrocytes occludes blood vessels resulting in ischemia to tissues
Sickle cell crisis
Aplastic crisis
Addisonian crisis
Pancytopenic crisis
69
The common first sign of a hemolyitc transfusion reaction is
vomiting
flank pain
headache
vascular collapse
70
Nursing interventions for DIC include:
Switching your assignment to another unit
Steroid infusions, thrombolytics
Thrombolytics and bronchodilators
Control bleeding, replace platelets and clotting factors
71
A complication of shingles from scratching the blister is:
reactivation of the virus
DIC
infection
pneumonia
72
This organ of the lypmphatic system helps make T cells and decreases in size with age
Spleen
Thyroid
Thymus
Tonsils
73
Common symptoms for all types of anemia
Fatigue, tachpnea
Bradycardia
Kidney failure
Weakness
74
The universal blood receptient
O+
O-
AB+
AB-
75
Malignancy of the skin and skin cells
lupus
psoriasis
skin cancer
wait...what?
76
The most common type of leukemia for children
Chronic myelogenous leukemia
Acute lymphocytic leukemia (ALL)
There are none
Chronic lymphocytic leukemia
77
In the emergent (immediate) phase of a burn, which of the following are important interventions
let the skin be exposed to the cool air
debride the wounds
insert an NG tube immediately
remove from injury, maintain the airway
78
Deficiency of clotting factor VIII resulting excessive bleeding
Thrombocytopenia
DIC
Hemophilia A
Pancytopenia
79
A skin condition caused by strep or staph that is swollen, red and extends into deeper skin layers
acne vulgaris
psoriasis
cellulitis
erysipelas
80
Rapid turnover of skin cells that manifests as scaly patches on elbows, knees and scalp
Acne vulgaris
Eczema
Impetigo
Psoriasis
81
Graft made from tissue of pigs or cows used to treat burn wounds
autograft
allograft
photograft
xenograft
82
Common symptoms of leukemia include:
Fatigue, easy bruising, bleeding
Insomnia, weight loss, clotting
Insomnia, clotting, weight gain
Fatigue, weight gain, hair loss
83
Accumulation of lymphatic fluid in soft tissue
Lymphedema
Leukemia
Lymph fluid overload
A pretty big problem all right
84
Treatment for anaphylaxis includes
insert an NG tube
prepare for a pacemaker
administer epinephrine
find out who gave the person food with peanuts
85
A major complication of HIV is:
cholecystitis
blood clots
infection
gastric ulcers
86
Aspiration of liquid bone marrow via a needle inserted into spongy part of bone
Intertrochanteric biopsy
Not without anesthesia, thank you
Cortical bone biopsy
Bone marrow biopsy
87
HIV is contracted by direct contact with:
sweat, tears
aliens
nasal secretions
blood, body fluids
88
Soft tissue tumor that occurs in patients with a compromised immune system
impetigo
folliculitis
Kaposi's sarcoma
lymphedema
89
Anti-body imediated immunity involves which immune system cells?
B and T cells
eosinophils
macrophages
neutrophils
90
Nursing education for patients with psoriasis includes:
apply any lotion as long as it is thick
use strong skin cleansers to debride the skin
protect skin during cold weather
encourage the patient to work from home
91
When doing any type of allergen testing, what should be available?
Insurance information for the patient
A young priest and an old priest
The instructions for placing the allergens
Resuscitative equipment
92
Symtpoms of HIV include:
obsessive compulsion to pet random dogs
Blood clots, enlarged liver, headaches
hypertension, tachycardia, fluid volume overload
enlarged lymph nodes, fever, weight loss,
93
The priority nursing intervention for a patient with aplastic anemia is:
Prevent infection
Administer only rectal medications
Allow contact sports only on a Sunday
Frequent large crowds during flu season
94
Condition where clotting occurs depleting clotting factors resulting in severe hemorrhage
Disseminated intravascular coagulation
Thrombocytopenia
Polycythemia
Aplastic anemia
95
The type of immunity you are born with - it works the same way every time
Acquired
prosecutory immunity
Artificial passive
Innate