Nurse Practitioner Assignment Paper.

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 : 3) Nurse Practitioner Assignment Paper.

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[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 2.2. As part of his diagnostic workup, a 77-year-old man’s nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care and is unfamiliar with ferritin and its role. He asks his nurse practitioner to explain the significance of it and the rationale for testing it. Which of the following explanations by the nurse practitioner is most accurate? (Points : 3) [removed] “Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”

[removed] “Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”
[removed] “Ferritin is a protein-iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”
[removed] “Ferritin is the form of iron that is transported in your blood plasma to the red blood cells that need it.”

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 : 3) [removed] A mild parasitic infection
[removed] A severe bacterial infection
[removed] A mild viral infection
[removed] A severe fungal infection

Question 4.4. 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 : 3) Nurse Practitioner Assignment Paper. [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 5.5. 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 : 3) [removed] Chlamydial
[removed] Viral
[removed] Mycoplasmal
[removed] Bacterial. Nurse Practitioner Assignment Paper.

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 : 3) [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 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 : 3) [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 8.8. 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. Nurse Practitioner Assignment Paper.

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How can the nurse practitioner best respond to the couple’s inquiry? (Points : 3) [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 9.9. 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 : 3) Nurse Practitioner Assignment Paper.