Exam 23: The Immune System

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The nurse is caring for an older patient with a disease caused by a secondary immunodeficiency disorder. Which are secondary disorders? Select all that apply.

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B,C,D,E

An older patient is diagnosed with asthma. What should the nurse teach the patient about this health problem? Select all that apply.

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A,B,D,E

The nurse administers an annual flu vaccination to an older patient who asks if they need the pneumonia vaccination too. What is the nurse's best response?

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D

The nurse is planning care for an older patient recently diagnosed with HIV who wants to remain sexually active. Which would be a priority nursing diagnosis for this patient?

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A patient asks the nurse how the immune system protects the body. What is the nurse's best response?

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An older patient experienced an anaphylactic reaction after eating shrimp. How would the nurse best describe this response?

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The healthcare provider suggests that an older patient take daily vitamin supplements to enhance immunity. On which supplements should the nurse instruct the patient? Select all that apply.

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An older patient is diagnosed with bacteremia and asks what caused the condition. What should be included in the nurse's response? Select all that apply.

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An older patient is surprised to learn of the diagnosis of rheumatoid arthritis. What can the nurse explain to the patient about this disorder? Select all that apply.

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The nurse is reviewing the white blood cell count for an older patient. Which type of cell has memory and self recognition?

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The physician orders a pneumococcal vaccination for a 70-year-old patient. How does the nurse best describe this immunization?

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The nurse is preparing a presentation to senior citizens about the influenza vaccination. Which information should the nurse include? Select all that apply.

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The nurse is planning interventions to help improve the immune function of an older patient. What should be included in this patient's plan of care? Select all that apply.

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An older patient with rheumatoid arthritis rates current pain as being a 3 on a scale from 1 to 10. Which nonpharmacological interventions can the nurse provide to help this patient? Select all that apply.

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The charge nurse is planning an inservice for nursing staff on the theories of aging. What information should the instructor include about immune dysregulation?

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An older patient is diagnosed with tuberculosis. What should be included in the nurse's disease process instruction? Select all that apply.

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The nurse is caring for a patient with shingles. How does the nurse best explain its etiology?

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The nurse is caring for an older patient recently diagnosed with HIV. What best describes the delay in diagnosis?

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An older patient is hesitant to receive a vaccination against shingles due to lack of knowledge. What will be included in the nurse's teaching?

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The nurse planning to implement a Tai Chi program at a senior center is meeting resistance by program attendees. How should the nurse respond to the resistance?

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