Deck 11: Disorders of the Immune System

Question 1

A nurse is reviewing the prescriptions of four clients.Assess the effects of the medication prescribed and identify the client who is most likely being treated for chronic mucocutaneous candidiasis. Client 1
Client 2
Client 3
Client 4
Ketoconazole
Codeine
Amoxicillin
Acyclovir
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Answer 1

1

Question 2

A registered nurse is teaching a nursing student about the diagnostic test done for chronic mucocutaneous candidiasis.What statement made by the student nurse indicates effective teaching?
1)"Potassium hydroxide wet mount is used to diagnose candida infection."
2)"An antinuclear antibodies test is used to diagnose candida infection."
3)"A C-reactive protein test is used to diagnose candida infection."
4)"Urinalysis is used to diagnose candida infection."

Answer 2

1

Question 3

A client develops an erythematosus rash on the hands two days after working in the garden.What type of hypersensitivity reaction has the client developed?
1)Type I immediate
2)Type II cytotoxic
3)Type III immune complex-mediated
4)Type IV delayed

Answer 3

4

Question 4

A client has a positive ELISA test.On examination,the client is found to have fever,weight loss,and candida infections.The client also complains of night sweats.What would be the CD4 levels?
1)700 cells per microliter
2)500 cells per microliter
3)200 cells per microliter
4)350 cells per microliter

Question 5

A nurse is assessing four clients who are suspected to have systemic lupus erythematosus.Which client has developed the disease? Client 1
Client 2
Client 3
Client 4
Signs and symptoms
Fever,butterfly rash on face,and joint inflammation
Fever,swollen joints,and general malaise
Erythema nodosum,weight loss,and fever
Hypothermia,elevated red blood cell count,and weight gain
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Question 6

Which is an example of passive acquired adaptive immunity?
1)Newborns receiving immunity through breast milk
2)Individuals becoming immune to chicken pox after infection
3)Individuals becoming immune to measles after infection
4)None of the above

Question 7

Which is the predominant immunoglobulin produced after a host's re-exposure to an antigen?
1)Immunoglobulin G (IgG)
2)Immunoglobulin A (IgA)
3)Immunoglobulin E (IgE)
4)Immunoglobulin D (IgD)

Question 8

A woman who is planning to get pregnant is ordered to obtain an antibody screening test.The test shows negative IgM.What does the test result indicate about the client?
1)She has been exposed to rubella.
2)She has developed rubella infection.
3)She needs to be given the rubella vaccine.
4)She is immune to rubella.

Question 9

Which immunity is developed by an individual after experiencing an illness?
1)Innate immunity
2)Active acquired adaptive immunity
3)Passive acquired adaptive immunity
4)None of the above

Question 10

A 27-year-old client is pregnant.The blood group of the client and the fetus are incompatible.Which antibodies produced by the mother against the fetus's blood cells do not affect the fetus?
1)IgM
2)IgG
3)IgD
4)None of the above

Question 11

Where does maturation of T lymphocytes occur?
1)Spleen
2)Bone marrow
3)Thymus gland
4)Lymph nodes

Question 12

A registered nurse is teaching a student nurse about the common side effects of methotrexate therapy,which is used to treat clients with rheumatoid arthritis.Which statement made by the student nurse indicates effective learning?
1)"The client's white blood cell count will be below 4,500 cells per microliter."
2)"The client's weight will increase by 2 kg."
3)"The client's urine specific gravity will be 1.030."
4)All of the above.

Question 13

A client with scleroderma complains of painful ulcers on the knees.Which condition has the client?
1)Telangiectasis
2)Calcinosis
3)Sclerodactyly
4)Raynaud's phenomenon

Question 14

Which cells are known as granular lymphocytes?
1)Kupffer cells
2)Microglial cells
3)T cells
4)Natural killer cells

Question 15

A nurse is reviewing the prescriptions of four clients in the hospital.Compare the effects of the medications prescribed to the clients and identify the client who is most likely being treated for systemic lupus erythematosus (SLE). Client 1
Client 2
Client 3
Client 4
Amoxicillin,vancomycin,Imodium
Hydrocortisone,hydroxychloroquine,methotrexate
Cyclophosphamide,mycophenolate,infliximab
Codeine,ibuprofen,naproxen
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Question 16

A nurse who is engaged in maternal-child health care has a blood sample drawn for rubella antibody screening.The test result shows very low titer values.Compare the nursing intervention stated and choose the best nursing intervention for the given situation.
1)The nurse should consult the physician and receive the rubella vaccine immediately.
2)The nurse should consult the physician and receive the MMR vaccine immediately.
3)The nurse does not require any vaccinations.
4)None of the above

Question 17

A registered nurse is teaching nursing students about passive acquired adaptive immunity.Which statement made by a student nurse indicates effective learning?
1)"It provides immediate immunity."
2)"It is a short-term immunity."
3)"It is not associated with immunologic memory."
4)All of the above.

Question 18

A registered nurse is teaching a student nurse about assessing the results of a Mantoux test done on a 15-year-old client.The results indicate 5 mm tissue induration.Which statement made by the student nurse indicates effective learning?
1)"The client is has an active case of tuberculosis (TB)."
2)"The client has had an exposure to TB."
3)"The client has not had an exposure to TB."
4)"The client should be given TB vaccine immediately."

Question 19

A nurse is reviewing the prescriptions of four clients who are being treated for chronic mucocutaneous candidiasis.Compare the effects of the medications and choose the medication that is least effective in treating chronic mucocutaneous candidiasis (CMC). Client 1
Client 2
Client 3
Client 4
Itraconazole
Amorolfine
Fluconazole
Amphotericin B
1)Client 1
2)Client 2
3)Client 3
4)Client 4

Question 20

IgA is found most in
1)tears.
2)plasma.
3)blood.
4)All of the above.

Question 21

A registered nurse is teaching nursing students about CD4 cells.Which statements made by a student nurse indicate effective teaching? Select all that apply.
1)"The CD4 cells directly attack antigens."
2)"The CD4 cells produce immunoglobulins."
3)"The CD4 cells mature into plasma cells."
4)"The human immunodeficiency virus attacks CD4 cells."
5)"The CD4 cells are T cells that take part in cell-mediated immunity."

Question 22

Which is an autoimmune disease?
1)Osteoarthritis
2)Rheumatoid arthritis
3)Type II diabetes
4)All of the above