Deck 10: the Immune and Lymphatic Systems

Question 1

The nurse reminds the patient that he can be protected by passive artificial immunity by:

A)being injected with immune globulin.
B)receiving immunizations.
C)contracting the disease.
D)consuming sufficient antioxidants.

Answer 1

being injected with immune globulin.

Question 2

The nurse who is working in a flu immunization clinic assesses for a situation with a patient that will require a postponement of immunization,such as:

A)history of asthma.
B)taking herbal remedies such as valerian and ginkgo biloba.
C)diabetes that is poorly controlled.
D)having been given immune globulin 2 weeks ago.

Answer 2

having been given immune globulin 2 weeks ago.

Question 3

The mother of a young child voices concern about immunizations for her child.The nurse's best response to the mother's concerns is:

A)"Immunization is generally a safe method of avoiding certain diseases and the complications that go along with these diseases."
B)"There are no risk factors associated with immunizations, so there is no reason to worry."
C)"I really don't understand the thinking behind people not immunizing their children if it can prevent disease."
D)"Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."

Answer 3

"Immunization is generally a safe method of avoiding certain diseases and the complications that go along with these diseases."

Question 4

When contrasting active and passive immunity,remember that passive immunity: (Select all that apply.)

A)lasts for several years.
B)stimulates the production of antibodies.
C)prevents further tissue damage.
D)provides temporary immunity from the disease.
E)is given by vaccination.

Question 5

The nurse points out that as a result of the aging process,one change in the immune system is:

A)thickened skin.
B)reduced ciliary action.
C)thinned periosteum.
D)reduced saliva.

Question 6

The industrial nurse reminds all the middle-aged employees that they should get a tetanus booster every _____ years.

A)2
B)4
C)7
D)10

Question 7

Antibodies can protect the body by either destroying or inactivating a particular antigen by: (Select all that apply.)

A)mechanically harming it.
B)activating the complement system.
C)releasing chemicals that alter the environment of the antigen.
D)directly attacking the nucleus of the antigen.
E)forming organic "chains" that sweep out the antigen.

Question 8

The nurse differentiates the humoral response from the cell-mediated response in that in the cell-mediated response:

A)the sensitized lymphocytes attack the cell for which they were sensitized.
B)cells produce new antibodies.
C)the response does not occur until the white blood cell (WBC) count rises.
D)there is a systemic response of fever and malaise.

Question 9

The nurse clarifies that the lymphocytes that actually produce either sensitized lymphocytes or antibodies are the:

A)B lymphocytes.
B)T cells.
C)suppressor T cells.
D)stem cells.

Question 10

The nurse clarifies that a vaccination or immunization gives the person a(n)_____ immunity.

A)active acquired
B)passive acquired
C)passive
D)natural

Question 11

Of the assessments made by the nurse,the one indicating the immune system is functioning to combat an abscessed tooth is:

A)anorexia.
B)purulent expectorate.
C)foul breath.
D)enlarged cervical lymph node.

Question 12

The nurse exemplifies the action of killer T cells as being like a:

A)tiger slowly stalking an antigen to devour it.
B)mad hornet flying through circulating fluids seeking and killing antigens.
C)spider waiting in a web for an antigen to get caught in it.
D)bird dog pointing to an antigen so it can be attacked by phagocytes.

Question 13

The nurse points out that the fact that humans do not contract such diseases as distemper,as dogs do,is due to the human's _____ immunity.

A)passive
B)acquired
C)innate
D)passive natural

Question 14

The nurse cautions that long-term alcohol abuse leads to alteration in the immune system by:

A)altering the effectiveness of antibodies.
B)stimulating autoimmune activity.
C)impairing the ability of B lymphocytes to produce antibodies.
D)shortening the life of circulating antibodies.

Question 15

The nurse reviewing lab results notes that the C-reactive protein is elevated in the patient who had surgery 2 days ago.The nurse is aware this is an indication of:

A)impending infection.
B)possible hemorrhage.
C)a drug allergic reaction.
D)fluid deficit.

Question 16

The nurse is preparing a presentation on the inflammatory response.While preparing a cartoon picture of lysis,the nurse correctly draws which scenario?

A)An antibody acting through the process of neutralization
B)An individual's arm that is red and swollen
C)A phagocyte eating an antigen
D)A cell that is originating in the bone marrow

Question 17

The outpatient clinic nurse is collecting a health history on a 78 year-old patient who has a history of emphysema.It is most important for the nurse to advise this patient to receive which annual immunization?

A)Tetanus
B)Influenza
C)Pneumonia
D)Hepatitis B

Question 18

The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold.The nurse assures him that the baby is protected by _____ immunity.

A)acquired
B)passive
C)active
D)passive natural

Question 19

The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response,which causes the discomfort by the:

A)swelling, which compresses nerves.
B)enzyme release, which irritates the area.
C)acidic waste from the destroyed cells.
D)heat of lysis, which affects the nerves.

Question 20

The nurse is evaluating the patient's understanding of his new diagnosis of rheumatoid arthritis.Which statement reflects an understanding of the disease process?

A)"My body lacks an appropriate response to invading bacteria."
B)"My body produces an immune response to my own cells and tissues."
C)"My body immediately produces a protein that is specifically designed to fight off an antigen."
D)My body has a delayed response in which lymphocytes attack whole cells like bacteria."

Question 21

Matching
Place the events of the complement system of proteins in the correct sequence.

Step: 4

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 22

Matching
Place the events of the complement system of proteins in the correct sequence.

Step: 2

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 23

The nurse explains that the immediate response of a person's body that produces an antibody is called the _____________.

Question 24

Lymphoid tissue that is typically found in the ileum portion of the small bowel is called ____________.

Question 25

Plasma cells are stimulated to produce large quantities of specific antibodies by ____________.

Question 26

Matching
Place the events of the complement system of proteins in the correct sequence.

Step: 1

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 27

People that the nurse would assess as immunosuppressed would be those that are: (Select all that apply.)

A)on chemotherapy for cancer.
B)using corticosteroids.
C)pregnant at 28 weeks gestation.
D)recovering from joint replacement.
E)diagnosed with HIV.

Question 28

The bone marrow produces a(n)_______ cell that can differentiate itself to acquire individual characteristics.

Question 29

The nurse caring for an immunosuppressed patient would include in the care considerations to: (Select all that apply.)

A)increase fresh fruit intake.
B)adhere to Standard Precautions.
C)avoid bringing potted plants into the patient's room.
D)employ reverse isolation.
E)use filters on air conditioner vents.

Question 30

Techniques of testing for possible allergy include: (Select all that apply.)

A)the scratch test.
B)drinking diluted solution of antigen.
C)intradermal injection.
D)dropping solution in the eye.
E)adhesive patches.

Question 31

Matching
Place the events of the complement system of proteins in the correct sequence.

Step: 5

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.

Question 32

Matching
Place the events of the complement system of proteins in the correct sequence.

Step: 3

A)Antibodies attack the antigen.
B)Break in cell wall allows salt to enter antigen cell.
C)Antigen swells and bursts.
D)Water enters the antigen cell.
E)Proteins embed in cell wall of antigen.