Deck 20: Immunity

Question 1

The nurse is caring for a patient who is being discharged home after a splenectomy.What information on immune function needs to be included in this patient's discharge planning?

A) The mechanisms of the inflammatory response
B) Basic infection control techniques
C) The importance of wearing a face mask in public
D) Limiting contact with the general population

Answer 1

Basic infection control techniques

Question 2

While caring for a patient preparing for a kidney transplant,the nurse knows that the patient understands teaching on immunosuppression when she states which of the following?

A) "My body will treat the new kidney like my original kidney."
B) "I will have to make sure that I avoid being around people."
C) "The medications that I take will help prevent my body from attacking my new kidney."
D) "My body will only have a problem with my new kidney if the donor is not directly related to me."

Answer 2

"The medications that I take will help prevent my body from attacking my new kidney."

Question 3

The nurse is caring for a patient who was started on intravenous antibiotic therapy earlier in the shift.As the second dose is being infused,the patient reports feeling dizzy and having difficulty breathing and talking.The nurse notes that the patient's respirations are 26 breaths/min with pulse 112 beats/min and weak.The nurse suspects that the patient is experiencing a(n)

A) suppressed immune response.
B) hyperimmune response.
C) allergic reaction.
D) anaphylactic reaction.

Answer 3

anaphylactic reaction.

Question 4

The parents of a newborn question the nurse about the need for vaccinations: "Why does our baby need all those shots? He's so small,and they have to cause him pain." The nurse can explain to the parents that which of the following are true about vaccinations? (Select all that apply.)

A) Are only required for infants
B) Are part of primary prevention for system disorders
C) Prevent the child from getting childhood diseases
D) Help protect individuals and communities
E) Are risk free
F) Are recommended by the Centers for Disease Control and Prevention (CDC)

Question 5

The nurse is caring for a postoperative patient who had an open appendectomy.The nurse understands that this patient should have some erythema and edema at the incision site 12 to 24 hours post operation if

A) his immune system is functioning properly.
B) he is properly vaccinated.
C) he has an infection.
D) the suppressor T-cells in his body are activated.

Question 6

The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA).The nurse explains to the patient that the goal of medication treatments for RA is to

A) eradicate the disease.
B) enhance immune response.
C) control inflammation.
D) manage pain.

Question 7

An 18-month-old female patient is diagnosed with her fifth ear infection in the past 10 months.The physician notes that the child's growth rate has decreased from the 60th percentile for height and weight to the 15th percentile over that same time period.The child has been treated for thrush consistently since the third ear infection.The nurse understands that the patient is at risk for

A) primary immunodeficiency.
B) secondary immunodeficiency.
C) cancer.
D) autoimmunity.