Chapter: Chapter 36: Nursing Assessment: Immune Function

When an attenuated toxin is administered to a client, the B lymphocytes create memory cells that recognize the antigen if it invades the body at a future time. What kind of immunity is this?

Artificially acquired active immunity

A patient undergoing a skin test has been intradermally injected with a disease-specific antigen on the inner forearm. The patient becomes anxious because the area begins to swell. Which of the following may be used to decrease anxiety in this patient?

Assure the patient that this is a normal reaction

Which of the following cell types are involved in humoral immunity?

B lymphocytes

Which of the following areas is the most suitable area of the body for skin testing

Back

What organ is considered lymphoid tissue?

Spleen

A client reports an allergy to morphine sulfate, which represents an example of a hypersensitivity reaction. Which of the following statements correctly describes the process of hypersensitivity?

The body produces inappropriate or exaggerated responses to specific antigens.

The nurse is caring for a client with an immune system disorder. Why should the nurse consult drug references when assessing a client with an immune system disorder?

To verify that the client is not hypersensitive to substances in the prescribed medications

Which of the following medications are usually withheld for 48 to 96 hours before skin testing? Select all that apply.

• Over-the-counter (OTC) allergy medications • Corticosteroids • Antihistamines

Which of the following is a age-related change associated with the immune system?

Decreased antibody production

Which of the following is associated with impaired immunity in the aging patient?

Decreased renal function

Radioallergosorbent testing (RAST) measures which of the following immunoglobulins?

IgE

A nurse is taking the health history of a newly admitted client and asks for a list of the client's current medications. Which of the following medication classifications would NOT place the client at risk for impaired immune function?

Inotropics

The body has several mechanisms to fight disease, one of which is sending chemical messengers. Specifically, the messengers released by lymphocytes, monocytes, and macrophages have differing roles in the immune response. Which messenger enables cells to resist viral replication and slow viral replication?

Interferons