Prepu immunity

The nurse tells the client that if exposure to an allergen occurs around 8:00 AM, then the client should expect a mild or moderate reaction by what time?

10:00am

A client is undergoing chemotherapy for vulvar cancer. The client had a friend who died after treatment, which has caused severe anxiety and fear; the client is constantly tired and sees this as an indication she won't survive. The nurse knows that the client is scheduled for immunostimulant drug therapy to support the hematopoietic system.The nurse would include which statement to explain the action of drug?

"Chemotherapy kills cancer cells but doesn't affect blood cells. I will discuss this with your health care provider." SUBMIT ANSWER

A client with Guillain-Barré syndrome has paralysis affecting the respiratory muscles and requires mechanical ventilation. When the client asks the nurse about the paralysis, how should the nurse respond?

"The paralysis caused by this disease is temporary."

A client with infectious mononucleosis asks the nurse why the lymph nodes are enlarged. Which statement is the nurse's appropriate response?

"Your lymph nodes trap and destroy viruses."

An infant is suspected of having a severe combined T- and B-cell immunodeficiency disorder. Which effect on the infant makes early detection a priority?

Administering live attenuated virus vaccines can be fatal.

which of the fallowing is an effect of glucocorticoids?

Altered fat and protein metabolism

Which type of vaccine uses the client's own cancer cells, which are killed and prepared for injection back into the client?

Autologous

The nurse is caring for a client being discharged following kidney transplantation. The client is ordered mofetil to prevent organ rejection. Which nursing instruction is essential regarding medication use?

Contact the health care provider at first signs of an infection.

A child with primary immune deficiency is about to receive an infusion of IVIG. What is the mostappropriate premedication to minimize the reaction?

Diphenhydramine

Type 1A diabetes is now considered an autoimmune disorder. What factors are considered necessary for type 1A diabetes to occur?

Genetic predisposition, environmental triggering event, and a T-lymphocyte-mediated hypersensitivity reaction against some beta-cell antigen

A client diagnosed with myasthenia gravis is administered a cholinergic drug named neostigmine. How does this drug produce its therapeutic effect?

It stimulates the parasympathetic nervous system.

Which term refers to a form of white blood cell involved in immune response?

Lymphocyte

A nurse is conducting a medication resolution of a new resident of a care facility and notes that the woman has been taking neostigmine. The nurse should recognize that the woman may have a history of what health problem?

Myasthenia gravis

What severe complication does the nurse monitor for in a patient with ataxia-telangiectasia?

Overwhelming infection

The student nurse is working on a program to address barriers to immunizations. Which would be an example of an intervention that the student nurse should include?

Providing combination vaccines to reduce the number of shots the child is to receive.

A nurse is administering a mumps vaccine to an adolescent. Which medication should be available when administering an immunization?

epinephrine

A nurse is volunteering at a day camp. A child is stung by a bee and develops wheezing in the upper airways. The child is experiencing:

bronchospasm

Lymphoid tissues, which perform a function within the immune response, are found throughout the body. While the thymus gland, tonsils and adenoids, spleen, and lymph nodes are lymphoid tissues, where else in the body can lymphoid tissues be found? Select all that apply.

intestines, lungs

The nurse is instructing a group of women of childbearing age about human immunodeficiency virus (HIV) during pregnancy. What would be a priority recommendation in this setting?

screening HIV

The nurse assists and educates clients on the difference between nonspecific and specific immunity. The body possesses several defense systems. Which nonspecific defense mechanism provides a physical barrier and secretes enzymes that kill or reduce the virulence of bacteria?

skin

The first physical line of defense in innate immunity is:

skin and mucous membranes

The nurse is working with a pregnant client who is HIV positive and has been prescribed oral zidovudine. Which statement by the nurse explains the primary rationale for taking this medication?

"It is to help prevent transmission of the disease to your infant."

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

B lymphocytes

A nurse teaches new parents that the best way to help prevent infections in the newborn is which method?

Breastfeed

A client is having chronic pain from arthritis. What type of hormone is released in response to the stress of this pain that suppresses inflammation and helps the body withstand stress?

Glucocorticoids

What is the most common cause of drug fever?

Hypersensitivity reaction to medication

What best describes the role of the major histocompatibility complex as a barrier defense?

It allows the body to distinguish cells as foreign or belonging to the person.

A nurse reading a chart notes that the client had a Mantoux skin test result with no induration and a 1-mm area of ecchymosis. How does the nurse interpret this result?

Negative

A client is receiving ganciclovir as part of the treatment for cytomegalovirus retinitis. What would the nurse monitor the results of the client's laboratory tests for?

Neutropenia

Typical symptoms seen in the latent period of HIV infection include which of the following?

No signs or symptoms

A client diagnosed with Goodpasture syndrome would require which therapy to remove proteins and autoantibodies from the system?

Plasmapheresis

A client presents with a flare of lupus. Which statement made by the client would cause the nurse to suspect a stress reaction?

i just had a baby 3 weeks ago

A young man presents reporting diarrhea, fecal urgency, and weight loss. His stool is light-colored and malodorous, and it tends to float and be difficult to flush. He has also noted tender, red bumps on his shins and reports pain and stiffness in his elbows and knees. Sigmoidoscopy reveals discontinuous, granulomatous lesions; no blood is detected in his stool. Which diagnosis would his care team first suspect?

crohn disease

Which of the following is the most frequent route of exposure to a latex allergy?

cutaneous

A 10 year old child with strep throat asks the nurse, "Why are there large bumps [lymph nodes] on my neck when my throat gets sore?" The nurse replies that lymph nodes:

help your body fight off infections by allowing special cells [lymphocytes and macrophages] to move through the lymph chain and engulf and destroy germs.

A nurse is caring for a client following an organ transplant procedure. The client reports that oral cyclosporine tastes awful and that the client is unable to swallow it. The nurse tells the client that it is possible to make the medication more palatable by mixing it with:

orange juice

The nurse anticipates that a client who is immunosuppressed is at the greatest risk for developing which type of shock?

septic

Successful treatment with bacteriostatic antibiotics depends upon:

the ability of the host's immune system to eliminate the inhibited bacteria and an adequate duration of drug therapy.

The nurse teaches the client who demonstrates herpes zoster (shingles) that

the infection results from reactivation of the chickenpox virus.

A client presents at the clinic complaining of unplanned 10% weight loss, diarrhea, fever and weakness that "just won't go away." After a complete history and physical, an enzyme-linked immunosorbent assay test is ordered. This order is based on what suspected diagnosis?

wasting syndrome