Quiz 3 immunity

Which intervention in the standard prescriptions would the nurse question for a client with HIV in active labor?

Internal Fetal Scalp Electrode

A child has been exposed to diphtheria, and the nurse is preparing to administer the antitoxin. Which type of immunity would the antitoxin confer?

Passive Artificial

Which method of confirmation would the nurse explain to a client is used to provide positive diagnosis of HIV?

Positive enzyme link immunosorbent assay (ELISA) and Western Blot test

Which method of confirmation would the nurse explain to a client is used to provide a positive diagnosis for HIV infection?

Positive enzyme linked immunosorbent assay (ELISA) and Western Blot Test

The PT comes to the clinic with HIV seropositivity. The nurse understands that this patient has which manifestations?

Positive laboratory test result

Which cells are responsible for tissue rejection in a client who underwent liver transplantation and is experiencing chills, body aches, nausea, cough, and shortness of breath?

T cells

which organism would the nurse explain commonly causes protozoal infection in clients with AIDS?

TOXOPLASMOSIS

A child who has stepped on a rusty nail is given tetanus immune globulin in the emergency department. Which effect will the immune globulin injection will confer?

Temporary passive acquired immunity

The nurse is caring for a male patient with HIV. While checking the PTs body weight, the nurse finds that the body weight has decreased from 150 to 100lb. A decrease in which substance could be the reason behind this?

Testosterone

Which action will the nurse take when taking the blood pressure of a client who has AIDS?

Wash hands thoroughly

Which statement will the nurse include when providing discharge teaching to the family of a client with AIDS?

Wash used dishes in hot soapy water

Which statement would the nurse include when providing discharge teaching to the family of a client with AIDS?

Wash used dishes in hot, soapy water.

Which drug would not be used for extended periods to treat hypersensitivity?

Dexamethasone

A nurse is counseling the family of a child with AIDS. Which is the most important concern that the nurse would discuss with the parents?

Susceptibility to infection

The nurse is counseling the family of a child with AIDS which is the most important concern that the nurse will discuss with the parents?

Susceptibility to infection

Which precaution would a nurse take when caring for a client with acquired immunodeficiency syndrome (AIDS)?

Used standard precautions

Which cells would counteract an anaphylactic hypersensitivity reaction experienced by a client who visited the hospital and is reporting sneezing, excessive nasal secretions, and itching eyes?

B cells

Which cells are also known as natural killer cells?

Lymphocytes

The nurse identifies areas of white plaque on the tongue and palate of a newly admitted client with AIDS, which action by the nurse is an appropriate initial response?

Document the presence of the lesion describing their size, location, and color

The nurse identifies areas of white plaque on the tongue and palate of a newly admitted client with AIDS. Which action by the nurse is an appropriate initial response?

Document the presence of the lesions describing their size, location and odor.

The nursing staff has a team conference on acquired immunodeficiency syndrome (AIDS) and discusses the routes of transmission of the human immunodeficiency virus (HIV). Which activity is associated with no risk of exposure to HIV?

Donation of a pint of whole blood

Which statement is true about active immunity?

It develops as the body defends itself from the presence of an active infection

Which statement is true about acquired immunity?

It is the body's second line of defense

Which finding is expected by the nurse reviewing blood screening tests of the immune system of a client with AIDS?

A decrease in CD4 T cells

Which blood type can be used by the client with a type A negative blood?

A negative or O negative

Which blood type can be used by the client with type A-negative blood?

A negative or O negative

What condition is an example of humoral reaction?

ANAPHYLAXIS

A nurse explains to the parents of a 4-year-old child with chickenpox that immunity by antibody formation during the course of the illness provides what?

Active natural immunity

What soluble factor plays a major role in adaptive immunity?

Antibodies

Which leukocyte is responsible for the allergic response?

Basophils

Which laboratory value is most important for the nurse to monitor in a client with acquired immunodeficiency syndrome (AIDS), that is receiving zidovudine?

CBC

The nurse recognizes white patch plaques on the mucosa of a client diagnosed with AIDS and understand that this finding most likely represents what opportunistic infection?

Candida albicans

Which diagnostic criterion for AIDS will be taught to a client who abused IV drugs and was diagnosed with HIV several years ago?

Capable of transmitting virus to others

Which nurse's instruction regarding nutrition for the client with HIV characterizes the client who is experiencing fatigue?

Client B "Try to use easy-to-fix snack foods."

Which care would the nurse receive after reporting an accidental stick from a needles used on a client who is HIV positive?

Combination antiretroviral therapy

Which finding is expected by the nurse reviewing blood screening test for the immune system of a client with AIDS?

Decrease in CD4 T-Cells

Which integumentary manifestation can be noticed in a client with CD4+ count of 180?

Delayed wound healing

Which stage of infection does the nurse suspect in client with HIV reporting fatigue, fever, & night sweats?

Early HIV inspection

Which test will the nurse explain will be used for the initial screening for AIDS?

Enzyme link immunosorbent essay ELISA) test

Which type of transfusion reaction would the nurse conclude a client probably is experiencing after developing flank pain, chills, fever, and hematuria after a transfusion?

HEMOLYTIC

Which dietary recommendation would the nurse make for the client with HIV infection who reports fatigue?

High Cal food

The nurse is caring for a PT with HIV. Which provision would help promote good nutrition in the PT?

High Protein Diet

Which statement by a client with HIV would prompt the nurse to provide further instruction?

I need to separate all of the tissues I use to prevent infecting those around me

An occupational health nurse is providing education to an employee who has been exposed to HIV and will begin post exposure antiviral therapy. Which statement, if made by the employee, indicates a need for further teaching regarding healthy practices during post exposure antiviral therapy?

I should use only acetaminophen for minor aches

While on a hike, a rusty nail pierces the sole of an adolescents foot, and the adolescent is brought to the ED. Tetanus immune globulin is prescribed because the adolescent does not know when the last tetanus immunization was received. Which explanation s given by the nurse as she administers the prescribed dose of tetanus immune globulin?

IMMEDIATE PASSIVE SHORT-TERM IMMUNITY

Which information will be important for the nurse to determine in a mother with AIDS who states that she has been caring for her infant even though she has not been feeling well?

If the baby is breastfeeding

Which immunoglobulin is transferred from a mother to a fetus?

IgG

Which antibody is the first to be formed after exposure to an antigen?

IgM

During an AIDS education class, a client states "Vaseline works great when I use condoms." Which conclusion about the clients knowledge of condom use can the nurse draw from this statement?

Ignorance about correct condom use

During acquired immunosuppressed disease syndrome (AIDS) education class a client states, "Vaseline works great when I use a condom." Which conclusion about the client's knowledge of condoms use can the nurse draw from this statement?

Ignorance about the correct use of condom

Which statement by a client with human immunodeficiency virus (HIV) infection indicates effective learning after a nurse teaches about the prevention of fatigue?

Ill eat easy to fix snack foods

A client has a steady bf who she is having sexual relations and ask how she can protect herself from contracting HIV, which guidance would the nurse provide?

Insist that her partner uses a condom when having sex

A patient with advanced AIDS requests information from the nurse regarding palliative care options. The nurse would respond with which information about palliative care?

It can improve the quality of the patients remaining time

A pregnant woman with HIV infection requests information on ways to prevent transmission of the virus to her baby. The nurse would respond with which information regarding zidovudine therapy?

It can reduce vertical transmission to 1%

Which statement is true about IMMUNOCOMPETENCE?

It is the immune systems ability to mobilize and use its antibodies

Which statement is true about immunoincompetence?

It is the malfunction of the system caused by the disruption of homeostasis

Which results are essential for the nurse to review before starting anti-tubercular pharmacotherapy in a client with human immunodeficiency virus (HIV) infection diagnosed with tuberculosis?

LFTs

Which results are essential for the nurse to review before starting antitubercular pharmocol therapy with a client with HIV diagnosed with TB?

Liver function studies

What statement describes the role of the plasma cell in the antigen-antibody response?

Producing antibodies against the sensitizing antigen

A nurse is discussing immunizations needed to confer active immunity with a pregnant client during her first visit to the prenatal clinic. Which information would the nurse consider including that the client will understand with regard to active immunity?

Protein substances are formed by the body to destroy or neutralize antigens

Which statement describes the action of tetanus immune globulin prescribed for a client with a swollen and painful puncture site after stepping on a rusty nail?

Provides Antibodies

Which priority of nursing care is most appropriate for a client with dementia resulting from (AIDS)?

Providing basic intellectual stimulation

Which behavior by the nurse indicates that correct precautions are being followed to prevent the transmission of (AIDS) to a pediatric client?

Put on a mask and protective eye wear before assisting with suctioning a tracheostomy

Which behavior by the nurse indicates that correct precautions are being followed to prevent the transmission of AIDS from a pediatric client?

Puts on a mask and protective eyewear before assisting with suctioning a tracheostomy

A patient with HIV infection is administered stavudine and reports numbness and impaired proprioception. The nurse finds that the patient also has hypesthesia. Which factor would be the reason behind the onset of symptoms?

Stress caused by HIV

Which intervention by the nurse would be beneficial to a client with HIV who is experiencing fatigue?

Schedule ample periods of rest

Which would be the nurse's first action when caring for a client that is receiving a blood transfusion and complains of flank pain half way through the first unit of blood?

Stop the transfusion

Which intervention is a priority for the nurse caring for a client undergoing blood transfusion who is experiencing dermatitis, diarrhea, fever, chills, urticaria, cough, and orthopnea?

Stopping the Transfusion

Which infection that can be prevented by avoiding the consumption of undercooked meat would be discussed by a nurse caring for a client with acquired immunodefciency syndrome (AIDS)?

Toxoplasmosis encephalitis

Which blood type can a client with type A negative blood receive as a transfusion?

Type A or O negative

Which hypersensitivity reaction would the nurse suspect in a client who underwent a tuberculin test 2 days ago who reports itching?

Type IV hypersensitivity

The nursing staff has a team conference on (AIDS) and discusses the routes of transmission of HIV. Which activity is associated with no risk of exposure to HIV?

Use of a condom each time there is sexual intercourse

Which blood component would the nurse monitor for an increase in an immunosuppressed client receiving filgrastim?

White Blood Cells

Which statement by the spouse of a client with a diagnosis of neutropenia demonstrates the teaching of isolation procedures about preventing the spread of infection was effective?

Will help protect my wife from germs found in outside sources

Which medication would the nurse expect to administer to a pregnant client with human immunodeficiency virus (HIV) and newly ruptured membranes?

ZIDOVUDINE