Assessment of Immune Function

The nurse is obtaining information from a client with Crohn's disease about his medication history. What medication would the nurse include when asking about what medications the client has taken for suppression of the inflammatory and immune response? A. Corticosteroids B. Angiotensin-converting enzyme inhibitors (ACE-I) C. Diuretics D. Nonsteroidal anti-inflammatory

A. Coticosteroids

A client develops an infection while on vacation in Central American and is now taking the antibiotic chloramphenicol. What should the client be monitored for when taking this drug? A. Eosinophilia B. Aplastic anemia C. Hypoprothrombinemia D. Neutropenia

B. Aplastic anemia

Which assessment should be completed if immune dysfunction is suspected in the neurosensory system? A. Burning upon urination B. Ataxia C. Urinary frequency D. Hematuria

B. Ataxia

A client has been diagnosed with AIDS and tuberculosis (TB). A nursing student asks the nurse why the client's skin tes for TB is negative if the client's physician has diagnosed TB. The nurse's correct reply is which of the following? A. "The solution used for the skin test was probably outdated." B. "The client has only mild TB, which is not enough to cause a reaction." C. "The client's immune system cannot mount a response to the skin test." D. "The skin test was improperly performed."

C. "The client's immune system cannot mount a response to the skin test."

What type of cytokines will attract neutrophils and monocytes to remove debris? A. Cytotoxic T cells B. Regulator T cells C. Lymphokines D. Suppressor T cells

C. Lymphokines

A client is given a dose of ketorolac, a nonsteroidal anti-inflammatory drug for complaints of abdominal pain. Ten minutes after receiving the medication, the client's eyes, lips, and face begin to swell, and the nurse hears stridor. What priority measure should the nurse prepare to do? A. Incubate the client B. Assess the client's vital signs C. Perform an electrocardiograph (ECG) D. Administer epinephrine

D. Administer epinephrine

While taking a health history of a newly admitted client, the nurse asks for a list of the client's current medications. Which of the following medication classifications would place the client at risk for impaired immune function? A. Inotropics B. Pancreatic enzymes C. Antihypertensives D. Antimetabolites

D. Antimetabolites

A client has undergone a kidney transplant. The nurse is concerned about a compromised immune system in this client for which reason? A. Excess circulating lymphocytes B. Deficient circulating antibodies C. Excess circulating hemoglobin D. Use of anti-rejection drugs

D. Use of anti-rejection drugs

A client presents at the clinic with an allergic disorder. The client asks the nurse what an "allergic disorder" means. What would be the nurse's best response? A. "It is a hyperimmune response to something in the environment that is usually harmless." B. "It is a harmful reaction to something in the environment." C. "It is a muted response to something in the environment." D. "It means you are very sensitive to something inside of yourself."

A. "It is a hyperimmune response to something in the environment that is usually harmless."

Which of the following cell types are involved in humoral immunity? A. Suppressor T lymphocyte B. B lymphocyte C. Helper T lymphocyte D. Memory T lymphocyte

B. B lymphocytes

A client with chronic renal failure has begun treatment with a colony-stimulating factor. What medication does the nurse anticipate administering to the client that will promote the production of blood cells? A. Etaneercept (Enbrel) B. Epoetin alfa (Epogen) C. infliximab (Remicade) D. Adalimumab (Humira)

B. Epoetin alfa (Epogen)

The nurse is beginning the physical examination of a client with a complaint of fatigue. What documentation will the nurse provide to describe this general appraisal of the client's health? A. The client is alert and oriented to all spheres B. The client has a blood pressure of 120/72 mmHg C. The client appears mildly ill, listless, and disheveled D. The client has palpable peripheral pulses in the upper extremities

C. The client appears mildly ill, listless, and disheveled

What is the function of the thymus gland? A. Produce stem cells B. Programs B-lymphocytes to become regulator or effector B cells C. Develops the lymphatic system D. Programs T-lymphocytes to become regulator or effector T cells

D. Programs T-lymphocytes to become regulator or effector T cells

During the immune response, cytotoxic cells bind to invading cells, destroy the targeted invader, and release lymphokines to remove the debris. Which type of T-cell lymphocyte is cytotoxic? A. Effector T-cells B. Regulator T-cells C. Suppressor T-cells D. Helper T-cells

A. Effector T-cells

The nurse is aware that the phagocytes immune response, one of the body's responses to invasion, involves the ability to ingest foreign particles. Which of the following engulfs and destroys invading agents? A. Macrophages B. Neutrophils C. Basophils D. Eosinophils

A. Macrophages

A laboring mother asks the nurse if the baby will have immunity to some illnesses when born. What type of immunity does the ruse understand that the newborn will have? A. There is no immunity passed down from mother to child B. Passive immunity transferred by the mother C. Naturally acquired active immunity D. Artificially acquired active immunity

B. Passive immunity transferred by the mother

A nurse is taking the health history of a newly admitted client. Which of the following conditions would NOT place the client at risk for impaired immune function? A. Surgical history of a splenectomy B. Surgical removal of the appendix C. History of radiation therapy D. Previous organ transplantation

B. Surgical removal of the appendix

A client will be receiving a hepatitis B vaccination series prior to employment in a dialysis center. What type of immunity will this provide? A. Passive immunity B. Forced immunity C. Artificially acquired active immunity D. Naturally acquired active immunity

C. Artificially acquired active immunity

A nurse is caring for a client undergoing evaluation for possible immune system disorders. Which intervention will best help support the client through the diagnostic process? A. Assist the client with scheduling the procedures B. Accompany the client to the diagnostic tests C. Encourage the client to ask the physician for information about treatment options for the possible diagnosis D. Educate the client about the diagnostic procedures and answer their question about the possible diagnosis

D. Educate the client about the diagnostic procedures and answer their question about the possible diagnosis

Which type of immunity becomes active as a result of infection by a specific microorganism? A. Artificially acquired active immunity B. Artificially acquired passive immunity C. Naturally acquired passive immunity D. Naturally acquired active immunity

D. Naturally acquired active immunity

A client comes into the emergency department reporting difficulty walking and loss of muscle control in the arms. Once the nurse begins the physical examination, which assessment should be completed if an immune dysfunction in the neurosensory system is suspected? A. Assess for ataxia using the finger-to-nose test and heel-to-shin test B. Assess for hepatosplenomegaly by measuring abdominal girth C. Review the urinalysis report for hematuria D. Asses joint mobility using passive range of motion

A. Assess for ataxia using the finger-to-nose test and heel-to-shin test

A patient tells the nurse, "I can't believe I have ineffective immune function and am getting sick again. I exercise rigorously and compete regularly." What is the best response by the nurse? A. "It is possible that you are immunocompromised and may have HIV." B. "Something must be seriously wrong. You should not be getting such since you are so healthy." C. "Rigorous exercise can cause negative effects on immune response." D. "Maybe you need to stop exercising so much. It can't be good for you."

C. "Rigorous exercise can cause negative effects on immune response."

The nurse is instructing clients about the importance of taking the shingles vaccine. Which client would benefit from this vaccine? A. A 24-year-old client who is pregnant B. A 32-year-old client who has never had chickenpox C. A 65-year-old client who had chickenpox when he was 12 years old D. A 17-year-old client who will be attending college and living in a dormitory

C. A 65-year-old client who had chickenpox when he was 12 years old

A patient has enlarge lymph nodes in his neck and sore throat. This inflammatory response is an example of a cellular immune response whereby: A. Antibodies are released into the bloodstream B. B-lymphocytes respond to a specific antigen C. Lymphocytes migrate to area of the lymph nodes D. Antibodies reside in the plasma

C. Lymphocytes migrate to area of the lymph nodes

A 20-year-old client cut a hand while replacing a window. While receiving the complete blood count (CBC0 with differential, the nurse would expect which cell type to be elevated first in an attempt to prevent infection in the client's hand? A. B-cells B. Monocytes C. Neutrophils D. Eosinophils

C. Neutrophils

Which condition is associated with impaired immunity relating to the aging client? A. Incidence of autoimmune disease decreases B. Antibody production increases C. Renal function decreases D. Skin becomes thicker

C. Renal function decreases

The nurse is caring for a client recovering from a major burn. Burns affect the immune system by causing a loss of large amount of which of the following? A. Serum; which depletes the body's store of glucagon B. Plasma, which depletes the body's store of catecholamines C. Serum, which depletes the body's store of immunoglobulins D. Plasma; which depletes the body's store of calcitonin

C. Serum, which depletes the body's store of immunoglobulins

Which medication classification is known to inhibit prostaglandin synthesis or release? A. Adrenal corticosteroids B. Antineoplastic agents C. Antibiotics (in large doses) D. Nonsteroidal anti-inflammatory drugs in large doses

D. Nonsteroidal anti-inflammatory drugs in large doses

Which of the following is an age-related change associated with the immune system? A. Increased antibody production B. Elevated phagocytes immune response C. Ability to differentiate "self" from "non-self" D. Decreased antibody production

D. Decreased antibody production