chapter 33

what type of immunoglobulin does the nurse recongnize that promotes the release of vasoactive chemicals such as histamine when a client is having an allergic reaction

IgE

what is the function of the thymus gland

Programs T lymphocytes to become regulator or effector T cells.

the nurse is instructing clients about the importance of taking the shingles vaccine . which client woudl benefit from this vaccine

a 65 year old patient who had chicken pox when he was 12

the nurse is beginning the physical exam of a client with a complaint of fatigue. what documentation will the nurse provide to describe this general appraisal of the clients health

a client appears mildly ill, listless, and disheleved

a client has not responded to the chemotherapy and radiation therapy . what option may be available for treatment for this client

aldesleukin

a client will be receiving a hep B vaccine series prior to employment in dialysis center. what type of immunity will thsi provide

artificially acquired active immunity

when an attenuated is administered to a client. the b lymphocytes create memory cells that recongnize if it invades the body at a future time. what kind of immunity is this ?

artificially acquired active immunity

a 15 year old client has been brought to the clinic by his mother and is suspected of having an immune disorder. what test would you expect to be ordered for this young client ?

cbc with diff

a cleint has had a kidney transplant performed for end stage kidney disease. what type of immune response that T-cell lymphocytes perform is related to thsi type of surgery

cell mediated response

a patient is admitted to the hospital with a dx of pneumonia . the pt informs the nurse that he has several drug allergies. the doctor ordered an antibiotic as well as several other medications for cough and fever. what should the nurse do prior to administering the medications

consult drug references to make sure the medications do not contain substances which teh client is hypersensitive

the nurse is obtaining information from a client with crohns disease about his medication history. what medication would the nurse include when asking about what medicatoins the clinet has taken for suppression of the inflammatory and immune response

corticosteroids

a client has dilated cardomyopathy and has just found out he will be receiving a heart. what medication does the client understand that he will have to take for the duration of his life to help suppress the immune system to prevent rejection of the new heart

cyclosporine

a client who is being treated for complications related to acquired immunodeficiency disorder syndrome is receiving interferon parenterally as adjenctive therapy. why does the nurse understand this route is being used

digestive enzymes destroy its protein structure

a client ask the nurse about the importance of taking supplements to max immune function. the client is healthy and does not have any medical problems. what is the best information to give the client

eating a moderate diet that is balanced and varied will max immune funvtion

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

epoetin alfa

nursing students are learning about the immune system in their anatomy and physio class. what would these students learn is a component of the immune system

lymphoid tissues

what type of cytokine will attract neutrophils and monocytes to remove debris

lymphokines

the nurse understands that which cells circulate throughout the body looking for virus infected cells and cancer cells

natural killer cells

a child is brought to the client with a rash. the client is diagnosed with measles. the mother tells the nurse that she had measles when she was a little girl. what immunity to measles develops after the initial infection?

naturally acquired active immunity

a client has had the mumps when he was 9 . he had a titer pior to entering nursing school and shows immunity. what type of immunity does this reflect

naturally acquired active immunity

you are the clinic nurse caring for a client with suspected diagnosis of HIV. you are preparing to draw blood for a confirmatory diagnostic test on this client. what is the most importnant action that the nurse should perform before testing a client for HIV

obtain a written consent from the client

a laboring mother asks the nurse if the baby will ahve immunity to some illness when born. what type of immunity does the nurse understand that the newborn will have

passive immunity transferred by the mother

you are caring for a client with a suspected immune system disorder. what test would be ordered if a deficiency or excess of immunoglobulins was suspected

protein electrophoresis

the anatomy and physiology instructor is explaining a cell-mediated response to pre-nursing students. what actions would the instructor explain occur in cell-mediated response

t-cell lymphocytes survey protein

a client is starting treatment with tumor necrosis factor inhibitor, adalimumab. to begin a new job, the client must receive a tetanus shot because he hasnt received one in ten years. that should the nurse advise the client

teh client should receive the shot prior to beginning treatment

a patient is treated int he clinic for a sexually transmitted infection, and the nurse suspects that the client is at risk for HIV, the doctor determines that the client should be tested for the virus. what responsibility does the nurse have

teh nurse ensures a written consent is obtained prior to testing

a nurse is administering a skin test for detection of exposure to TB. how would the nurse determine if the client was exposed to TB

the injection area swells if the client has developed antibodies against the antigen

a client is cutting veggies for dinner and accidently cuts his finger. what response is desirable to destroy foreign agents such as microorganisms to prevent infection from developing in the finger

the release of antibodies

a parent of a child who has been having frequent bouts of tonsillitis brings the child back to the clinic for another sore throat. the parent ask the nurse, what are the tonsils good for anyway ? what is the best response by the nurse

the tissues filter bacteria from the tissue fluid

why woudl it be important for the nurse to question the client about sexual practices, history of substances abuse, and his lifestyle during the interview process

to determine if the client has practices that put him at risk for AIDS

a clients is informed that his wbc is low and he is at risk for the development of infections. the client ask ' where do i make new wbc' what is the best response by the nurse

white blood cells are produced in the bone marrow