immunologic system (evolve)

Which reason should the nurse request that the healthcare provider increase the intravenous fluid infusion for an older client with an infection? Pruritus Erythema Acute confusion General malaise

Acute confusion

Which medication is beneficial for a client with pertussis? Antibiotics Antihistamines Corticosteroids Bronchodilators

Antibiotics

Which antitubercular medications may increase a client's risk for gout? Rifampin Isoniazid Bedaquiline Ethambutol Pyrazinamide

Ethambutol Pyrazinamide

After providing epinephrine to a client experiencing an anaphylactic reaction, which second-line drugs should the nurse prepare to provide? Dopamine Norepinephrine Dexamethasone Diphenhydramine hydrochloride Hydrocortisone sodium succinate

Dexamethasone Diphenhydramine hydrochloride Hydrocortisone sodium succinate

The nurse has administered an immunosuppressant that acts on T helper cells to prevent production and release of IL-2 and γ-interferon to a client. Which side effects should the nurse monitor for in this client? Hirsutism Gingival hyperplasia Peptic ulcer Nephrotoxicity Bone marrow suppression

Hirsutism Gingival hyperplasia Nephrotoxicity

A client reports severe itching, especially at night. On assessment, the nurse finds the presence of burrows in the flexor surfaces of the wrists and in the anterior axillary folds. Which treatment is most appropriate for this client? Antipruriticlotion Υ-Benzene hexachloride 5% Permethrin topical lotion 0.9%Spinosad topical suspension

5% Permethrin topical lotion

Which immunoglobulin crosses the placenta? IgE IgA IgG IgM

IgG

Which are examples of a type IV hypersensitivity reaction? Poison ivy allergic reaction Sarcoidosis Myasthenia gravis Rheumatoid arthritis Systemic lupus erythematosus

Poison ivy allergic reaction Sarcoidosis

Which statement is true regarding Sjögren's syndrome? Sjögren's syndrome increases lacrimation. Sjögren's syndrome increases body secretions. Sjögren's syndrome decreases the risk for infection. Sjögren's syndrome decreases the digestion of carbohydrates.

Sjögren's syndrome decreases the digestion of carbohydrates.

What assessment findings indicate that an older client is at risk for developing an infection? Thin skin Weak cough Sluggish bowel sounds Male-pattern baldness Indwelling urinary cathete

Thin skin Weak cough Sluggish bowel sounds Indwelling urinary catheter

A nurse is assessing a client who presents with a circumscribed, hypertrophic, flesh-colored papule on the skin. The client reports pain upon lateral compression. What should the nurse suspect in the client? Plantar warts Herpes zoster Tinea corporis Verruca vulgaris

Verruca vulgaris

What is the function of IgG in the body? Activates the degranulation of mast cells Activates the classic complement pathway Prevents upper respiratory tract infections Prevents lower respiratory tract infections

Activates the classic complement pathway

After assessing an older client's medical report, the nurse finds that the client is at an increased risk for bacterial and fungal infections. Which change in immune function may have occurred? Decline in natural bodies Reduction of neutrophil function Decrease in circulating T-lymphocytes Reduction of colony-forming B-lymphocyte

Decrease in circulating T-lymphocytes

Which medications prescribed to a client after a kidney transplant surgery may require the client to visit a dentist? Sirolimus Everolimus Prednisone Cyclosporine Prednisolone

Everolimus Cyclosporine

Which drugs are used for the treatment of clients with rheumatoid arthritis that inhibit tumor necrosis factor-A? Anakinra Infliximab Abatacept Etanercept Golimumab

Infliximab Etanercept Golimumab

Which autoimmune disease is directly related to the client's central nervous system? Rheumatic fever Multiple sclerosis Myasthenia gravis Goodpasture syndrome

Multiple sclerosis

What is the role of the plasma cell in the antigen-antibody response? Makes an antigen harmless without destroying it Produces antibodies against the sensitizing antigen Produces antibodies after an exposure to a known antigen Clumps antibody-antigens linkages together to form immune complexes

Produces antibodies against the sensitizing antigen

The nurse is educating a client about protease inhibitors. What statement about protease inhibitors is true? Protease inhibitors prevent viral replication. Protease inhibitors prevent the interaction between viral material and the CD4+ T-cell. Protease inhibitors prevent viral and host genetic material integration. Protease inhibitors prevent the clipping of the viral strands into small functional piece

Protease inhibitors prevent viral replication.

What observation caused the nurse to provide additional teaching to a client with AIDS during a home visit? Snacked on apple slices Soaked toothbrush in laundry bleach Picked up a sandwich after petting the cat Rinsed dishes with cold water before using Applied gloves before weeding a house plant

Snacked on apple slices Picked up a sandwich after petting the cat Rinsed dishes with cold water before using

Which is the most common opportunistic infection in a client infected with human immunodeficiency virus (HIV)? Oropharyngeal candidiasis Cryptosporidiosis Toxoplasmosis encephalitis Pneumocystis jiroveci pneumonia

Oropharyngeal candidiasis

The nurse understands that the best way to reduce catheter-associated urinary tract infections (CAUTIs) in long-term indwelling catheters is to do what? Perform catheter care twice a day. Replace the catheter on a routine basis. Administer cranberry tablets three times a day. Administer prophylactic antibiotics twice a day for the duration of the catheter placement

Perform catheter care twice a day.

Which manifestations may indicate a client has systemic lupus erythematosus (SLE)? Pericarditis Esophagitis Fibrotic skin Discoid lesions Pleural effusions

Pericarditis Discoid lesions Pleural effusions

A primary healthcare provider has prescribed isoniazid to a client with tuberculosis. Which instruction by the nurse will be most beneficial to the client? "You should take the drug on an empty stomach." "Your soft contact lenses will be stained permanently." "You must use an additional method of contraception." "You need to drink at least 8 ounces of water with the medication."

"You should take the drug on an empty stomach."

Which immunodeficiency disorders affect polymorphonuclear leukocytes and monocytes? Job syndrome DiGeorge syndrome Ataxia-telangiectasia Graft-versus-host disease Chronic granulomatous disease

Job syndrome Chronic granulomatous disease

What clinical manifestations does a nurse expect a client with systemic lupus erythematosus (SLE) most likely to exhibit? . Joint pain Facial rash Pericarditis Weight gain Hypotension

Joint pain Facial rash Pericarditis

Which medications will prevent the binding of human immunodeficiency virus (HIV) to a client's cells? Rilpivirine Maraviroc Saquinavir Raltegravir Enfuvirtide

Maraviroc Enfuvirtide

What are the mediators of injury in IgE-mediated hypersensitivity reactions? Cytokines Mast cells Histamines Neutrophils Leukotrienes

Mast cells Histamines Leukotrienes

The registered nurse determines that the new graduate understands the type(s) of hepatitis that generally develop into a chronic hepatitis infection if the graduate identifies which disease(s)? Hepatitis A Hepatitis B Hepatitis C Hepatitis D Hepatitis E

Hepatitis C Hepatitis D

A client who is exposed to pollens reports a runny, stuffy nose and itchy, watery eyes. The nasal examination reveals swollen and pink nasal mucosa. Which finding does the nurse suspect to be present in the client's laboratory reports? Immunoglobulin E (IgE) level of 150 IU/mL Eosinophil count of 2% Percentage of neutrophils of 80% Total white blood cell (WBC) count of 3 billion cells/L

Immunoglobulin E (IgE) level of 150 IU/mL

In clients with Goodpasture syndrome, what is the pathophysiology of this syndrome? Antigen-specific IgE binds to the surface of basophils and mast cells Auto-antibodies attack the glomerular basement membrane and neutrophils Rapid and systemic reactions of the organs within seconds after exposure to an allergen Autoimmune destruction of the lacrimal and salivary mucus-producing glands

Auto-antibodies attack the glomerular basement membrane and neutrophils

A client is hospitalized with pneumococcal pneumonia. Which drug will the nurse most likely administer? Penicillin G Ceftriaxone Vancomycin Meropenem

Ceftriaxone

A client is treated with methyldopa for hypertension. For which side effect should the nurse monitor the client? Xerostomia Hemolytic anemia Thrombocytopenia Lupus-like syndrome

Hemolytic anemia

What is the most important intervention to prevent hospital-acquired catheter-associated urinary tract infections (CAUTIs)? Removing the catheter Keeping the drainage bag off of the floor Washing hands before and after assessing the catheter Cleansing the urinary meatus with soap and water daily

Removing the catheter

Which drug treats hay fever by preventing leukotriene synthesis? Zileuton Cromolyn sodium Chlorpheniramine Diphenhydramine

Zileuton