NMNC 1210 Immunity and Sexuality
A client, newly diagnosed with gonorrhea questions the nurse about when she and her male partner should have sex. What is the nurse's best response to the client?
"Avoid having sex with your partner until the completion of treatment."
A 21-year-old male comes to you complaining of a fever, muscle pain, and lesions on his penis. Diagnostic tests confirm the diagnosis of herpes simplex virus, type 2. Which of these statements made by the client does not warrant further education on the client's recent diagnosis?
"Prescribed medication will slow my herpes virus infection, but will not cure it."
IgG
* most common and longest-lasting antibody
Which is considered the female athlete triad?
*Amenorrhea *Eating disorder *osteoporosis
A woman with a recent diagnosis of menopause is prescribed hormone replacement therapy medication for the relief of menopausal symptoms. Based on the prescribed therapy, which of the following is the client at an increased risk of developing? Select all that apply.
*Emboli *Uterine cancer *Breast cancer
What postoperative complications can occur after a client has a prostatectomy? Select all that apply
*Obstruction of the Foley catheter from blood clots. *Large amount of bloody urine in the Foley catheter. *Client's fluid intake is more than Foley catheter output. *Severe pain at the insertion site of the Foley catheter.
A client is being treated for chlamydia. What instructions should be given to the client? Select all that apply.
*Sex partner(s) will need antibiotic treatment concurrently with the client. *The chance of developing pelvic inflammatory disease increases if left untreated.
Which of these instructions for treatment should the nurse educate a client with type 2 herpes simplex infection? Select all that apply.
*Take prescribed acyclovir medication daily. *Avoid sexual intercourse when lesions are active and present. *Drink at least 2 liters of fluid per day.`
A client comes to the health department and wants to speak with a nurse. When a nurse arrives, the client asks the nurse about the signs and symptoms she or her husband may have if either have the chlamydia infection. What is the nurse's best response? Select all that apply.
*Very painful urination. *Vaginal discharge. *Penile discharge.
Which result would the nurse expect to find when reviewing the serum screening tests for a patient with AIDS?
A decrease in CD4 T cells
The mother of a child with acute postreptococcal glomulernephrotitis (APSGN) is concerned that a younger sibling may also have the disorder. The nurse recalls that this disorder is...
An immune complex disorder that occurs after a strep infection (B-hemolytic)
Which type of immunity is provided by a vaccination?
Artificial active
The postoperative action of a client using an incentive spirometer after undergoing a hysterectomy prevents the development of which of the following?
Atelectasis
IgD
B cell receptor
Which cytokine would the nurse teach a client is treatment for multiple sclerosis?
B-interferon
A 55-year-old African American man comes into the clinic complaining of weakness, fatigue, trouble urinating, and lower back pain for the past week. The client says he has not been to the health care provider (HCP)s in 10 years. Upon examination, the nurse also notices that the client's skin is pale. The health care provider (HCP) suspects cancer. What type of diagnostic tests would be ordered to confirm the client's diagnosis? Select all that apply
Blood sample. Transrectal ultrasound. Digital rectal examination.
A 25-year-old pregnant woman, previously diagnosed with human papilloma (HPV) infection, goes into labor. The nurse assesses that the client has obstructing genital warts in the vaginal area. Which method of delivery should be indicated?
C-section
Which is the most common cause for ophthalmia neonatorum in infants born to adolescent mothers?
Chlamydia
Which autoantigens are responsible for the development of Crohn's disease? 1 Crypt epithelial cells 2 Basement membranes of the lungs 3 Thyroid cell surface 4 Basement membranes of the glomeruli
Crypt epithelial cells Rationale: Crypt epithelial cells are considered to be the autoantigens responsible for Crohn's disease. Thyroid cell surfaces are autoantigens responsible for Hashimoto's thyroiditis. The pulmonary and glomerular basement membranes act as autoantigens responsible for Goodpasture syndrome.
Which process would the IgD immunoglobulin found in human cord blood support?
Differentiation of B-lymphocytes
A concerned mother comes to the nurse with her sexually active 15-year-old daughter. She worries that her daughter has a high risk of developing cervical cancer, since her maternal aunt recently died from cervical cancer due to the human papillomavirus (HPV) infection. Which of these prevention methods should the nurse recommend?
Educate the mother about the HPV vaccine and annual papanicolaou (pap) smears.
A client is receiving immunosuppressive therapy for systemic lupus erythematosus. Which lab results should the nurse report to the health care provider (HCP) ASAP? Select all that apply.
Elevated WBC Elevated Creatinine
A 25-year-old pregnant G1P1 woman comes to the emergency department complaining of creamy discharge from her vagina, urinary frequency, and lower abdominal pain. Which of these diagnoses are suspected?
Gonorrhea
Which cytokine increases growth and maturation of myeloid stem cells?
Granulocyte-macrophage colony stimulating factor
Which of the following hormone(s) are released by the embryo that causes a positive pregnancy test?
HCG
Which type of hepatitis is transmitted by food and water?
Hepatitis A
A 35-year-old pregnant woman, with placenta percreta goes into labor. A cesarean delivery is performed due to the penetration of the placenta through the uterus, causing heavy bleeding. Which of the following interventions should you prepare the client for?
Hysterectomy
Which cytokines are anti-inflammatory?
IL-10 and TGF-beta
Which type of immunoglobulin is present in tears, saliva, and breast milk?
IgA
Which immunoglobulin protects the body against parasitic infections?
IgE
Which immunoglobulins are present in plasma and interstitial fluids?
IgE and IgG
Which immunoglobulins cross the placenta?
IgG
Which antibody forms first after exposure to an antigen?
IgM
Which immunoglobulin is present in plasma?
IgM
Which of the following is prevented by the monitoring of phenylalanine levels?
Intellectual disabilities
Which cytokine would the nurse teach a client is treatment for metastatic melanoma?
Interleukin-2
The parent of a newborn asks the nurse why, except for the hepatitis B vaccine, the immunization schedule does not start until the baby is 2 months old?
Maternal antibodies interfere with the development of active antibodies by the infant when immunized
A female client has undergone a hysterectomy. Which of the following interventions is recommended after surgery?
Monitor perineal pads for vaginal bleeding
A sexually active female is prescribed oral contraceptive pills. Which of the following is the mechanism of action of the medication?
Oral contraceptives inhibit follicle stimulating hormone release
The nurse is caring for a client who has recently been diagnosed with ovarian cancer. Which statement regarding this diagnosis is true?
Ovarian cancer is difficult to diagnose because the s/s are subtle.
A newborn's screening panel reveals phenylketonuria PKU. Which definition below accurately describes this condition?
PKU is when the body lacks the enzyme to break down phenylalanine hydroxylase which is required to break down the amino acid to tyrosine.
An 18-year-old sexually active woman presents to the clinic with fever, pelvic pain, painful intercourse, and abnormal vaginal discharge. She tells the nurse that she uses oral contraceptive medication, but does not use condoms. Which of the following diagnoses is the client suspected to have?
Pelvic Inflammatory Disease (PID)
An 80-year-old man comes to the emergency department complaining of worsening symptoms of his diagnosed prostate cancer. His symptoms include nocturia, inability to urinate at times, and incontinence. Which part of the client's prostate is affected?
Posterior lobe
A 64-year-old African American man comes into the clinic complaining of unintentional weight loss, fatigue, difficulty and painful urination, and lower hip and back pain for the past 2 weeks. Which diagnosis does the nurse suspect?
Prostate cancer
A client has pneumonia with a urinary tract infection (UTI) and has been hospitalized for 2 days. When the nurse begins her shift, she assesses that the client's temperature is 102.5F, BP 70/38, HR 140, RR 38, very weak, has chills, a slow capillary refill, cool, pale, clammy skin, and labs reveal a WBC of 19,000. Which of these does the nurse suspect the client has developed?
Septic shock from sepsis
According to the CDC, which stage of HIV does a laboratory result CD4 T cell count of 520 indicate?
Stage 1
Which disorder is characterized by a "butterfly rash?"
Systemic Lupus Erythematosus (SLE)
Of which type of cells would DiGeorge syndrome create a deficiency?
T cells
The nurse is preparing a client for a Pap test. Which statement is true regarding this test?
The Pap test is a screening tool for cervical cancer.
A 60-year-old client goes to the emergency department complaining of a burning sensation when he urinates. Past medical history reveals benign prostatic hyperplasia (BPH), diagnosed 6 months ago. He was prescribed finasteride to manage his symptoms, but has not been compliant with his medication. What complication may have caused the client's noncompliance?
Urinary tract infection
Which teaching should the clinic nurse include for a client with Sjorgen's syndrome?
Use tepid water in the shower
IgE
allergic reactions
Erythropoietin
cytokine used in treatment of anemia related to chemotherapy
Which characteristic is common in patient's with Sjogren syndrome?
dry eyes
IgM
first antibody produced
artificial passive immunity
injection of antibodies
Which complication of anaphylactic shock in the adolescent patient is most important for the nurse to detect early?
larnygeal edema
IgA
mucosal immunity
Which type of immunity is acquired during breastfeeding?
natural passive
natural active immunity
production of one's own antibodies or T cells as a result of infection or natural exposure to antigen
colony stimulating factor
protein that stimulates growth of white blood cells
immunosuppression
reduction in the activity of the body's immune system
Thrombopoietin
stimulates production of platelets
How are Hepatitis B and C transmitted?
through blood and body fluids (sharing needles)
artificial active immunity
vaccination
