A&C Adpative Quiz 1

Which function of leukocytes is involved in the inflammation process? Select all that apply. - Destruction of bacteria and cellular debris - selective attach and destruction of non-self cells - release of vasoactive amines during allergic reactions - secretion of immunoglobulins in response to a specific antigen - Enhancement of immune activity through secretion of various factors, cytokines, and lymphokines

- Destruction of bacteria and cellular debris - release of vasoactive amines during allergic reactions

Which condition triggers humoral immunity? select all that apply - tuberculosis - atopic disease - bacterial infection - anaphylactic shock - contact dermatitis

- atopic disease - bacterial infection - anaphylactic shock

Which option is an example of actively acquired specific immunity? select all that apply. - recovery from measles - recover from chickenpox - maternal immunoglobulin in the neonate - immunization with live or killed vaccines - injection of human gamma immunoglobulin

- recovery from measles - recover from chickenpox - immunization with live or killed vaccines

In which order do the events occur in stage 1 of the inflammatory process? 1. capillary leak causes pain 2. edema from plasma leaking protects further injury 3. blood vessels changes cause redness and tissue warmth 4. cytokine is released to produce more white blood cells 5. increased blood floe causes swelling at the site of injury

3,5,1,2,4

Which stage would the nurse document for the client with a pressure injury that has exposed bone and tendons? Stage 1,2,3,4

Stage 4

Which immunoglobulins cross the placenta? a. IgG b. IgM c. IgE d. IgA

a. IgG

Which client/parent education would the nurse include about a potential complication of mumps? a. sterility b. hypopituitarism c. decrease in libido d. decrease in androgens

a. sterility

Which childhood disease is best described as a viral disease that starts with malaise and highly pruritic rash that begins in the abdomen and spreads to the face and proximal extremeties and can result in grave complication ? a. rubella b. rubeola c. chickenpox d. scarlet fever

c. chickenpox

Which intervention is useful in promoting comfort for the client experiencing a headache? a. massage b. heat therapy c. cold therapy d. relaxation strategies

c. cold therapy

Which type of immunity is acquired through the transfer of colostrum from the mother to the child? a. natural active immunity b. artificial active immunity c. natural passive immunity d. artificial passive immunity

c. natural passive immunity

When naloxone has been administered to the client with an opiate overdose which action is most important for the nurse to take? a. question client about pain level b. monitor for increased heart rate c. observe respiratory rate and depth d. check for alertness and orientation

c. observe respiratory rate and depth

Which action by the nurse is the priority when admitting a client who has a productive cough, fever, and chills and reports having children at home with whooping cough (pertussis) a. auscultate client breath sounds b. start prescribed antibiotic therapy c. place client on droplet precautions d. obtain sputum specimen for culture

c. place client on droplet precautions

Which finding would the nurse identify as normal inflammation versus an infection when assessing a client's wound that was sutured 72 hours ago? a. Client report of increasing pain b. A temp of 101.6 F c. Small amounts of purulent drainage d. A slight red border around the wound

d. A slight red border around the wound

Which type of protection is expected hen the primary health care provider prescribes tetanus immune globulin for the construction worker who sustains a puncture wound from a rusty nail with the last immunization for tetanus being unknown? a. Lifelong passive immunity b. long lasting active protection c. stimulation of antibody production d. Immediate passive short-term immunity

d. Immediate passive short-term immunity

Which statement indicates the meaning of "shift to the left" when evaluating the white blood cells count differential? a. Heightened phagocytosis b. Functioning bone marrow c. Infection is being contained d. Increased immature neutrophils

d. Increased immature neutrophils

Which statement indicated the function of natural killer cells within the immune system? a. secrete immunoglobulins in response to the presence of specific antigen b. exhibit heightened selectivity and destroy non self cells, including virally infected cells. c. enhance immune activity through secretion of cytokines and lymphokines d. attach non selectivity on non self cells, especially mutated and malignant cells.

d. attach non selectivity on non self cells, especially mutated and malignant cells.

Which meal is the most appropriate fro the client with a large pressure injury? a. hamburger and fries b. turkey meatloaf with brown rice c. pasta and tomato sauce with a side salad d. grilled chicken, steamed spinach, and a side of orange slices

d. grilled chicken, steamed spinach, and a side of orange slices