Adult Health I Chapter 36
_________ may indicate a life-threatening infection, such as meningitis. A. Purpura B. Dermatitis C. Rash D. Dots on skin
Answer: A. Purpura Reasoning: Purpura may indicate life-threatening infections such as meningitis. Reference:Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 36: Nursing Assessment: Immune Function, p. 998.
Which of the following is a sign of infection in the joints? (select all) A. Tenderness B. Swelling C. Increased warmth D. Decreased temperature
Answer: A, B, and C. Reasoning: Tenderness, Swelling, and increased warmth are all signs of infection in the joints. Reference: Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 36: Nursing Assessment: Immune Function, p. 998.
Which of the following is a center for immune cell proliferation? A. Lymph nodes B. Pancreas C. Spleen D. Liver
Answer: A. lymph nodes Reasoning: The lymph nodes remove foreign material from the lymph system before it enters the bloodstream. They are centers for immune cell proliferation. Reference: Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 36: Nursing Assessment: Immune Function, p. 990.
Which of the following areas is the most suitable area of the body for skin testing? A. Abdomen B. Back C. Forearm D. Thigh
Answer: B. Back Reasoning: The back is the most suitable area of the body for skin testing, because it permits the performance of many tests. Reference: Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 36: Nursing Assessment: Immune Function, p. 1000.
Which of the following assessment should be completed if suspecting immune dysfunction in the neurosensory system? A. Hematuria B. Burning on urination C. Ataxia D. Urinary frequency
Answer: C. Ataxia Reasoning: Ataxia should be assessed when suspecting immune dysfunction in the neurosensory system. Hematuria, discharge, and frequency and burning on urination are associated with the genitourinary system. Reference: Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 36: Nursing Assessment: Immune Function, p. 999.