Immunity

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T-cell lymphocytes survey proteins in the body and attack the invading antigens.

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

Side effects of drug therapy

The nurse is caring for a client who has a diagnosis of human immunodeficiency virus (HIV). Part of this client's teaching plan is educating the client about his or her medications. What is essential for the nurse to include in the teaching of this client regarding medications?

Facial erythema, pericarditis, pleuritis, fever, and weight loss

A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?

The majority of primary immunodeficiencies are diagnosed in infancy.

A nurse is teaching the parents of an infant about primary immunodeficiencies. Which statement verifies that the parents understand the teaching?

2 hours

A patient comes to the clinic with pruritus and nasal congestion after eating shrimp for lunch. The nurse is aware that the patient may be having an anaphylactic reaction to the shrimp. These symptoms typically occur within how many hours after exposure?

Graft-versus-host disease

A patient with acute myeloid leukemia (AML) is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host?

develop early in life after protection from maternal antibodies decreases.

Based on the nurse's base knowledge of primary immunodeficiencies, how would the nurse complete this statement? Primary immunodeficiencies

Administering stool softeners, as ordered, to prevent straining during defecation

For a client diagnosed with idiopathic thrombocytopenia purpura (ITP), which nursing intervention is appropriate?

infection because the spleen removes bacteria from the blood

A client has had a splenectomy after sustaining serious internal injuries in a motorcycle accident, including a ruptured spleen. Following removal of the spleen, the client will be susceptible to:

"It is a hyperimmune response to something in the environment that is usually harmless."

A client presents at the clinic with an allergic disorder. The client asks the nurse what an "allergic disorder" means. What would be the nurse's best response?

Desensitization

A client with an allergic disorder calls the nurse and asks what treatment is available for allergic disorders. The nurse explains to the client that there is more than one treatment available. What treatments would the nurse tell the client about?

A 3- to 7-day food record

A new client walking in to the health care center is actively wheezing and reports frequent episodes of wheezing. Based on the client's responses during the interview, the nurse suspects the client has a variety of food allergies. What nutritional assessment method should the nurse include in the plan of care?

Serum, which depletes the body's store of immunoglobulins

The nurse is caring for a client recovering from a major burn. Burns affect the immune system by causing a loss of large amounts of which of the following?

Bone marrow transplantation

What treatment option does the nurse anticipate for the patient with severe combined immunodeficiency disease (SCID)?

Avoid sharing such articles as toothbrushes and razors

When preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge to home, the nurse should be sure to include which instruction?

Enzyme-linked immunosorbent assay (ELISA)

Which blood test confirms the presence of antibodies to HIV?

Blood studies

Which does a nurse thoroughly evaluate before a hematopoietic stem cell transplant (HSCT) procedure?

Phagocytosis

Which is the major function of neutrophils?

B lymphocytes

Which of the following cell types are involved in humoral immunity?

Complement

Which of the following is a plasma protein associated with the immunologic reaction?


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