Immunity

A client has been hospitalized for diagnostic testing. The client has just been diagnosed with multiple sclerosis, which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client? A) A disorder where the body has too many immunoglobulins. B) A disorder where histocompatible cells attack the immunoglobulins. C) A disorder where killer T cells and autoantibodies attack or destroy natural cells—those cells that are "self." D) A disorder where the body does not have enough immunoglobulins.

. C) A disorder where killer T cells and autoantibodies attack or destroy natural cells—those cells that are "self."

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? A) "It means you are very sensitive to something inside of yourself." B) "It is a hyperimmune response to something in the environment that is usually harmless." C) "It is a muted response to something in the environment." D) "It is a harmless reaction to something in the environment."

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

You are caring for a client with chronic fatigue syndrome. What is a realistic nursing intervention when taking care of a client with this diagnosis? A) Educate the client about the disease process. B) Advise the client to avoid moderate exertion. C) Instruct the client to reduce the intake of potassium-rich foods. D) Advise the client to avoid being in crowds.

A) Educate the client about the disease process.

You are caring for a client with an autoimmune disease. What is a characteristic of autoimmune disorders? A) Progressive tissue damage without any verifiable etiology B) Absence of a triggering event C) Profound fatigue with no identifiable cause D) Affects only older adults and infants less than 3 months

A) Progressive tissue damage without any verifiable etiology

The clinic nurse is caring for a client with an allergic disorder who has received the first sensitizing dose of a new drug. What nursing action is most important at this point? A) Assess the client for reduced urine output. B) Monitor the client for reactions. C) Assess the client for reduced appetite. D) Monitor the client for increased heart rate.

B) Monitor the client for reactions..

A client with lupus has had antineoplastic drugs prescribed. Why would the physician prescribe antineoplastic drugs for an autoimmune disorder? A) To decrease the body's risk of infection B) Because an autoimmune disease is a neoplastic disease C) So the client has strong drug therapy D) For their immunosuppressant effects

D) For their immunosuppressant effects

Your client is about to have a skin test for an allergic disorder. What critical instruction should the nurse give this client? A) Avoid red meat for 48 to 72 hours before the test. B) Avoid strenuous physical activity for 24 hours before the test. C) Avoid antihistamines and cold preparations for 48 to 72 hours before the test. D) Avoid sunlight for 48 to 72 hours before the test.

C) Avoid antihistamines and cold preparations for 48 to 72 hours before the test.

The nursing instructor is discussing allergic reactions with her clinical group. What allergic reactions would the nursing instructor talk about? Select all that apply. A) Atypical B) Unmediated C) Cytotoxic D) Atopic E) Immune complex

C) Cytotoxic D) Atopic E) Immune complex