test1ch10&11

The nurse is providing teaching to a patient who has undergone a liver transplant. Which statement by the patient demonstrates the need for further patient teaching?

"I will need to take medications to boost my immune system for the next year."

The nures recognizes a need for further instruction when the HIV-positive patient says:

"My life is over, HIV and AIDS are the same thing."

The nurse is educating a patient with lymphoma. Which statement indicates that the patient correctly differentiates Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL)?

"Non-Hodgkin lymphoma is less predictable and can spread faster."

The anxious male patient is fearful that he has been exposed to a person with an HIV infection. He states he does not want to go to a laboratory for the ELISA tests because he does not want to be identified. What would be the nurse's most helpful response?

"There is an FDA-approved home test called OraQuick."

The nurse is caring for a patient who reports feeling very stressed about her new diagnosis of fibromyalgia. Which response is most beneficial in addressing the patient's stress?

"What worries you the most about your fibromyalgia?"

Which condition(s) that can cause acquired immune deficiency? (Select all that apply.)

- Chemotherapy - Viral infections - Smoking - Malnutrition

The industrial nurse reminds all the middle-aged employees that they should get a tetanus booster every ____ years.

10

The nurse administering a vaccination should have the patient stay for observation for at least:

15-20 minutes.

The nurse is teaching a group of elderly clients about the importance of obtaining an annual flu shot. The nurse explains that the older client is at greater risk of complications from the flu due to:

A diminished immune response

The nurses clarifies that a vaccination or immunization gives the person a ____ immunity.

Active acquired

The nurse caring for a patient with advanced AIDS. While collecting data, the nurse notes a weight loss of several pounds, poor food consumption, and complaint of no appetite. Based on these findings, the nurse should carefully monitor the patient for development of which problem?

Anasarca

The nurse is preparing to give FluMist to a client who comes to the physician's office. The nurse assesses the client for:

Aspirin therapy

The nurse is caring for a patient with systemic lupus erythematosus (SLE). The patient complains of severe fatigue, a butterfly rash, and joint pain. Which nursing intervention(s) is/are most appropriate for this patient? (Select all that apply.)

Assess pain control measures that have helped the patient in the past Assist the patient with planning rest periods throughout the day Remind the patient to avoid contact with people who have an infection Ensure the patient understands the importance of her medication regimen.

The nurse clarifies that the lymphocytes that actually produce the specialized antibody are the:

B lymphocytes

The nurse reminds the patient that he can be protected by passive artificial immunity by:

Being injected with immune globulin.

The nurse clarifies that the HIV virus enters and alters the DNA of the _______ cell lymphocyte.

CD4

A male patient is concerned about telling others he has HIV infection. What should the nurse stress when discussing his concerns?

Care providers and sexual partners should be told about his diagnosis.

IgE

Causes release of histamine, responsible for allergic reactions

The nurse differentiates the humoral response from the cell-mediated response in that in the humoral response:

Cells produce new antibodies

IgG

Crosses placenta for immunity for newborn babies

During assessment of the patient diagnosed with systemic lupus erythematosus (SLE), which sign(s) and symptom(s) would the nurse expect to find? (Select all that apply.)

Hair loss Mouth sores Fatigue Rashes

A patient has been exposed to an allergen resulting in a hypersensitivity reaction. The nurse correctly recognizes that which immunoglobulin has been triggered?

IgE

The nurse is preparing to administer influenza immunization to a group of clients. The nurse should not administer the immunization to clients who are:

Immunosuppressed

The nurse cautions that long-term alcohol abuse leads to alteration in the immune system by:

Impairing the ability of B lymphocytes to produce antibodies.

The nurse reviewing lab results notes that the C-reactive protein is elevated in the patient who had surgery 2 days ago. The nurse is aware this is an indication of:

Impending infection.

The Centers for Disease Control and Prevention (CDC) recommends that older adults, people with respiratory impairment, and health care workers acquire annual:

Influenza

The nurse points out that the fact that humans do not contact such diseases as distemper, as dogs do, is due to the human's ____ immunity.

Innate

The nurse draws a cartoon picture of a ferocious-looking phagocyte eating up an antigen. This cartoon is depicting the process of:

Lysis

The nurse exemplifies the action of killer T cells as being like a:

Mad hornet flying through circulating fluids seeking and killing antigens.

What do the activated monocytes and macrophages produce in the presence of an inflammatory process?

Neopterin

The nurse is assessing a patient's lymph nodes. Which finding would alert the nurse to the possibility of the patient having non-Hodgkin's lymphoma (NHL)?

Noncontiguous enlarged lymph nodes.

The nurse is preparing to write a care plan for the patient with fibromyalgia. Which problem/nursing diagnosis best addresses this disorder?

Pain, Chronic

The school nurse is instructing a group of high school sophomores in safe sex practices. Which practice(s) should the nurse include in her teaching? (Select all that apply.)

Practice abstinence Use a condom Avoid unprotected orogenital sex.

A patient with an immune deficiency disorder has been admitted to the medical unit due to a current infection and weight loss of 12% of his body weight. Which nutritional intervention is most appropriate for this patient?

Protein

The nurse points out that the aging process causes changes in the immune system, such as:

Reduced ciliary action

The nurse is caring for a patient with suspected Hodgkin's lymphoma (HL). For confirmation of this diagnosis, the nurse understands that the patient's blood work would reveal which type of abnormal cell?

Reed-Sternberg (R-S) cells

IgM

Responsible for blood transfusion reactions

The nurse is planning home care for a client who has had a successful kidney transplant. The nurse's priority teaching for this client and family is:

Signs and symptoms of organ rejection

A 21-year-old male who has been an IV heroin user has been experiencing fever, weight loss, and diarrhea and has been diagnosed as having AIDS. Currently, he has a low-grade fever, severe diarrhea, and a productive cough. He is admitted with Pneumocystis jiroveci. What should the nurse do when caring for the patient?

Use a gown, mask, and gloves when assisting the patient with his bath.

The home care nurse is caring for a patient with a severe immune deficiency disorder. What information about infection prevention is most important for the nurse to include in the teaching plan?

Wash your hands frequently.

The home health nurse is teaching the HIV-positive patient and his family members about infection control in the home. Which action indicates that the nurse's teaching has been successful?

Wearing gloves during household chores

When oral thrush, recurrent vaginal yeast infections, or skin disorders appear in the HIV-positive patient, the nurses assesses this as:

a sign of a failing immune system

The HIV patient asks the nurse about what to expect in terms of disease progression. The nurse tells this patient that although the disease can vary greatly among individuals, the usual pattern of progression includes:

acute retroviral syndrome, early infection, early symptomatic disease, and AIDS.

The nurse is caring for an immune compromised patient who complains of itching and tingling from below the shoulder on the back around to the chest area, as well as burning and shooting pain, headache, and low-grade fever. The nurse is aware that this patient is most likely experiencing:

shingles

Techniques of testing for possible allergy include: (Select all that apply)

the scratch test. drinking diluted solution of antigen .intradermal injection adhesive patches

When collecting data from a patient suspected of having an immune deficiency, which factor(s) should be included? (Select all that apply.)

family history of immune disorders aged alcohol use exposure to HIV

The nurse uses a visual aid to demonstrate how nonnucleoside reverse transcriptase inhibitors (NNRTIs) and protease inhibitors (PIs) work to combat HIV by:

interfering with replication of the virus