Ch 35 Assessment of Immune Function

When teaching the client and family about rheumatoid arthritis, the nurse should provide which information?

Autoimmune disorders include connective tissue (collagen) disorders.

Which assessment should be completed if immune dysfunction is suspected in the neurosensor system?

Ataxia

Which medications can put clients at risk for impaired immune function?

Antimetabolites, antineoplastic agents, and adrnal corticosteroids.

What is the importance of Vitamin D

Associated with increased risk of inflammatory disorders. Associated with increased risk of autoimmune disease. Associated with increased risk of common cancers.

Which T lymphocyte is responsible for altering the cell membrane and initiating cellular lysis?

Cytotoxic T cell

What medication does the nurse anticipate administering to the client that will promote the production of blood cells?

Epoetin alfa (Epogen)

Tonsils and adenoids are lymphoid tissues that?

Filter bacteria from tissue fluid

Which of the following protective responses begin with the B lymphocytes?

Humoral (they can transform themselves into plasma cells that manufacture antibodies)

Which immunoglobulin assumes a major role in bloodborne and tissue infections?

IgG (also crosses the placenta)

A patient has enlarged lymph nodes in his neck and a sore throat. This inflammatory response is an example of a cellular immune response whereby?

Lymphocytes migrate to areas of the lymph node

What is a component of the immune system?

Lymphoid tissues

What chemical is released by cytotoxic T-cells?

Lymphokine

Which cell type would be elevated first in an attempt to prevent infection in the client's hand after being cut?

Neutrophils

Which medication classification is known to inhibit prostaglandin synthesis or release?

Nonsteroidal anti-inflammatory drugs (in large doses)

In which process is the antigen-antibody molecule coated with a sticky substance that facilitates phagocytosis?

Osponization

A nurse is exposed to hepatitis C and receives a shot of gamma globulin. What type of immunity does this nurse have?

Passive immunity. It develops when ready-made antibodies are given to a susceptible person.

A client is diagnosed with an immune system disorder caused by a congenital alteration in the proper development of immune cells. The nurse is aware that this immune system disorder is classified as?

Primary immune deficiency

Where are new white blood cells made?

Produces in the bone marrow.

During which stage of the immune response does the circulating lymphocytes containing the antigenic message return to the nearest lymph node?

Proliferation

What test would be ordered if a deficiency or excess of immuneglobulins was suspected?

Protein electrophoresis

Which adverse effect should the nurse closely monitor in a client who takes immunosuppressive drugs?

Respiratory or urinary system infections

Which correctly describes a secondary immune deficiency?

Results from some interference with an already developed immune system.

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?

Serum, which depletes the body's store of immunoglobulins

What is a cell-mediated response?

T-cell lymphocytes survey proteins in the body, actively analyze the surface features, and respond to those that differ from the host by directly attacking the invading antigen.

A nurse is caring for a client with MS. Client education about the disease process included which explanation about the cause of the disorder?

The immune system recognizes one's own tissues as "foreign"

The nurse is teaching a client who has been diagnosed with Hashimoto's thyroiditis. Which statement correctly describes the process of autoimmunity?

The normal protective immune response attacks the body, damaging tissues.

Which statement accurately reflects current stem cell research?

The stem cell is known as a precursor cell that continually replenishes the body's entire supply of both red and white cells.

Which messenger enables cells to resist viral replication and slow viral replication?

interferons (chemicals that primarily protect cells from viral invasion)