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____ identify and confirm the presence of antibodies to HIV.

ELISA and Western blotting

Which of the following disorders is characterized by an increased autoantibody production? SLE RA OA Sclodomera

SLE

A client is diagnosed with multiple site cancers and has received whole-body irradiation. The nurse is concerned about a compromised immune system in this client for which of the following reasons? Radiation destroys lymphocytes. Radiation causes an excess of circulating lymphocytes. Radiation causes a deficiency of circulating hemoglobin. Radiation causes an excess of circulating hemoglobin.

radiation destroyes lymphocytes

When obtaining a health history from a patient with possible abnormal immune function, what question would be a priority for the nurse to ask? "Have you ever been treated for a sexually transmitted infection?" "When was your last menstrual period?" "Do you have abdominal pain or discomfort?" "Have you ever received a blood transfusion?"

"Have you ever received a blood transfusion?"

BM suppression becomes noticeable how long? BM recovery?

Bone marrow suppression becomes noticeable 7 to 14 days after floxuridine administration. Bone marrow recovery occurs in 21 to 28 days.

desensitization is

Desensitization is a form of immunotherapy in which a person receives weekly or twice-weekly injections of dilute but increasingly higher concentrations of an allergen without interruption.

allograft is __ xenograft is __ autograft is ___

allo: bio source of skin similar to host xeno: source from animal auto: clients own skin

The nurse is evaluating a client's readiness for allergy skin testing. The nurse determines that the testing will need to be postponed when it is revealed that the client took which classification of medication the night before? Anti-inflammatory Anticoagulant Antihistamine Antidepressant

antihistamine stopped at least 48 hours before testing, suppresses skin reaction

5-Fluorouracil (5FU) is classified as which type of antineoplastic agent? Antimetabolite Alkylating Nitrosoureas Mitotic spindle poisons

antimetabolite

Which type of vaccine uses the client's own cancer cells, which are killed and prepared for injection back into the client? Autologous Prophylactic Therapeutic Allogeneic

autologous

An autologous stem cell transplant comes from the ____

client not the donor

When the area of burn is irregular in shape and is scattered over multiple areas of the body, which is the best method for the nurse to obtain a quick assessment of the total body surface area of the burn? Rule of nines Use client's palm size Parkland formula Lund and Browder burns assessment

clients palm size The palm is approximately 1% of a person's TBSA. The Parkland formula determines fluid resuscitation needs. Lund and Browder burns assessment provides a more precise estimate for determining TBSA that is burned and is especially more specific in children. The rule of nines quantitates burns that involve entire sections of the body, not scattered burns.

A client with a burn injury is in acute stress. Which of the following complications is prone to develop in this client? Anemia Gastric ulcers Hyperthyroidism Cardiac arrest

gastric ulcers The client with a burn is prone to develop gastric (Curling's) ulcers. Anemia develops because of the heat destroying the erythrocytes.

A patient who has long-term packed RBC (PRBC) transfusions has developed symptoms of iron toxicity that affect liver function. What immediate treatment should the nurse anticipate preparing the patient for that can help prevent organ damage? Iron chelation therapy Oxygen therapy Therapeutic phlebotomy Anticoagulation therapy

iron chelation therapy

A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells? Liver Colon Reproductive tract White blood cells (WBCs)

liver

Which cell of hematopoiesis is responsible for the production of red blood cells (RBCs) and platelets? Myeloid stem cell Lymphoid stem cell Monocyte Neutrophil

myeloid stem cell Myeloid stem cells are responsible not only for all nonlymphoid white blood cells (WBC) but also for the production of red blood cells and platelets. Lymphoid cells produce either T or B lymphocytes.

Which intervention helps to minimize the risk of further injury to an affected person at the scene of a fire? Roll the client in a blanket Cover the client with a wet cloth Place the client with the head positioned slightly below the rest of the body Avoid immediate IV fluid therapy

rolle the client in a blanket

The nurse is providing wound care for a client with burns to the lower extremities. Which topical antibacterial agent carries a side effect of leukopenia that the nurse should monitor for within 48 hours after application? Cerium nitrate solution Gentamicin sulfate Sulfadiazine, silver (Silvadene) Mafenide (Sulfamylon)

sulfadizine 2-3 fday after

The physician believes that the patient has a deficiency in the leukocyte responsible for cell-mediated immunity. What should the nurse check the WBC count for? Basophils Monocytes Plasma cells T lymphocytes

t lymphocyte

T-cell deficiency occurs when which gland fails to develop normally during embryogenesis? Thyroid Thymus Pituitary Adrenal

thymus

Selective immunoglobulin A deficiency is ___

congenital - lack of immunoglobulin A, which predisposes clients to recurrent infections, adverse reactions to blood transfusions or immunoglobulin, autoimmune diseases, and hypothyroidism. - igA protects the lining of the mouth and digestive tract from infection

A nurse is caring for a patient who has had a bone marrow aspiration with biopsy. What complication should the nurse be aware of and monitor the patient for? Hemorrhage Blood transfusion reaction Shock Splintering of bone fragments

hemorrahge

Albumin is important for the maintenance of fluid balance within the vascular system. Albumin is produced by which of the following? Liver Pancreas Kidney Large intestine

liver

A client with cancer is being evaluated for possible metastasis. What is one of the most common metastasis sites for cancer cells? Liver Colon Reproductive tract White blood cells (WBCs)

liver The liver is one of the five most common cancer metastasis sites. The others are the lymph nodes, lung, bone, and brain.

Which type of lymphocyte is responsible for cellular immunity? B lymphocyte Plasma cell T lymphocyte Basophil

t lymphocyte T lymphocytes: responsible for delayed allergic reactions, rejection of foreign tissue (e.g., transplanted organs), and destruction of tumor cells. This process is known as cellular immunity. B lymphocytes are responsible for humoral immunity.


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