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15 Cards in this Set
- Front
- Back
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1. The nurse correlates which clinical manifestations with inflammation? (Choose all that apply.)
A. Warmth B. Redness C. Pain D. Swelling E. Ecchymosis |
A. Warmth
B. Redness C. Pain D. Swelling |
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2. In caring for clients with altered immune response, it is important for the nurse to understand that self-tolerance allows differentiation of self from non-self cells because of different __________ on the cell membranes.
A. Enzymes B. Proteins C. Fats D. Antibodies |
B. Proteins
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3. In interpreting a white blood cell count with differential, the nurse recognizes that a shift to the left means:
A. The infection is being controlled. B. A large number of immature neutrophils are being produced. C. There are adequate numbers of cells for phagocytosis. D. A large number of basophils are being produced. |
B. A large number of immature neutrophils are being produced
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4. In providing care to a client after kidney transplantation, signs of hyperacute rejection usually:
A. Occur within 1 week B. Lead to loss of organ C. Have an insidious onset D. Respond to antibody treatment |
B. Lead to loss of organ
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5. In reviewing the complete blood count with differential of a client, the nurse understands that which cell is primarily involved in the manifestations of inflammation?
A. Neutrophils B. Monocytes C. Macrophages D. Basophils |
D. Basophils
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6. In teaching a new mother, the nurse explains that which type of immunity is passed to the fetus via the placenta?
A. Innate native immunity B. Artificial passive immunity C. Natural passive immunity D. Cell-mediated immunity |
C. Natural passive immunity
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7. The nurse identifies which type of white blood cell as most important to optimal cell-mediated immunity?
A. Macrophages B. Neutrophils C. Lymphocytes D. Thrombocytes |
C. Lymphocytes
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8. The nurse recognizes that complement activation and fixation assists in protection from infection by:
A. Releasing vasoconstrictors into bloodstream B. Suppressing the inflammatory response C. Altering the DNA makeup of the invading microorganism D. Promoting phagocytic destruction of invading microorganism |
D. Promoting phagocytic destruction of invading microorganism
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9. The nurse recognizes which following disorder as an example of inflammation with infection?
A. Allergic rhinitis B. Contact dermatitis C. Otitis media D. Thrombophlebitis |
C. Otitis media
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10. Which statement from a client on cyclosporin indicates the need for further teaching?
A. “I will be on this medication for the rest of my life.” B. “This medication may cause kidney disease.” C. “This drug may cause my blood sugar to be low.” D. “My gums may become swollen due to this drug.” |
C. “This drug may cause my blood sugar to be low.”
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1. A registered nurse working in an organ transplant unit is taking an initial admission history from a client who is being considered for a kidney transplant. Which information obtained from the client is most important in determining whether the client is likely to have rapid rejection of a transplanted kidney?
A. The client has a strong family history of coronary artery disease. B. The client is approximately 20 pounds overweight. C. The client has given birth to nine children. D. The client is very anxious about having major surgery. |
C. The client has given birth to nine children.
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2. The nurse manager for a home health agency is making assignments for the day. Which of these clients would be most appropriate to assign to a home health aide?
A. An older client with a low absolute neutrophil count who will need a dressing change B. A middle-aged client who has chronic rejection of a liver transplant and needs assistance with bathing C. An older client who has bacterial pneumonia and was just started on oral antibiotics D. A middle-aged client who has had a recent kidney transplant and has tenderness in the area over the transplant |
B. A middle-aged client who has chronic rejection of a liver transplant and needs assistance with bathing
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3. The nurse manager for a home health agency is making staff assignments for the day. Which of these nurses should be assigned to care for a 16-year-old client who has just been discharged home after kidney transplantation and who will be receiving cyclosporine (Sandimmune)?
A. An RN who has worked for 5 years in an organ transplant unit and has just completed an orientation to the home health agency B. An RN who has worked for the home health agency for 5 years in maternal-child health C. An RN with a master’s degree in nursing who has extensive critical care nursing experience and has worked in home health for a year D. An RN who transferred to the home health agency after working for 10 years in an outpatient dialysis unit |
A. An RN who has worked for 5 years in an organ transplant unit and has just completed an orientation to the home health agency
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4. The nurse working on the organ transplant unit has just taken reports on several clients. Which client should the nurse see first?
A. A client who was admitted earlier that day with a diagnosis of acute rejection of a liver transplant B. A client who had a heart transplant 3 years ago and is complaining of chest pain C. A client with chronic renal failure who is scheduled for a kidney transplant the next day D. A client who needs teaching about medications before being discharged from the unit |
B. A client who had a heart transplant 3 years ago and is complaining of chest pain
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5. The registered nurse working on the organ transplant unit is making assignments for the day. Which of these tasks could best be delegated to an experienced LPN?
A. Completing an admission assessment on a client scheduled for a kidney transplant the following day B. Doing discharge teaching about prednisone use for a client who will be discharged later that day C. Administering cyclosporine to a client who has been admitted for an acute rejection episode D. Reinforcing the need for avoiding contact with family members who have bacterial, viral, or fungal infections |
D. Reinforcing the need for avoiding contact with family members who have bacterial, viral, or fungal infections
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