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30 Cards in this Set

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  • Back
Which of these describes the type of immunity that protects newborns for the first 3 months of life as a result of maternal transmission of immunoglobulin G? active natural immunity
passive natural immunity
passive artifical immunity
active artificial immunity
passive natural immunity
Which of these factors provides passive immunity? administration of a toxoid
administration of a vaccine
administration of immunoglobin
having an attack of the disease
administration of immunoglobin
The nurse is caring for a patient who needs passive immunity and understands that a patient requires passive immunity for which of these situations? as a booster dose to stimulate the production of specific antibodies
for permanent immunity against a disease
to overcome an allergive reaction that is relatively mild
for ready-made antibodies after an expsure to pathogens
for ready-made antibodies after an expsure to pathogens
Which of these parts of the immune system provides for long-term immunity? Immunoglobulin G
plasma cells
Immunoglobulin E
Mast cells
Immunoglobulin G
Which type of cell involved in cell-mediated immunity has a cytotoxic action on tumor cells? lysosomes
histocompatabtility cells
memory cells
natural killer cells
natural killer cells
Which of these types of immunity results from receiving a tetanus injection? artificial passive immunity
humoral immunity
artificial active immunity
cell-mediated immunity
artificial active immunity
For which of these conditions would the nurse review a patient's laboratory values for increased eosinophils? allergic reaction
acute viral infections
cancer
autoimmune diseases
allergic reaction
Which of the following types of immunity involve T helper and B lymphocytes? humoral immunity
passive immunity
cell-mediated immunity
acquired immunity
humoral immunity
which of these types of immunity involve only T lymphocytes? humoral immunity
passive immunity
cell-mediated immunity
acquired immunity
cell-mediated immunity
Which of these immune cells is the defective cell the the disease hypogammaglobulinemia? T cells
B cells
mast cells
plasma cells
plasma cells
Which of these nursing actions would be appropriate for a patient diagnosed with idiopathic autoimmune hemolytic anemia? no intramuscular injections
good handwashing techniques
assistance with ambulation
manual blood pressures
assistance with ambulation
A patient has had a portion of his stomach removed and without vitamin B12 injections may begin to experience which of these manifestations? numbness and tingling, weakness, and glossitis
fever, malaise, muscle soreness, and diarrhea
urticaria, angioedema, anorexia, pruritus, and blistered lesions
frequent infections, fever, malaise, vertigo, and lymphadenopathy
numbness and tingling, weakness, and glossitis
A patient is stung by a wasp. Which of these manifestations would the nurse expect to see if an allergic reaction develops? pallor around the sting sites
hives
jugular vein distention
retinal hemorrhage
hives
Which of these medications would the nurse anticipate being administered immediately to a patient having a severe allergic reaction? oral benadryl
oral epinephrine
IV benedryl
IV epinephrine
IV epinephrine
Which of these medications would the nurse anticipate being administered secondarily to a patient having a severe allergic reaction to control itching? Benedryl
Epinephrine
Immuosuppressives
Solu-Cortef
Solu-Cortef
A patient is stabilized after having an allergic reaction. Which of these preventive insturctions should be reinforced at this time? she should stay indoors as much as possible.
she should wear insect repllent when she is outdoors
she should wear a Medic-Alert identification
she should take corticosteroids prior to going outdoors
she should wear a Medic-Alert identification
A patient has a long-standing history of allergies to pollen. Which of these actions, if performed by the patient, would indicate understanding of how to control this disease? gardening outdoors on a dry, windy day
driving her car with the windows open during high pollen counts
taking frequent walks outside is spring when the weather is warm
wearing a mask when mowing the lawn
wearing a mask when mowing the lawn
Which of these environmental modifications for a patient who is allergic to dust would be the most helpful in controlling symptoms? installing a hot air heater
covering the floors with wall-to-wall carpeting
using heavy draperies on sunny windows
encasing mattresses in plastic
encasing mattresses in plastic
Which of these nursing actions would take priority when caring for a patient with a severe case of angioedema? maintenance of a patent airway
strict use of infection control procedures
maintenance of fluid balance
education regarding immunotherapy
maintenance of a patent airway
Which of these outcomes when caring for a patient who has acquired immunodeficiency syndrome (AIDS) should receive priority? remain free of infection
maintain baseline weight
report high self-esteem
remain socially active
remain free of infection
A patient who has human immunodeficiency virus (HIV) asks the nurse if thinking about dying frequently is common with HIV. Which of these is an appropriate response by the nurse? "HIV is a serious disease that results in death."
"HIV has a very high mortality rate, so it is realistic to plan for death."
"HIV is now considered a chronic disease with treatment."
"Thinking about death will not change the prognosis."
"HIV is now considered a chronic disease with treatment."
When caring for a patient with AIDS, which of these nursing actions would be most appropriate for infection control? wear sterile gloves for any patient contact
wear clean gloves for body fluid contact
wear waterproof gown at all times
wear a mask for any patient contact
wear clean gloves for body fluid contact
Which of these explanations would be appropriate for the nurse to tell the family of a patient diagnosed with HIV about the transmission of the HIV virus? "HIV enters the body through breaks in the skin or mucous membranes."
"HIV can be spread by casual contact."
"HIV lives for long periods outside the body."
"HIV is most commonly transmitted via tears and saliva."
"HIV enters the body through breaks in the skin or mucous membranes."
When caring for a patient who has AIDS, which of these manifestations would the nurse expect to identify? chest pain
hypertension
pustular skin lesions
diarrhea
diarrhea
When a patient who has AIDS expresses concern about telling others, which of these responses would be appropriate by the nurse? "You should tell those who have a reason to know."
"It would be best to tell everyone you know."
"Your diagnosis will be discovered anyway by those you know."
"Secrecy is a poor idea since it will erode your self-esteem."
"You should tell those who have a reason to know."
When caring for a patient who has had diagnostic testing for HIV, which of these tests should the nurse review to determine the presence of the virus? enzyme-linked immunosorbent assay
polymerase chain reaction testing
Western blot
P24 antigen testing
polymerase chain reaction testing
Which of these actions would be appropriate for the nurse to use in following standard precautions for protection from HIV exposure? wash your own open skin lesion after providing care
put on gloves before touching body fluids
recap intramuscular needles following injection
remove one finger of the glove during venipuncture
put on gloves before touching body fluids
Which specific cell of the immune system is monitored to determine the progression of AIDS? neutrophils
phagocytes
B lymphocytes
CD4+ lymphocytes
CD4+ lymphocytes
When a patient is exposed to the HIV, initial symptoms would most likely include which of these? urticaria, sneezing, pruritis
fever, rash, joint pain
weight loss, night sweats
tremors, edema, coughing
fever, rash, joint pain
Which of these is used to describe when enough antibodies to HIV are circulating to produce positive test results to standard HIV testing? contagious phase
seroconversion
recovery phase
infectious
seroconversion