Inflammation & Autoimmune Disorders NCLEX questions with correct answers
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Course
RN- Nursing
Institution
RN- Nursing
The student nurse learns that the most important function of inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance Correct...
Inflammation & Autoimmune Disorders NCLEX
questions with correct answers
The student nurse learns that the most important function of
inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance Correct Answer-C ~ The
purpose of inflammation and immunity is to provide protection to the
body against invading organisms, whether they are bacterial, viral,
protozoal, or fungal. These systems eliminate, destroy, or neutralize the
offending agents. The cells of the immune system are the only cells that
can distinguish self from non-self. This function is generalized and
incorporates destroying bacteria, preventing entry of foreign invaders,
and regulating self-tolerance.
A nurse is assessing an older client for the presence of infection. The
clients temperature is 97.6 F (36.4 C). What response by the nurse is
best?
a. Assess the client for more specific signs.
b. Conclude that an infection is not present.
c. Document findings and continue to monitor.
d. Request that the provider order blood cultures. Correct Answer-A ~
Because older adults have decreased immune function, including
reduced neutrophil function, fever may not be present during an episode
of infection. The nurse should assess the client for specific signs of
infection. Documentation needs to occur, but a more thorough
,assessment comes first. Blood cultures may or may not be needed
depending on the results of further assessment.
A client is taking prednisone to prevent transplant rejection. What
instruction by the nurse is most important?
a. Avoid large crowds and people who are ill.
b. Check over-the-counter meds for acetaminophen.
c. Take this medicine exactly as prescribed.
d. You have a higher risk of developing cancer. Correct Answer-A ~
Prednisone, like all steroids, decreases immune function. The client
should be advised to avoid large crowds and people who are ill.
Prednisone does not contain acetaminophen. All clients should be taught
to take medications exactly as prescribed. A higher risk for cancer is
seen with drugs from the calcineurin inhibitor category, such as
tacrolimus (Prograf).
A clinic nurse is working with an older client. What assessment is most
important for preventing infections in this client?
a. Assessing vaccination records for booster shot needs
b. Encouraging the client to eat a nutritious diet
c. Instructing the client to wash minor wounds carefully
d. Teaching hand hygiene to prevent the spread of microbes Correct
Answer-A ~ Older adults may have insufficient antibodies that have
already been produced against microbes to which they have been
exposed. Therefore, older adults need booster shots for many
vaccinations they received as younger people. A nutritious diet, proper
wound care, and hand hygiene are relevant for all populations.
, What is the NORMAL WBC lab value? Correct Answer-4,500 to 11,000
A client has a leg wound that is in the second stage of the inflammatory
response. For what manifestation does the nurse assess?
a. Noticeable rubor
b. Purulent drainage
c. Swelling and pain
d. Warmth at the site Correct Answer-B ~ During the second phase of
the inflammatory response, neutrophilia occurs, producing pus. Rubor
(redness), swelling, pain, and warmth are cardinal signs of the general
inflammatory process.
A nursing student learning about antibody-mediated immunity learns
that the cell with the most direct role in this process begins development
in which tissue or organ?
a. Bone marrow
b. Spleen
c. Thymus
d. Tonsils Correct Answer-A ~ The B cell is the primary cell in
antibody-mediated immunity and is released from the bone marrow.
These cells then travel to other organs and tissues, known as the
secondary lymphoid tissues for B cells.
What is the NORMAL HEMOGLOBIN lab value? Correct Answer-
Men: 13.5 to 17.5
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