Lewis Med-Surg Ch. 13 Altered Immune Responses and Transplantation questions with correct answers
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RN- Nursing
The nurse provides discharge instructions to a patient who has an immune deficiency involving the T lymphocytes. Which health screening should the nurse include in the teaching plan for this patient?
a. Screening for allergies
b. Screening for malignancies
c. Screening for antibody deficiencies
...
Lewis Med-Surg Ch. 13 Altered Immune Responses
and Transplantation questions with correct answers
The nurse provides discharge instructions to a patient who has an
immune deficiency involving the T lymphocytes. Which health
screening should the nurse include in the teaching plan for this patient?
a. Screening for allergies
b. Screening for malignancies
c. Screening for antibody deficiencies
d. Screening for autoimmune disorders Correct Answer-b. Screening for
malignancies
Cell-mediated immunity is responsible for the recognition and
destruction of cancer cells.
Which example should the nurse use to explain an infant's "passive
immunity" to a new mother?
a. Vaccinations
b. Breastfeeding
c. Stem cells in peripheral blood
d. Exposure to communicable diseases Correct Answer-b. Breastfeeding
Colostrum in breast milk provides passive immunity through antibodies
from the mother.
,A patient is being evaluated for possible atopic dermatitis. The nurse
expects elevation of which laboratory value?
a. IgE
c. Basophils
b. IgA
d. Neutrophils Correct Answer-a. IgE
Serum IgE is elevated in an allergic response (type 1 hypersensitivity
disorders).
An older adult patient who is having an annual check-up tells the nurse,
"I feel fine, and I don't want to pay for all these unnecessary cancer
screening tests!" Which information should the nurse plan to teach this
patient?
a. Consequences of aging on cell-mediated immunity
b. Decrease in antibody production associated with aging
c. Impact of poor nutrition on immune function in older people
d. Incidence of cancer-associated infections in older individuals Correct
Answer-a. Consequences of aging on cell-mediated immunity
The primary impact of aging on immune function is on T cells, which
are important for immune surveillance and tumor immunity.
A patient who collects honey to earn supplemental income has
developed a hypersensitivity to bee stings. Which statement, if made by
the patient, would indicate a need for additional teaching?
, a. "I need to find a different way to earn extra money."
b. "I will take oral antihistamines before going to work."
c. "I will get a prescription for epinephrine and learn to self-inject it."
d. "I should wear a Medic-Alert bracelet indicating my allergy to bee
stings." Correct Answer-b. "I will take oral antihistamines before going
to work."
Which information about intradermal skin testing should the nurse teach
to a patient with possible allergies?
a. "Do not eat anything for about 6 hours before the testing."
b. "Take an oral antihistamine about an hour before the testing."
c. "Plan to wait in the clinic for 20 to 30 minutes after the testing."
d. "Reaction to the testing will take about 48 to 72 hours to occur."
Correct Answer-c. "Plan to wait in the clinic for 20 to 30 minutes after
the testing."
Allergic reactions usually occur within minutes after injection of an
allergen, and the patient will be monitored for at least 20 minutes for
anaphylactic reactions after the testing.
The nurse reviewing a clinic patient's medical record notes that the
patient missed the previous appointment for weekly immunotherapy.
Which action by the nurse is appropriate?
a. Schedule an additional dose the following week.
b. Administer the scheduled dosage of the allergen.
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