Immune System Function , Assessment, & Therapeutic Measures

Classes of immunoglobulin include IgG, IgA, IgM, IgD, and IgE. Each function differently in the body to contribute to the immune response.

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A family history is also obtained. Many allergic disorders, such as allergic rhinitis and asthma, and autoimmune disorders, such as ankylosing spondylitis, are thought either to be familial or to have a genetic predisposition in certain ethnic or cultural groups

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Objective data collection begins by observing the patient’s general appearance, facial expression, hearing, vision, posture, gait, skin, lymph node enlargement, and nail beds. Rashes should be examined for size, shape, location, texture, drainage, and pruritus

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The efficiency of the immune system improves with age. As such, older adults are less susceptible to infections and autoimmune disorders.

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The nurse teaches a patient about vaccines. The nurse would evaluate the patient as understanding the presented information if the patient states that a vaccine provides which of these types of immunity?

• Naturally acquired passive immunity

• Artificially acquired passive immunity

• Naturally acquired active immunity

• Artificially acquired active immunity

Which of the following vaccines would the nurse correctly recommend be given annually during a teaching session on health maintenance with an older patient?

• Diphtheria tetanus

• Influenza

• Pneumococcal vaccine

• Polio

he nurse is assisting with data collection on a patient. Which of the following past surgeries found in the patient’s history would alert the nurse to possible immune system dysfunction when planning care? Select all that apply.

• Appendectomy

• Parathyroidectomy

• Splenectomy

• Thyroidectomy

• Thymectomy

During data collection, the patient reports tenderness in the cervical lymph nodes. The nurse recognizes that enlarged and tender lymph nodes usually indicate which of the following problems?

• Arthritis

• Cancer

• Degeneration

• Infection

The nurse is caring for a patient who is suspected to be infected with HIV. The patient asks what type of test will be done first to diagnose it. Which response by the nurse would be appropriate?

• Antibody differentiation immunoassay

• Antigen/antibody combination immunoassay

• Lymphocyte count

• Nucleic acid test

Clarithromycin (Biaxin) 200-mg oral suspension is ordered for a patient. The nurse has 125 mg/5 mL available. How many milliliters should the nurse give? Fill in the blank.Answer: ______________ mL Just a number