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WorksheetsNUR 211 - Immunity
Total questions: 20
Worksheet time: 10mins
The nurse is instructing a patient with an immune system disease about the major functions of immunity. Which information must the nurse include? Select all that apply:
Immunity requires three immunity processes
Inflammation process is natural immunity
The gastrointestinal system is part of natural immunity.
Antibody-mediated immunity produces new white blood cells.
Cell-mediated immunity circulates T-lymphocytes.
Immune function is most efficient when people are which age?
Infancy
Teen Years
20 to 30 Years
50 Years and Older
For a person to be immunocompetent, which processes need to be functional and interact appropriately with each other? (Select all that apply.)
Antibody-Mediated Immunity
Cell-Mediated Immunity
Inflammation
Red Blood Cells
White Blood Cells
A 37-year-old man with polycystic kidney disease is on the kidney transplant list. He is to receive 2 units of leukocyte-poor packed red blood cells to treat a low hemoglobin. He asks the nurse why he needs this type of blood. What is the nurse’s best response?
“It causes fewer blood reactions for pre-transplant patients.”
“It is less likely to causes hemolysis, or destruction of the blood cells, after transfusion.”
“All pre-transplant patients receive leukocyte-poor blood because it is absorbed better by the body.”
“It will decrease the risk of obtaining white blood cells from the donor that could make it harder for your transplanted kidney to function.”
What might a psychosocial examination of a patient with advanced RA reveal? Select all that apply.
Role Changes
Poor Self Esteem and Body Image
Grieving and Depression
Loss of Control and Independence
A nurse is teaching a female client with rheumatoid arthritis (RA) about taking methotrexate (MTX) for disease control. What information does the nurse include? (Select all that apply.)
“Avoid acetaminophen in over-the-counter medications.”
“It may take several weeks to become effective on pain.”
“Pregnancy and breast-feeding are not affected by MTX.”
“Stay away from large crowds and people who are ill.”
“You may find that folic acid, a B vitamin, reduces side effects.”
During a health history assessment, a patient with rheumatoid arthritis, chronic hypertension, and diagnosis of a recent cerebrovascular accident states that she takes 2 fish oil capsules (5 g) daily as a supplement for her RA. What additional question(s) should the nurse ask? (Select all that apply.)
“Are you taking anticoagulant medications?”
“Have you found the fish oil helps your RA?”
“What other supplements do you currently take?”
“How long have you been taking fish oil capsules?”
“Have you notified your physician about taking fish oil capsules?”
The nurse is interviewing a patient suspected of having systemic lupus erythematosus (SLE). Which of the following features of SLE is correct? Select all that apply:
SLE is more common in underweight people.
SLE is commonly diagnosed between the ages of 40 & 60.
SLE is more common in women
SLE runs in families
SLE is more common in Caucasians
Which couple has the highest risk for sexual transmission of HIV without the use of a condom?
Uninfected male performing vaginal intercourse with an infected female.
Infected male performing vaginal intercourse with an uninfected female.
Uninfected male performing anal intercourse with an infected male.
Infected male performing oral sex on an uninfected male.
During a health assessment, a 22 year old college student tells the nurse that she is sexually active and protects herself from HIV and other sexually transmitted diseases (STDs) by using oral contraceptives. What is the nurse’s best action?
Remind the student that only abstinence prevents STDs.
Ask the health care provider to order an HIV test for this student.
Inform the student that oral contraceptives protect against pregnancy but not against any STD.
Reinforce the student’s preferred use of oral contraceptives, and refrain from commenting on her sexual activity.
A patient tells the nurse that she has recently engaged in unprotected sexual intercourse. The nurse recognizes that which symptom(s) may be consistent with an acute infection, following infection with HIV? (Select all that apply)
Fever
Chills
Headache
Night Sweats
Muscle Aches
A patient is fearful that he has been infected with HIV. The nurse recognizes which as the first symptom associated with possible HIV infection?
Lymphocytopenia
Opportunistic Infection
Fever, Night Sweats, Muscle Aches
Reduced Number of CD4+ T-Cells
The nurse has educated the patient with a shellfish allergy about signs and symptoms of angioedema. Which patient statement requires further nursing education?
“I can eat shrimp because it is not a shellfish.”
“There is an epinephrine injector in my purse at all times.”
“Symptoms of angioedema include swelling of eyes, lips, and tongue.”
“When I see a new physician, I will report that I have a shellfish allergy.”
A client receiving thrombolytic therapy with a continuous infusion of alteplase suddenly becomes extremely anxious and complains of itching. The nurse hears stridor and notes generalized urticaria and hypotension. Which nursing action is the priority?
Administer oxygen and protamine sulfate.
Cut the infusion rate in half and sit the client up in bed.
Stop the infusion and call for the Rapid Response Team (RRT).
Administer diphenhydramine and epinephrine and continue the infusion.
A client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream. The nurse determines that the client understands the use of the medication if the client makes which statement?
"The medication will act as a local analgesic."
"The medication acts by decreasing muscle spasms."
"The medication will cause redness, flaking, and the skin to peel."
"A heating pad should be put on the area after applying the medication."
A client is admitted with suspected pneumonia from the emergency department. The client went to the primary care provider a “few days ago” and shows the nurse the results of what the client calls “an allergy test,” as shown. Which action by the nurse takes priority?
Assess the client for possible items to which he or she is allergic.
Call the primary care provider’s office to request records.
Immediately place the client on Airborne Precautions.
Prepare to begin administration of intravenous antibiotics.
A nurse has educated a client on isoniazid. What statement by the client indicates teaching has been effective?
“I need to take extra vitamin C while on INH.”
“I should take this medicine with milk or juice.”
“I will take this medication on an empty stomach.”
“My contact lenses will be permanently stained.”
A client has been diagnosed with tuberculosis (TB). What action by the nurse takes highest priority?
Educating the client on adherence to the treatment regimen
Encouraging the client to eat a well-balanced diet
Informing the client about follow-up sputum cultures
Teaching the client ways to balance rest with activity
Which information is most important for a nurse to include when teaching a client with tuberculosis about the prescribed first-line drug therapy?
“Report darkening or reddening of the urine while taking Rifampin.”
“Do not drink alcohol in any quantity while taking Isoniazid.”
“Restrict fluid intake to 2 quarts per day on pyrazinamide.”
“Temporary visual changes while taking ethambutol are not serious.”
A nurse is assisting with admitting a child who has HIV. The nurse should identify which of the following findings as indications that the child is in the moderately symptomatic category (B)? Select all that apply.
Herpes Zoster
Bronchitis
Oral Candidiasis
Mycobacterial Pneumonia
Tuberculosis
