WorksheetsHuman body defence system
Total questions: 10
Worksheet time: 5mins
A nurse is assessing a patient with recurrent infections and notes low neutrophil counts. Which nursing action is most appropriate?
Administer antibiotics immediately
Document findings and monitor temperature
Initiate isolation precautions
Refer for bone marrow biopsy
A patient presents with signs of inflammation and elevated IL-6 levels. Which nursing diagnosis is most appropriate?
Risk for infection related to immune suppression
Acute pain related to tissue injury
Impaired immune response related to cytokine imbalance
Ineffective airway clearance related to inflammation
A nurse is planning care for a patient with impaired macrophage function. Which goal is most appropriate?
Patient will maintain normal body temperature
Patient will demonstrate improved wound healing
Patient will verbalize understanding of antibiotic therapy
Patient will show increased antibody production
During care of a patient receiving passive immunity via gamma globulin, which nursing intervention is essential?
Monitor for signs of allergic reaction
Educate on vaccine schedule
Encourage fluid intake
Assess for fever and chills
A nurse evaluates the effectiveness of a vaccine given 6 weeks ago. Which finding indicates successful outcome?
Elevated IgM levels
Presence of memory B cells
Increased neutrophil count
Reduced inflammation markers
A nurse assesses a patient with suspected autoimmune disease. Which immune system property should be evaluated?
Diversity
Specificity
Non-reactivity to self
Clonal expansion
A patient with low T-cell count is diagnosed with HIV. Which nursing diagnosis is most appropriate?
Risk for injury related to immune hyperactivity
Risk for infection related to impaired adaptive immunity
Ineffective coping related to chronic illness
Imbalanced nutrition related to poor appetite
For a patient with complement deficiency, which nursing goal is most relevant?
Patient will maintain adequate hydration
Patient will demonstrate understanding of infection prevention
Patient will verbalize pain control strategies
Patient will show improved respiratory function
A nurse is caring for a patient with mast cell activation syndrome. Which intervention is most critical?
Administer antihistamines as prescribed
Encourage ambulation
Provide high-protein diet
Monitor blood glucose levels
After administering a vaccine, the nurse evaluates immune response. Which lab result confirms successful immunization?
Elevated eosinophils
Increased IgG levels
Decreased IL-1
Reduced neutrophil count
