Deck 31: Immunologic System Introduction

Question 1

Cells in the bone marrow that are capable of developing into RBCs, WBCs, or platelets are the ______ cells.

Answer 1

stem

Question 2

Where are histamine-releasing mast cells located?

A) Circulating in the blood
B) Circulating in the lymph
C) Attached to organ tissue
D) Embedded in the bone marrow

Answer 2

Attached to organ tissue

Question 3

What are the four distinct stages of the inflammatory process? (Select all that apply.)

A) Dolor
B) Rubor
C) Tumor
D) Calor
E) Rumor

Answer 3

Dolor
Rubor
Tumor
Calor

Question 4

What is the primary function in the immune process of the spleen?

A) Filter microorganisms from the blood.
B) Store lymphocytes used to fight infections.
C) Produce additional RBCs (red blood cells).
D) Stimulate WBC production.

Question 5

Which laboratory result for a patient with acute leukemia should alert the nurse to the fact that the drug protocols are not effective?

A) Decreased prothrombin time
B) Platelet count lower than 50,000/mm³
C) Negative Western blot result
D) Neutrophils 50% to 62%

Question 6

A nurse explains that early in life, lymphocytes migrate from the marrow of the bones to the ______, in which they mature into T cells.

Question 7

A patient diagnosed with leukemia has had a bone marrow transplant and has completed chemotherapy.What is the greatest risk for this patient while healthy bone marrow is growing back?

A) Infection and bleeding
B) Hypertension and headache
C) Oliguria and urinary retention
D) Dyspnea and wheezing

Question 8

A nurse is preparing a patient for a liver and spleen scan.Which intervention is most important to implement before the procedure?

A) Prepare the biopsy site with a clean field.
B) Check for any allergies to contrast media.
C) Explain the procedure to the patient's family.
D) Have the patient eat a complete regular diet.

Question 9

What type of bone marrow transplant uses the patient's own bone marrow?

A) Allergenic
B) Allogeneic
C) Peripheral blood stem cell
D) Autologous

Question 10

What is true concerning passive-acquired immunity?

A) Antibodies are acquired from outside the host and instilled in the host.
B) Antibodies are manufactured in response to a disease in the host.
C) Antibodies are innately acquired because of being born a human being.
D) Antibodies are cell mediated inside the host.

Question 11

After a bone marrow transplant, a patient is placed on a protocol of chemotherapy and radiation and has the potential for injury.Which nursing assessment should cause the nurse concern?

A) Increased urine output
B) Decreasing bilirubin levels
C) Increasing blood pressure
D) Increasing abdominal girth

Question 12

Which nursing action should be implemented when performing skin testing?

A) Select an 18-gauge needle.
B) Inject 1 mL intradermally.
C) Check the site in 2 to 3 days for swelling.
D) Wrap the site with a pressure dressing.

Question 13

A patient taking dexamethasone (Decadron)reports insomnia.What is the best information to provide this patient regarding administration of this medication?

A) Take with milk.
B) Take at breakfast.
C) Dissolve in fruit juice.
D) Take at bedtime.

Question 14

Which human immunity is an example of innate immunity?

A) Hoof-and-mouth disease
B) Measles
C) Rabies
D) Mange

Question 15

What is responsible for initiating the inflammatory response in addition to immunoglobulin E (IgE)?

A) Eosinophils
B) Lymphocytes
C) Basophils
D) Neutrophils