Question 1

The mother tells the nurse, &#34;I am so concerned about my child. He may not have adequate immunity to chicken pox.&#34; What is the best response by the nurse?&#10;A) &#34;We can draw a titer to determine if there is adequate immunity.&#34;&#10;B) &#34;There really is no way to know if your child will develop chicken pox.&#34;&#10;C) &#34;We can give your child another booster if you would like.&#34;&#10;D) &#34;You don't have to worry as long as your child has received all of his vaccinations.&#34;

Accepted Answer

Drawing a titer to determine the level of antibodies to the chicken pox virus is the most accurate way to assess immunity.

Question 2

The client receives infliximab (Remicade), an immunosuppressant medication. What is important for the nurse to teach the client about this medication?&#10;A) The client should drink plenty of fluids.&#10;B) The client should avoid crowds.&#10;C) The client should eat plenty of fruits and vegetables.&#10;D) The client should get adequate exercise.

Accepted Answer

Infliximab is an immunosuppressant medication, which means it can weaken the client's immune system and increase their risk of infection. Therefore, it is important for the client to avoid crowds and stay away from people who are sick to prevent infection. Drinking plenty of fluids, eating fruits and vegetables, and getting adequate exercise are all important for overall health, but do not specifically relate to the use of infliximab.

Question 3

The nursing instructor is teaching student nurses about humoral and cell -mediated immune responses. What does the best teaching plan include?&#10;A) B lymphocytes are an important part of cell -mediated immunity.&#10;B) Helper T cells are an important part of cell -mediated immunity.&#10;C) Humoral immunity refers to immune responses where targets are attacked by immune cells.&#10;D) Humoral immunity refers to immune responses that are mediated by antibodies.

Accepted Answer

Humoral immunity refers to immune responses that are mediated by antibodies. B lymphocytes produce antibodies that circulate in the blood and can recognize and bind to specific antigens. This triggers a cascade of immune responses that leads to destruction or neutralization of the pathogen. Cell-mediated immunity, on the other hand, involves the activation of T lymphocytes, including helper T cells that coordinate immune responses, cytotoxic T cells that directly destroy infected or cancerous cells, and regulatory T cells that help suppress immune responses to prevent autoimmune reactions. B lymphocytes are not part of cell-mediated immunity.

Question 4

The mother comes to the clinic and tells the nurse, &#34;I don't want my child to have any vaccinations. I have heard they cause autism.&#34; What is the best response by the nurse?&#10;A) &#34;Vaccinations have some risks, but the benefits outweigh the risks.&#34;&#10;B) &#34;Vaccinations are safe; there is no reason to worry.&#34;&#10;C) &#34;Vaccinations are required by law; you really don't have a choice.&#34;&#10;D) &#34;I understand what you are saying; this is really your choice.&#34;

Accepted Answer

There is no scientific evidence linking vaccines to autism. The nurse should provide factual information about the benefits and risks of vaccinations, emphasizing that the benefits outweigh the risks.

Question 5

The nurse is teaching a class on immunizations for women with newborn infants. The nurse evaluates that learning has occurred when the women make which statement(s). Select all that apply.&#10;A) &#34;Our baby might have a mild fever and be fussy for a few days.&#34;&#10;B) &#34;If our baby develops a mild fever, it means an allergic reaction.&#34;&#10;C) &#34;We can give acetaminophen (Tylenol) if our baby has a mild fever.&#34;&#10;D) &#34;If our baby develops a fever, we must call the doctor immediately.&#34;&#10;E) &#34;The immunizations are more effective if they are given closer together.&#34;

Accepted Answer

These statements demonstrate understanding of common side effects of immunizations in infants, as well as appropriate measures to take to address them. Statement B is incorrect, as a mild fever is a common and expected side effect of immunizations and does not necessarily indicate an allergic reaction. Statement D is partially correct, as calling the doctor may be appropriate if the fever is high or persistent, but a mild fever is not typically an emergency. Statement E is incorrect, as immunizations are typically spaced out at specific intervals to ensure the best efficacy and avoid overwhelming the infant's immune system.

Question 6

The client receives interferon alfa -2b (Intron -A) for treatment of Kaposi's sarcoma. Which question by the client would alert the nurse that additional assessment is necessary?&#10;A) &#34;Do I need to limit my fluids while on this medication?&#34;&#10;B) &#34;Is it safe to drink grapefruit juice with this medication?&#34;&#10;C) &#34;I really feel sad, do I need to see a psychiatrist?&#34;&#10;D) &#34;Is it okay to use aspirin or ibuprofen products while on this medication?&#34;

Accepted Answer

Interferon alfa-2b can cause depression and other psychological effects. Therefore, the client's expression of sadness should prompt the nurse to assess further for potential mood changes or suicidal ideation. Limiting fluids, grapefruit juice consumption, and use of aspirin or ibuprofen are not contraindicated with interferon therapy.

Question 7

The client receives cyclosporine (Neoral). The nurse completes medication education and evaluates learning has occurred when the client makes which statement?&#10;A) &#34;I must check my blood pressure; it can run low with this medication.&#34;&#10;B) &#34;I cannot have grapefruit while I am on this medication.&#34;&#10;C) &#34;I must take my medicine on an empty stomach.&#34;&#10;D) &#34;I might have an increased urine output with this medication.&#34;

Accepted Answer

Grapefruit juice can increase the levels of cyclosporine in the blood, which can be toxic. Therefore, clients taking cyclosporine should avoid consuming grapefruit or grapefruit juice. Option A is incorrect because cyclosporine can cause hypertension or high blood pressure, not low blood pressure. Option C is incorrect because cyclosporine should be taken with food to improve absorption. option D is incorrect because cyclosporine can cause decreased urine output, not increased urine output.

Question 8

The physician has ordered corticosteroids for the client who has undergone a kidney transplant. What will the nurse's priority assessment of this client include?&#10;A) assessing for infection&#10;B) assessing airway clearance&#10;C) assessing cardiac output&#10;D) assessing for peripheral edema

Accepted Answer

Corticosteroids can suppress the immune system, increasing the client's risk for infection. Therefore, the nurse's priority assessment should be to assess for signs of infection. Airway clearance, cardiac output, and peripheral edema may also be assessed, but are not the priority in this situation.

Question 9

The nurse is teaching a class to clients who have recently undergone transplant surgery and are taking immunosuppressant drugs. The nurse evaluates learning has occurred when the clients make which statement(s)? Select all that apply.

A) "We must wear a protective mask when going out in public."
B) "We must avoid being around children for the first six months."
C) "We must avoid exposure to individuals who have infections."
D) "We must practise reliable contraception."
E) "We must immediately report joint pain to the physician."

Accepted Answer

The answer of The nurse is teaching a class to...

Question 10

The nurse manages care for clients who have had organ transplants. What will the best plan of the nurse include when teaching the clients about body defences?&#10;A) Specific body defence usually only acts against a single organism.&#10;B) Nonspecific body defence is effective primarily against bacteria.&#10;C) Specific body defence includes the complement system.&#10;D) Nonspecific body defence is also known as the immune response.

Accepted Answer

Specific body defense mechanisms are tailored to recognize and target specific pathogens, such as viruses, bacteria, or other foreign substances, making them highly specific in their action against a single type of organism.

Question 11

The adult female client is beginning her series of Hepatitis B immunizations. What does the best teaching of the nurse include?&#10;A) &#34;Contact your physician if you develop pain at the injection site, mild fever, or soreness.&#34;&#10;B) &#34;Avoid crowded areas where you might be exposed to an infectious disease.&#34;&#10;C) &#34;practise reliable birth control for three months after the administration of the vaccinations.&#34;&#10;D) &#34;Immediately report any signs of bleeding such as hematuria, or bleeding from the gums.&#34;

Accepted Answer

The answer of The adult female client is beginning her...

Question 12

The client receives levamisol (Ergamisol), an immunostimulant. The client tells the nurse that he has severe nausea, vomiting, and abdominal cramping every time he takes the medication. What is the best assessment question for the nurse to ask?

A) "How much time have you spent out in the sun?"
B) "Have you had any flu symptoms lately?"
C) "Are you consuming at least eight glasses of water daily?"
D) "Have you been drinking any alcohol?"

Accepted Answer

The answer of The client receives levamisol (Ergamisol), an immunostimulant....

Question 13

The mother brings her child to the clinic for his last diphtheria -pertussis -tetanus (DPT) immunization. The mother tells the nurse that the child developed a fever of 41° C after the previous diphtheria -pertussis -tetanus (DPT) immunization. What does the best action by the nurse include?

A) Tell the mother to give the child acetaminophen (Tylenol) if another fever develops.
B) Administer diphenhydramine (Benadryl) prior to the diphtheria -pertussis -tetanus (DPT) immunization.
C) Withhold this immunization and contact the physician.
D) Administer only a pertussis -tetanus immunization.

Accepted Answer

The answer of The mother brings her child to the...

Question 14

The child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (Chicken pox). What does the best plan of the nurse include?

A) The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin if he develops chicken pox.
B) The child should be kept away from other children to avoid further exposure to varicella.
C) The child should be brought to the clinic immediately to receive a vaccination for chicken pox.
D) The child should come to the clinic as soon as possible to receive an injection of varicella immune globulin.

Accepted Answer

The answer of The child has leukemia and is immunosuppressed...

Question 15

The client had a liver transplant and asks the nurse if she really needs all those medications. What is the best response by the nurse?&#10;A) &#34;Yes, you need these medications because it is important to dampen your own immune response so you won't reject the new liver.&#34;&#10;B) &#34;Yes, you need these medications for the time being so you won't reject the new liver, but current research indicates that immunosuppressant drugs won't be needed soon.&#34;&#10;C) &#34;Yes, you need these medications so you won't reject your new liver; but with current cloning techniques, you will be able to grow a new liver in about five years.&#34;&#10;D) &#34;Yes, this is necessary for you to not reject the new liver, but, in time, you will be down to only one medication.&#34;

Accepted Answer

The answer of The client had a liver transplant and...

Deck 30: Drugs for Immune System Modulation