Deck 26: Drugs for Immune System Modulation

Question 1

The nurse is caring for a client who is scheduled to receive several vaccinations.Which vaccine is a live attenuated vaccine?
1)Measles,mumps,and rubella vaccine
2)Tetanus toxoid
3)Hepatitis A vaccine
4)Influenza

Answer 1

1

Question 2

A nurse is teaching her client about cyclosporine therapy following a recent liver transplant.What statement by the client indicates further teaching is needed?
1)"I might experience a decrease in urinary flow."
2)"I can take ibuprofen (Advil)for a headache,but I have to be very careful."
3)"I can take this drug with any fluid as long as it is at the same time every day."
4)"I will need to come into the clinic for periodic blood counts."

Answer 2

3

Question 3

A client received the hepatitis B vaccine as per job policy.The nurse teaches the client that the vaccine provides prophylaxis against exposure to the hepatitis B virus.How is the virus transmitted?
1)Water
2)Food
3)Germs
4)Blood

Answer 3

4

Question 4

The nurse is teaching a client about immunity and discussing adaptive body defenses.Which cells are responsible for the functions of the immune response?
1)B cells
2)Cytokines
3)Lymphocytes
4)Activated T cells

Question 5

A client has been prescribed an immunosuppressant.The client asks the nurse,"Which of my medications is an immunosuppressant?" What is the most appropriate response by the nurse?
1)Ibuprofen (Motrin)
2)Cortisone (Cortone)
3)Cyclosporine (Neoral)
4)Prednisone

Question 6

What is the medical term for immunity that is initiated when an antigen encounters a type of lymphocyte known as a B cell?
1)Cell-mediated
2)Cytokines
3)Humoral
4)Vaccine

Question 7

The nurse is caring for a client who underwent a kidney transplant.What medication does the nurse expect to administer?
1)Cyclosporine (Sandimmune)
2)Nabumetone (Relafen)
3)Phenytoin (Dilantin)
4)Cortisone (Cortone)

Question 8

The nurse is caring for a client who has been prescribed an interferon.What effect does the nurse anticipate this medication will have on the client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Anti-inflammatory action
2)Decrease the heart rate
3)Slow the spread of viral infections
4)Increase the blood pressure
5)Stabilize normal immune responses

Question 9

A client is diagnosed with leukemia.What should the nurse teach this client regarding vaccinations?
1)They are critical for survival.
2)They are the cause of the leukemia.
3)They are contraindicated because of a weak immune system.
4)They are too late.

Question 10

Teaching parents the importance of maintaining up-to-date vaccinations is a responsibility of the nurse.What is the primary goal of vaccinations a nurse should stress?
1)Vaccinations treating illness.
2)The school nurse is the only nurse responsible for vaccine education.
3)Health departments have a responsibility to support vaccine administration.
4)Long-term immunity is the intent of vaccines.

Question 11

The nurse is caring for a client who is prescribed biologic response modifiers to boost the immune response for renal cell carcinoma.Which medication does the nurse expect to find on the medication administration record (MAR)?
1)Aldesleukin (Proleukin)
2)Anakinra (Kineret)
3)Azathioprine (Azasan)
4)Basiliximab (Simulect)

Question 12

An adult client is receiving hepatitis B (Engerix-B)injections.The nurse anticipates that the client will receive these injections on which schedule?
1)The first dose at age 11 or 12 years,the second dose 2 months after the first dose,and the third dose 6 months after the first dose
2)First dose followed by a booster 6-12 months later
3)Single annual dose
4)Three doses,with the second dose 30 days after the first and the final dose 6 months after the first

Question 13

The nurse is teaching a client about body defenses.Which defenses should the nurse include in the teaching when referring to innate defenses?
1)The skin
2)The liver
3)Cell-mediated immunity
4)Immunoglobulins (Ig)