Question 1

An adult female client is beginning her series of Hepatitis B immunizations.What does the best teaching by the nurse include?

Accepted Answer

The Hepatitis B vaccine is generally safe, but it is recommended to avoid pregnancy for a short period after vaccination as a precaution.

Question 2

A mother tells the nurse,"I am so concerned about my child.He may not have adequate immunity to chicken pox." What is the best response by the nurse?

Accepted Answer

The best response by the nurse is to offer to draw a titer to determine if the child has adequate immunity to chicken pox. This test measures the levels of specific antibodies in the blood and can indicate whether the child has enough antibodies to protect against the infection. This is a more accurate way to assess immunity compared to relying solely on vaccinations or simply waiting to see if the child develops chicken pox.

Question 3

The client receives cyclosporine (Neoral).The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Grapefruit can interact with cyclosporine and increase the risk of side effects. Checking blood pressure, timing of medication with meals, and increased urine output are not commonly associated with cyclosporine.

Question 4

The client receives an immunostimulant.The client tells the nurse that he gets very sleepy and thirsty every time he takes the medication.What is the best assessment for the nurse to ask?

Accepted Answer

The answer of The client receives an immunostimulant.The client tells...

Question 5

The nurse manages care for clients who have had organ transplants.What is the best information for the nurse to include when teaching the clients about body defenses?

Accepted Answer

The answer of The nurse manages care for clients who...

Question 6

The major difference between B cell lymphocytes and T cell lymphocytes is that

Accepted Answer

The answer of The major difference between B cell lymphocytes...

Question 7

A key part of the nursing process when caring for a client who is receiving immunosuppressant therapy should be to

Accepted Answer

Assessing renal function is a key part of the nursing process when caring for a client who is receiving immunosuppressant therapy because these medications can cause nephrotoxicity.

Question 8

The physician has ordered cyclosporine (Sandimmune)for the client who has undergone a kidney transplant.What will the nurse's priority assessment of this client include?

Accepted Answer

The priority assessment for a client on cyclosporine after kidney transplant should include assessing for infection as this medication suppresses the immune system and can increase the risk of infections. The other options (B, C, D) are important assessments but not the priority in this scenario.

Question 9

The nurse is teaching a class to clients who have recently undergone transplant surgery and are taking immunosuppressant drugs.The nurse evaluates that learning has occurred when the clients make which statements? Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

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

Question 10

T cells produce

Accepted Answer

T cells are a type of white blood cell that helps the immune system fight off infections. They produce cytokines, which are signaling molecules that help regulate the immune response and communicate between different cells of the immune system.

Question 11

The client receives infliximab (Remicade),an immunosuppressant medication.What is the priority information for the nurse to teach the client about this medication?

Accepted Answer

Infliximab is an immunosuppressive medication which increases the risk of infection. Therefore, it's important for the client to avoid crowds and people who are sick to reduce the risk of contracting infections. Adequate exercise, drinking plenty of fluids, and eating fruits and vegetables are important for overall health, but they are not the priority when taking immunosuppressive medication.

Question 12

All of the following are associated with non-specific immune response except

Accepted Answer

Lymphocytes are specifically involved in the adaptive immune response, which is different from the non-specific immune response.

Question 13

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 statements? Credit will be given only if all correct choices and no incorrect choices are selected

Accepted Answer

Option B is correct as it indicates the possible side effects of immunizations like mild fever and being fussy for a few days. Option D is correct as it suggests a possible remedy for the mild fever (giving acetaminophen/Tylenol). Options A and E are incorrect as giving immunizations too close together can actually decrease their effectiveness and a mild fever after immunizations is a common and expected side effect, not an allergic reaction. Option C is partially correct but lacks specificity - the doctor should be called if the baby's fever reaches a certain temperature or if there are other concerning symptoms present.

Question 14

The most important nursing consideration when a client is receiving immunostimulant therapy is to

Accepted Answer

Immunostimulant therapy can affect liver function, so monitoring hepatic enzymes is crucial to detect any liver-related side effects.

Question 15

The nursing instructor is teaching student nurses about humoral and cell-mediated immune responses.What does the best teaching plan include?

Accepted Answer

Humoral immunity refers to immune responses that are mediated by antibodies. Helper T cells are not part of humoral immunity but rather play a role in cell-mediated immunity. B lymphocytes, not T cells, are part of humoral immunity.

Question 16

A mother comes to the clinic and tells the nurse,"I don't want my child to have any vaccinations.I have heard they cause autism." What is the best response by the nurse?

Accepted Answer

The nurse should acknowledge the mother's concerns but also provide accurate information. The statement "Vaccinations have some risks, but the benefits outweigh the risks" is the best response because it acknowledges that there are potential risks associated with vaccinations, but also emphasizes the greater benefit of protecting the child from vaccine-preventable diseases. It provides the mother with accurate information and allows her to make an informed decision.

Question 17

The client receives interferon alfa-2b (Intron-A)for treatment of Kaposi's sarcoma.Which by the client would alert the nurse that additional assessment is necessary?

Accepted Answer

The client expressing feelings of sadness may indicate a need for additional assessment of psychological well-being, as interferon alfa-2b can cause depression and other mood changes as side effects.

Question 18

A 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 red rash after the previous diphtheria-pertussis-tetanus (DPT)immunization.What does the best action by the nurse include?

Accepted Answer

It is important to investigate the potential allergic reaction further before administering another dose of the DPT vaccine. The nurse should consult with the physician and follow their recommendation on how to proceed with the child's vaccinations.

Question 19

A 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 by the nurse include?

Accepted Answer

The best plan of action would be to administer varicella immune globulin as soon as possible to the immunosuppressed child who has been exposed to chicken pox as this provides passive immunity against the virus. This is particularly important in children who are immunocompromised and cannot mount an adequate immune response. Bringing the child to the clinic as soon as possible would allow for prompt administration of varicella immune globulin. Option A is incorrect as the child should receive varicella immune globulin regardless of whether or not they develop chicken pox. Option C is incorrect as vaccine administration in an immunocompromised child is not recommended. Option D is not entirely practical as the child may have already been exposed to the virus and may also require medical attention.

Question 20

Immunosuppressants include

Accepted Answer

Immunosuppressants are medications that reduce the activity of the immune system. Glucocorticoids, such as prednisone and dexamethasone, are commonly used as immunosuppressants. Gamma globulin is a type of blood product that contains antibodies and can be used to provide passive immunity, but it is not typically considered an immunosuppressant. Antipsychotics are a type of psychiatric medication and antifungals are medications used to treat fungal infections, neither of which are immunosuppressants.

Quiz 32: Drugs for Immune System Modulation

An adult female client is beginning her series of Hepatitis B immunizations.What does the best teaching by the nurse include?

A mother tells the nurse,"I am so concerned about my child.He may not have adequate immunity to chicken pox." What is the best response by the nurse?

The client receives cyclosporine (Neoral) .The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

The client receives an immunostimulant.The client tells the nurse that he gets very sleepy and thirsty every time he takes the medication.What is the best assessment for the nurse to ask?

The nurse manages care for clients who have had organ transplants.What is the best information for the nurse to include when teaching the clients about body defenses?

The major difference between B cell lymphocytes and T cell lymphocytes is that

A key part of the nursing process when caring for a client who is receiving immunosuppressant therapy should be to

The physician has ordered cyclosporine (Sandimmune) for the client who has undergone a kidney transplant.What will the nurse's priority assessment of this client include?

T cells produce

The client receives infliximab (Remicade) ,an immunosuppressant medication.What is the priority information for the nurse to teach the client about this medication?

All of the following are associated with non-specific immune response except

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 statements? Credit will be given only if all correct choices and no incorrect choices are selected

The most important nursing consideration when a client is receiving immunostimulant therapy is to

The nursing instructor is teaching student nurses about humoral and cell-mediated immune responses.What does the best teaching plan include?

A mother comes to the clinic and tells the nurse,"I don't want my child to have any vaccinations.I have heard they cause autism." What is the best response by the nurse?

The client receives interferon alfa-2b (Intron-A) for treatment of Kaposi's sarcoma.Which by the client would alert the nurse that additional assessment is necessary?

A 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 red rash after the previous diphtheria-pertussis-tetanus (DPT) immunization.What does the best action by the nurse include?

A 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 by the nurse include?

Immunosuppressants include