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Chapter 18 Questions What is an effect

Chapter 18 Questions What is an effect of aging on the immune and lymphatic systems? The production of T lymphocytes from the thymus gland increases in older individuals. Neonates are the age group least susceptible to infection. Decreased ciliary action results in decreased removal of organisms. Skin becomes thicker, more elastic, and less prone to injury. The primary function of an antigen is a foreign substance or component of a cell that stimulates an immune response. a specific protein produced in a humoral response. destroying foreign cells. source of stem cells. The main type of cells involved in a primary humoral response is T lymphocytes. memory T cells. helper T cells. B lymphocytes. Which is the major antibody in primary and secondary immune responses? Immunoglobulin D Immunoglobulin G Immunoglobulin M Immunoglobulin A The nurse expects the patient to develop active naturally acquired immunity in which circumstance? Transmission from mother to fetus in utero During administration of human immune globulin After a patient contracts and survives a disease After vaccination or immunization What is the first step in the body’s defense mechanism against tissue injury or invasion of foreign organisms? Interactions with antigens by T lymphocytes Release of sensitized T cells Inflammation Cell-mediated immunity What is most beneficial in preventing facility-acquired infections in patients? Standard Precautions Immunizations Monitoring patients’ temperature every 4 hours Thorough data collection for the lymphatic and immune systems on admission 8. What type of immunity is provided by a “flu shot”? 9. How does an injection of Human immune globulin protect a world traveler from hepatitis A? 10. The nurse differentiates the humoral response from the cell-mediated response. Which statement about cell-mediated response is true? a. The sensitized lymphocytes attack the cell for which they were sensitized. b. Cells produce new antibodies. c. The response does not occur until the white blood cell (WBC) count rises. d. There is a systemic response of fever and malaise. 11. The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort? a. Swelling, which compresses nerves. b. Enzyme release, which irritates the area. c. Acidic waste from the destroyed cells. d. Heat of lysis, which affects the nerves. 12. The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold. The nurse can assure him that the baby is protected by which type of immunity? a. Artificially acquired passive immunity b. Naturally acquired active immunity c. Artificially acquired active immunity d. Naturally acquired passive immunity Chapter 19 and 20 Questions 1) HIV can be transmitted from one person to another through which mode? a) Maternal transmission to an infant c) Airborne nuclei through vaginal delivery or breast milk d) Exposure to the tears or sweat of a b) Casual contact with a person infected person infected with HIV with HIV 2) Opportunistic infections are diseases that are caused by: a) microorganisms that are commonly c) diseases that are caused specifically present in the environment or the by bacteria and viruses. body that cause disease when there is a d) diseases that are caused specifically weakening or suppression of the by fungi and parasites. immune system. b) microorganisms that are rarely present in the environment or the body that cause disease when there is a weakening or suppression of the immune system. 3) The largest proportion of new cases of HIV in the U.S. is found in what population? a) Bisexual men engaging in unprotected c) Men engaging in unprotected sex sex with women with other men b) Heterosexual women engaging in d) HIV-positive mothers passing the unprotected sex with men virus to the fetus 4) Which sign or symptom would be seen in a patient with a clinical stage I HIV infection? a) Oral candidiasis c) Persistent generalized b) Herpes zoster infection within the lymphadenopathy previous 5 years d) Lymphoma 5) After an influenza immunization, the patient complains of shortness of breath, breaks out in hives, and begins to twitch. Which ordered medication should the nurse give first? a. Epinephrine injection b. Oxygen via mask at 5 L/min c. Corticosteroid injection d. Bronchodilators per nebulization 6. The client scheduled for a computed tomography (CT) scan with contrast medium questions the nurse why the technologist asked her if she had any food allergies. Which response by the nurse is correct? a. “The dye used for a CT scan is egg based, so egg allergies would prevent you from having the test.” b. “People who are allergic to dairy products are likely to be allergic to CT scan dye.” c. “Allergies to shellfish can be a problem because shellfish and CT scan dye are iodine based.” d. “Wheat is the preservative used in CT scan dye, so allergies to wheat may cause allergies to the dye.” 7. The nurse has just administered a new antibiotic to a patient. Which manifestation is the best early indicator that the patient may be experiencing an anaphylactic reaction? a. Wheezing b. Shortness of breath c. Difficulty swallowing d. Angioedema 8. A client has been exposed to an allergen resulting in a hypersensitivity reaction. The nurse correctly recognizes that which immunoglobulin has been triggered? a. IgA b. IgB c. IgD d. IgE 9. The school nurse is instructing a group of high school sophomores in safe sex practices. Which practice(s) should the nurse include in her teaching? (Select all that apply.) a. Use a condom. b. Use a spermicide. c. Practice abstinence. d. Get vaccinated against HIV. e. Avoid unprotected orogenital sex. 10. How would you go about helping an AIDS patient find a way to afford the medications needed to control the disease? 11. A diagnosis of HIV affects a person’s self-concept. How could you help a patient voice his feelings about the diagnosis and find an effective means to cope with the disease? 12. What actions would you suggest for removing allergens from the home environment for someone allergic to man-made fibers? 13. What is the first thing you would do if a patient starts complaining of shortness of breath and wheezing just after you have administered an antibiotic by injection? Types of Immunity Match the examples to the correct type of immunity. _____Transmission of antibodies through breastmilk. ___ __Recover from an infection or disease; antibodies are then formed _____Injection of preformed antibodies to prevent disease (anti-venom) _____Vaccination to stimulate production of antibodies Naturally acquired active immunity Artificially acquired passive immunity Naturally acquired passive immunity Artificially acquired active immunity Chapter 18 Questions What is an effect of aging on the immune and lymphatic systems? The production of T lymphocytes from the thymus gland increases in older individuals. Neonates are the age group least susceptible to infection. Decreased ciliary action results in decreased removal of organisms. Skin becomes thicker, more elastic, and less prone to injury. The primary function of an antigen is a foreign substance or component of a cell that stimulates an immune response. a specific protein produced in a humoral response. destroying foreign cells. source of stem cells. The main type of cells involved in a primary humoral response is T lymphocytes. memory T cells. helper T cells. B lymphocytes. Which is the major antibody in primary and secondary immune responses? Immunoglobulin D Immunoglobulin G Immunoglobulin M Immunoglobulin A The nurse expects the patient to develop active naturally acquired immunity in which circumstance? Transmission from mother to fetus in utero During administration of human immune globulin After a patient contracts and survives a disease After vaccination or immunization What is the first step in the body’s defense mechanism against tissue injury or invasion of foreign organisms? Interactions with antigens by T lymphocytes Release of sensitized T cells Inflammation Cell-mediated immunity What is most beneficial in preventing facility-acquired infections in patients? Standard Precautions Immunizations Monitoring patients’ temperature every 4 hours Thorough data collection for the lymphatic and immune systems on admission 8. What type of immunity is provided by a “flu shot”? 9. How does an injection of Human immune globulin protect a world traveler from hepatitis A? 10. The nurse differentiates the humoral response from the cell-mediated response. Which statement about cell-mediated response is true? a. The sensitized lymphocytes attack the cell for which they were sensitized. b. Cells produce new antibodies. c. The response does not occur until the white blood cell (WBC) count rises. d. There is a systemic response of fever and malaise. 11. The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort? a. Swelling, which compresses nerves. b. Enzyme release, which irritates the area. c. Acidic waste from the destroyed cells. d. Heat of lysis, which affects the nerves. 12. The young father tells the industrial nurse at work that he is afraid he will give his 2-week-old baby his cold. The nurse can assure him that the baby is protected by which type of immunity? a. Artificially acquired passive immunity b. Naturally acquired active immunity c. Artificially acquired active immunity d. Naturally acquired passive immunity Chapter 19 and 20 Questions 1) HIV can be transmitted from one person to another through which mode? a) Maternal transmission to an infant c) Airborne nuclei through vaginal delivery or breast milk d) Exposure to the tears or sweat of a b) Casual contact with a person infected person infected with HIV with HIV 2) Opportunistic infections are diseases that are caused by: a) microorganisms that are commonly c) diseases that are caused specifically present in the environment or the by bacteria and viruses. body that cause disease when there is a d) diseases that are caused specifically weakening or suppression of the by fungi and parasites. immune system. b) microorganisms that are rarely present in the environment or the body that cause disease when there is a weakening or suppression of the immune system. 3) The largest proportion of new cases of HIV in the U.S. is found in what population? a) Bisexual men engaging in unprotected c) Men engaging in unprotected sex sex with women with other men b) Heterosexual women engaging in d) HIV-positive mothers passing the unprotected sex with men virus to the fetus 4) Which sign or symptom would be seen in a patient with a clinical stage I HIV infection? a) Oral candidiasis c) Persistent generalized b) Herpes zoster infection within the lymphadenopathy previous 5 years d) Lymphoma 5) After an influenza immunization, the patient complains of shortness of breath, breaks out in hives, and begins to twitch. Which ordered medication should the nurse give first? a. Epinephrine injection b. Oxygen via mask at 5 L/min c. Corticosteroid injection d. Bronchodilators per nebulization 6. The client scheduled for a computed tomography (CT) scan with contrast medium questions the nurse why the technologist asked her if she had any food allergies. Which response by the nurse is correct? a. “The dye used for a CT scan is egg based, so egg allergies would prevent you from having the test.” b. “People who are allergic to dairy products are likely to be allergic to CT scan dye.” c. “Allergies to shellfish can be a problem because shellfish and CT scan dye are iodine based.” d. “Wheat is the preservative used in CT scan dye, so allergies to wheat may cause allergies to the dye.” 7. The nurse has just administered a new antibiotic to a patient. Which manifestation is the best early indicator that the patient may be experiencing an anaphylactic reaction? a. Wheezing b. Shortness of breath c. Difficulty swallowing d. Angioedema 8. A client has been exposed to an allergen resulting in a hypersensitivity reaction. The nurse correctly recognizes that which immunoglobulin has been triggered? a. IgA b. IgB c. IgD d. IgE 9. The school nurse is instructing a group of high school sophomores in safe sex practices. Which practice(s) should the nurse include in her teaching? (Select all that apply.) a. Use a condom. b. Use a spermicide. c. Practice abstinence. d. Get vaccinated against HIV. e. Avoid unprotected orogenital sex. 10. How would you go about helping an AIDS patient find a way to afford the medications needed to control the disease? 11. A diagnosis of HIV affects a person’s self-concept. How could you help a patient voice his feelings about the diagnosis and find an effective means to cope with the disease? 12. What actions would you suggest for removing allergens from the home environment for someone allergic to man-made fibers? 13. What is the first thing you would do if a patient starts complaining of shortness of breath and wheezing just after you have administered an antibiotic by injection? Types of Immunity Match the examples to the correct type of immunity. _____Transmission of antibodies through breastmilk. ___ __Recover from an infection or disease; antibodies are then formed _____Injection of preformed antibodies to prevent disease (anti-venom) _____Vaccination to stimulate production of antibodies Naturally acquired active immunity Artificially acquired passive immunity Naturally acquired passive immunity Artificially acquired active immunity SCIENCE HEALTH SCIENCE NURSING

 
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