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Terms in this set (38)
d. are effective only against specific antigens.
2. B and T cells are similar in that they both
b. play important roles in the immune response.
3. Which of the following is not a cytokine?
4. As part of the nonspecific defense against infection,
b. particles in the respiratory tract are engulfed by phagocytes.
5. B cells respond to an initial antigen challenge by
d. producing new cells that become plasma cells and memory cells.
6. Treating fevers remains a controversial subject because
b. higher temperatures act as catalysts to many of the body's chemical reactions.
7. After describing the function of T cells, the nurse would identify the need for additional teaching if the patient stated that T cells become which type of cells?
d. Antibody-secreting T cells
8. Interleukins are
b. chemicals secreted by activated leukocytes.
Multiple Response (select all that apply)
1. Which of the following statements could be used to describe a neutrophil?
a. They possess the property of phagocytosis.
b. When activated, they release a pyrogen that causes fever.
c. When the body is injured, they are produced rapidly and in large numbers.
2. The inflammatory response is activated whenever cell injury occurs. An inflammatory response would involve which activities?
a. Activation of Hageman factor.
b. Vasodilation in the area of the injury.
d. Changes in capillary permeability to allow proteins to leak out of the capillaries.
1. A drug could be classified as an analgesic if it
d. reduces pain.
2. An antipyretic is a drug that can
c. block fever.
3. A nurse might not see a salicylate used as an antiinflammatory if a drug was needed for its
d. parenteral availability.
4. The nonsteroidal NSAIDs affect the COX-1 and COX-2 enzymes. By blocking COX-2 enzymes the NSAIDs block inflammation and the signs and symptoms of inflammation at the site of injury or trauma. By blocking COX-1 enzymes, these drugs block
b. prostaglandins that protect the stomach lining.
5. Your patient has been receiving ibuprofen for many years to relieve the pain of osteoarthritis. Assessment of the patient should include
d. renal evaluation.
6. Patients taking NSAIDs should be taught to avoid the use of OTC medications without checking with their prescriber because
a. many of the OTC preparations contain NSAIDs, and inadvertent toxicity could occur.
7. Chronic or excessive activity by the inflammatory response can lead to
c. release of lysosomal enzymes and tissue destruction.
8. A patient with rheumatoid arthritis who is on a fixed income and who is being treated with aspirin should be advised
c. to use generic aspirin.
MULTIPLE RESPONSE (Select all that apply)
1. A client is being treated for severe rheumatoid arthritis. The nurse could anticipate treatment with which of the following?
a. Etanercept—TNF blocker
b. Gold therapy
c. Hylan G-F 20—hylans with elastic properties
2. The nurse notes an order for oxaprozin (Daypro) for the treatment of arthritis. Before administering the drug, the nurse would assess the patient for which problems that could be cautions or contraindications?
c. Active peptic ulcer disease
e. Renal impairment
f. Bleeding disorders
1. In which situation would the nurse least likely expect to administer an immunosuppressant?
d. Treatment of aggressive cancers
2. The nurse would expect to administer interferon alfa-n3 (Alferon N) as the drug of choice for
c. intralesional treatment of warts
3. Patient teaching for a patient receiving an interferon would include
d. proper methods injecting the drug.
4. Patients who are receiving an immune stimulant may experience any of the clinical signs of immune response activity, including
a. flu-like symptoms.
5. Organ transplants are often rejected by the body because the T cells recognize the transplanted cells as foreign and try to destroy them. Treatment with an immune suppressant would
d. block the initial damage to the transplanted cells.
6. You might use a monoclonal antibody in treating
c. tumors that overexpress HER2.
1. The nurse is assigned to care for a client who is receiving immune suppressants. The nurse would continually assess the client for which of the following anticipated adverse effects?
a. Development of cancers
b. Increased risk of infection
d. Development of secondary infections
2. Teaching points that the nurse would incorporate into the care of a client receiving cyclosporine would include which information?
a. Use barrier contraceptives to avoid pregnancy.
c. Dilute the solution with milk, chocolate milk, or orange juice and drink immediately.
d. Avoid drinking grapefruit juice when on this drug.
1. When preparing a presentation for a local parent group about vaccines, the nurse would describe vaccines as being used to stimulate
b. active immunity to a foreign protein.
2. After teaching a parent about common adverse effects associated with routine immunizations, which of the following, if stated by the parent, would indicate the need for additional teaching?
a. Difficulty breathing and fainting
3. Which vaccine would the nurse be least likely to recommend for a 6-month-old child?
d. Chickenpox vaccine
4. It is now recommended that all people over the age of 6 months should receive a flu vaccine every fall based on the understanding that the vaccine is repeated because
b. the strains of virus predicted to cause the flu change every year.
5. The nurse reviews a patient's record to make sure that tetanus booster shots have been given
d. every 10 years.
6. A nurse suffers a needlestick after injecting a patient with suspected hepatitis B. The nurse should
b. immediately receive hepatitis immune globulin and begin hepatitis B vaccines if she has not already received them.
7. A patient is to receive immune globulin after exposure to hepatitis A. The patient has a previous history of allergies to various drugs. Before giving the immune globulin, the nurse should
a. have emergency equipment readily available.
1. A public education campaign to stress the importance of childhood immunizations should include which points?
a. Prevention of potentially devastating diseases outweighs the discomfort and risks of immunization.
b. Routine immunization is standard practice in the United States.
c. The practice of routine immunizations has virtually wiped out many previously deadly or debilitating diseases.
f. The temporary discomfort associated with the immunization can be treated with over-the-counter drugs.
2. A mother brings her child to his 18-month well-baby visit. The nurse would not give the child his routine immunizations in which situations?
c. He currently has a fever and symptoms of a cold.
e. He is currently taking oral corticosteroids.
f. His siblings are all currently being treated for a viral infection.
3. When assessing the medical record of an older adult to evaluate the status of his immunizations, the nurse would be looking for evidence of which immunizations?
b. Yearly flu vaccination
c. Tetanus booster every 10 years
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