Question 1

Which symptom would be classified as a mild transfusion reaction?

Accepted Answer

A)  Orthopnea 
B)  Tachycardia 
C)  Hypotension 
D)  Wheezing

Question 2

What is humoral immunity based on? (Select all that apply. )

Accepted Answer

A)  Production of antibodies by B cells 
B)  T cells are activated by an antigen 
C)  The body's response to an antigen 
D)  Sensitized T cells destroy the antigen 
E)  Helper T cells activate phagocytosis

Question 3

The nurse stresses that when a person produces his own antibodies against a specific antigen,that process of immunity is ______________ ________________ immunity

Accepted Answer

The answer of The nurse stresses that when a person...

Question 4

The nurse takes into consideration that when the antigen and antibody react,the complement system is activated which:

Accepted Answer

A)  toughens the cell wall. 
B)  generates more T cells. 
C)  attracts phagocytes. 
D)  makes the antigen resistant.

Question 5

The nurse outlines the functions of the immune system as those actions which: (Select all that apply. )

Accepted Answer

A)  prevent the hemorrhage. 
B)  protect the body's internal environment. 
C)  maintain the hemoglobin level. 
D)  maintain the homeostasis by removing damaged cells. 
E)  destruct the growth of abnormal cells.

Question 6

Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing,the patient complains of itching at the site,weakness,and dizziness.Which action by the nurse is most appropriate initially?

Accepted Answer

A)  Elevate the arm above the shoulder. 
B)  Administer subcutaneous epinephrine. 
C)  Apply a warm compress to area. 
D)  Apply a local antiinflammatory cream to the site.

Question 7

To provide examples of an active acquired immunity,the nurse uses the example of a person who has acquired immunity from measles because that person has had: (Select all that apply. )

Accepted Answer

A)  chickenpox and mumps. 
B)  measles. 
C)  an extremely healthy immune system. 
D)  an inoculation against measles. 
E)  maternal antibodies against measles.

Question 8

An anxious patient enters the emergency room with angioedema of the lips and tongue,dyspnea,urticaria,and wheezing after having eaten a peanut butter sandwich.What should be the nurse's first intervention?

Accepted Answer

A)  Apply cool compresses to urticaria. 
B)  Provide oxygen per nonrebreathing mask. 
C)  Cover patient with a warm blanket. 
D)  Prepare for venipuncture for the delivery of IV medication.

Question 9

What is the purpose of plasmapheresis in the treatment of rheumatoid arthritis?

Accepted Answer

A)  To add corticosteroids to relieve pain. 
B)  To remove pathologic substances present in the plasma. 
C)  To remove waste products such as urea and albumin. 
D)  To add antinuclear antibodies.

Question 10

What is B-cell proliferation dependent on?

Accepted Answer

A)  Presence of NK (natural killer)cells 
B)  Complement system 
C)  Antigen stimulation 
D)  Lymphokines

Question 11

A patient who works in a plant nursery and has suffered an allergic reaction to a bee sting is stabilized and prepared for discharge from the clinic.During discussion of prevention and management of further allergic reactions,the nurse identifies a need for additional teaching based on which comment?

Accepted Answer

A)  "I need to think about a change in my occupation." 
B)  "I will learn to administer epinephrine so that I will be prepared if I am stung again." 
C)  "I should wear a Medic-Alert bracelet indicating my allergy to insect stings." 
D)  "I will need to take maintenance doses of corticosteroids to prevent reactions to further stings."

Question 12

What is the substance released by the T cells that stimulates the lymphocytes to attack an inflammation?

Accepted Answer

A)  Lymphokine 
B)  Epinephrine 
C)  B cells 
D)  Histamine

Question 13

The nurse arrives at the bedside of a patient who has had a unit of packed cells infusing in his right arm for 35 minutes.He is complaining of chills,itching,and shortness of breath.What should be the nurse's initial action?

Accepted Answer

A)  Cover with a warm blanket. 
B)  Take the patient's temperature. 
C)  Elevate the head of the bed. 
D)  Stop the transfusion and continue with saline.

Question 14

What would the nurse recommend for a 94-year-old home health patient with deteriorated cell-mediated immunity?

Accepted Answer

A)  Avoiding the influenza vaccine 
B)  Getting pneumonia vaccine 
C)  Having skin tests for all antigens 
D)  Taking large doses of $\beta$-carotene

Question 15

What time frame must blood be transfused within once it has been removed from refrigeration?

Accepted Answer

A)  2 hours 
B)  4 hours 
C)  6 hours 
D)  3 hours

Question 16

A transfusion using blood from one's own blood is a(n)___________ transfusion,which is the best defense against a transfusion reaction.

Accepted Answer

The answer of A transfusion using blood from one's own...

Exam 55: Care of the Patient With an Immune Disorder