Immune 1
The symptom that the nurse would recognize as being pertinent to a possible diagnosis of systemic lupus erythematosus (SLE) would be which of the following?
a. “butterfly’ rash of the face
b. Thinning hair.
c. Protruding abdomen
d. Bloody diarrhea
a. “butterfly’ rash of the face
Which of the following symptoms is most commonly an early indication of stage I Hodgkin’s disease?
a. Splenomegaly
b. Pericarditis
c. Hypothermia
d. Night sweats
d. Night sweats
When developing a plan of care for the patient with human immunodeficiency virus (HIV), the nurse includes which of the following in the plan?
a. Limiting fluids to prevent congestive heart failure
b. Oral alcohol rinses to control mouth infections
c. Selections of high-fat foods in the daily diet.
d. Careful aseptic technique to prevent infection.
d. Careful aseptic technique to prevent infection.
While healthy bone marrow is growing back following chemotherapy in a patient with lymphoma, the nursing staff recalls that these patients are still at greater risk for which of the following?
a. Oliguria and urinary retention
b. Dyspnea and wheezing
c. Infection and bleeding
d. Hypertension and headache.
c. Infection and bleeding
In preparing discharge plans for a patient with systemic lupus erythematosus (SLE), it is most important for the nurse to include which of the following educational points?
a. Careful concern for certain food allergies
b. Close monitoring of daily blood glucose
c. The need to consume 2L of fluid daily
d. Use of daily sunscreens with SPF higher than 30
d. Use of daily sunscreens with SPF higher than 30
When the immune system forms antibodies this is known as what type of immunity?
a. Cell-mediated Immunity
b. Acquired active Immunity
c. Acquired active Immunity
d. Acquired passive immunity
e. Humoral Immunity
b. Acquired active Immunity
Which type of immunity will result by administration of an attenuated vaccine?
a. Artificial-active immunity
b. Artificial- passive immunity
c. Natural-active immunity
d. No immunity
a. Artificial-active immunity
The patient with HIV complains to the home health nurse that he has been having watery diarrhea for the last 10days. Because the nurse suspects toxoplasmosis, a significant question for the nurse to ask would be which of the following?
a. “Have you been drinking alcohol?”
b. “Have you stopped taking your antiviral medication?”
c. “Have you been eating aged cheese or organ meats?”
d. “Do you have a cat?”
d. “Do you have a cat?”
The nurse, in planning care, considers that the two most common opportunistic infections and malignant neoplasms in the HIV-positive patient are which of the following?
a. Mycoplasma pneumonia and Kaposi’s sarcoma
b. Pneumocystis jiroveci pneumonitis and Kaposi’s sarcoma.
c. Streptococcus pneumonia and malignant melanoma
d. Streptococcal pneumonitis and myeloma
b. Pneumocystis jiroveci pneumonitis and Kaposi’s sarcoma.
The T cells are involved in which of the following types of immunity?
a. Cell-mediated immunity
b. Humoral immunity
c. Antigen-mediated immunity
d. Immunoglobulin-mediated immunity
a. Cell-mediated immunity
Which of the following conditions or symptoms is an appropriate immune response?
a. Autoimmune disorder
b. Inflammation and increased temperature
c. Insufficient protection (immunodeficiency)
d. Allergies
b. Inflammation and increased temperature
Which safety precaution is necessary for patients receiving first-time intradermal injections to identify allergies?
a. Remind patients to call their primary care provider if a rash should develop.
b. Assess vital signs every 15minutes for 1 hour after receiving the injection
c. Teach the use of epinephrine injection if an allergic reaction occurs
d. Have the patient stay on site for 15-30 minutes following the injection
d. Have the patient stay on site for 15-30 minutes following the injection
A patient with fibromyalgia will most likely have which of the following nursing diagnosis?
a. Acute pain
b. Noncompliance
c. Risk for imbalanced fluid volume
d. Ineffective airway clearance
a. Acute pain
A clinic nurse is caring for a patient admitted with AIDS. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions. The nurse recognizes that these symptoms are most likely related to the onset of what complications?
a. Non-Hodgkin’s lymphoma
b. HIV encephalopathy
c. Kaposi’s sarcoma
d. Wasting syndrome
b. HIV encephalopathy
Autoimmunity is defined as a phenomenon involving which of the following?
a. Depression of the immune response
b. Overproduction of antibodies
c. Inability to differentiate self from nonself
d. Production of endotoxins that destroy B lymphocytes
c. Inability to differentiate self from nonself