Inflammation Process
Antibodies
Immunoglobulin
Wound Healing Process
What is wrong?
100
This is the second line of defense (immunity) where the "category" this question is located takes place. Cardinal signs of this are expressed in the acronym "PRISH" Pain, Redness, Immobility, Swelling, Heat.
What is Inflammation?
100
This is the ability of a pathogen to produce an immune response.
What is Immunogenicity?
100
This class of immunoglobulins display antiviral, antitoxin, and antibiotic properties. These are obtained through placental exchange in the mother to protect the infant until birth.
What are IgG immunoglobulins?
100
Mucous Membranes and Skin are both examples of this type of immunity. They are the first line of immunity.
What is Innate Immunity?
100
The community health nurse is conducting a research study and is identifying patients in the community at risk for latex allergy. Which client population is at MOST risk for developing this type of allergy? A. Hairdressers B. The homeless C. Children in day care centers D. Individuals living in a group home
Answer is A. Individuals most at risk for latex allergy are health care workers, rubber industry workers, multiple surgery history patients, Spina Bifida patients, hairdressers and others who would wear latex gloves frequently.
200
This is the response where blood vessels near the site of injury occurs, allowing white blood cells adhere to the inner walls of the vessels and migrate through the vessels.
What is the Vascular Response?
200
They engulf "tagged" antigens with antibodies present on the receptor sites.
What are Macrophages?
200
This class is usually nicknamed "the glandular class" of immunoglobulins and can be found in our saliva, nasal and respiratory secretions by protecting our mucosal membranes.
What are IgA Immunoglobulins?
200
When first born, infants have not yet developed this type of immunity. This immunity is usually obtained through the breast milk of their mothers while being breast fed.
What is Adaptive (Acquired) Immunity?
200
You have a patient with AIDS who was just diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by which finding? A. Swelling in the genital area B. Swelling in the lower extremities C. Positive punch biopsy of the cutaneous lesions D. Appearance of reddish-blue lesions noted on the skin.
Answer is C. Rationale: It is understood that not every nurse will remember every symptom of any ailment or disorder found. The key word noted here in the question is "confirmed". You can rule out at least A and B as choices by looking for diagnotic tests as a method of confirming a diagnosis as possible; this is how some questions can be answered in the NCLEX testing even without any knowledge of a specific disease's process.
300
The Complement, Coagulation, and Kinin Systems are all types of these.
What are the Plasma Protein Systems?
300
These type of antibodies bind to antigens to signal lymphocytes and macrophages the location of the antigen so they can flush it from the body.
What are APCs (Antigen-Presenting Cells)?
300
These Immunoglobulins are found on B lymphocytes and aid in maturation of B cells for acquired immunity.
What are IgD Immunoglobulins?
300
You have a type II diabetic patient with an ulcer on his right foot. As you change his wound dressing on that ulcer, you notice fluid on the dressing looks clotted and thick but has no odor. You know this type of discharge and document it as...
What is Fibrinous Exudate?
300
The home care nurse is performing an assessment on a client who has been diagnosed with an allergy to latex. In determining the patient's risk factors, the nurse should question him/her about an allergy to which food item? A. Eggs B. Milk C. Yogurt D. Bananas
Answer is D. Rationale: Individuals allergic to kiwis, bananas, pineapples, tropical fruits, grapes, avocados, potatoes, hazelnuts, or water chestnuts are at risk for developing a latex allergy.
400
This amine has two designated receptors that it can bind to having two different responses. (Proinflammatory, and anti-inflammatory)
What is Histamine?
400
These arise from lymphoid stem cells in the bone marrow and are stored in lymph nodes. There are three types of these; helper, suppressor, and cytotoxic types.
What are T Lymphocytes?
400
These bind to the mast cells and basophils. They are involved in allergic reactions, hypersensitivity reactions, and parasitic infections in the body.
What are IgE Immunoglobulins?
400
DOUBLE JEOPARDY!!!!!!! Your patient is two days post op from her cholecystectomy. You are performing wound dressing change on this patient. Part I: How should you handle this dressing change? Part II: Wound Discharge is noted as Purulent Exudate with some blood. Why should you be concerned?
Part I: Sterile Dressing Change Protocols Part II: Infection has begun to set in and needs to addressed as it could turn systemic if overlooked.
400
This would be the most expected treatment for a patient who was bitten by a stray cat.
What is Tetanus Immunization?
500
Adherence, Engulfment, Phagosome Formation, Fusion of Lysosomal Granules, and finally destruction are all the correct order to the steps of this process.
What is Phagocytosis?
500
These types of cells monitor activity of all cells in the body and destroy any that threaten the integrity of the body.
What are Cytotoxic T Cells?
500
Double Jeopardy!!!!!!!! The largest of Immunoglobulins as they are nicknamed the "mega-immunoglobulins" and play a pivotal role in formation of the natural antibodies. They are especially vital in formation of these antigens
What are IgM Immunoglobulins? Part II: ABO Blood antigens (Rh factor)
500
Under this condition, wounds heal with minimal tissue loss.
What is Primary Intention?
500
A nurse caring for an elderly patient with a chronic wound would expect this to be ordered to promote wound healing. A. Decreased Carbohydrate Diet B. Decreased Protein Diet C. Zinc Supplements D. Steroid Therapy
Answer is C. Rationale: Vitamin C and Zinc supplements are often ordered for patients with wounds to promote wound healing. Steroid therapy would decrease wound healing by delaying natural wound debridement done by antibodies and phagocytosis would be delayed.
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