Question 1

Which of the following would the nurse identify as age-related changes in immunologic function that occur in the older adult? (Select all that apply.)

Accepted Answer

A)   Accelerated phagocytic immune response
B)   Altered nutrition intake
C)   Failure of immune system to differentiate self from nonself
D)   Increased hematuria
E)   Increased adipose tissueF)  Maintenance of function of the B lymphocytesG) B) and D)
H) B) and C)

Question 2

A client's social readjustment rating scale score was

Accepted Answer

A)   disease.
B)   sleep disturbances.
C)   developing obesity.325)  The nurse should interpret this result as increasing the client's risk for:
D)   inactivity.E) None of the above
F) A) and D)

Question 3

The nurse, after reviewing a client's immunization history, realizes that which of the following pathogen toxoids would not be given to an individual to develop an immune response?

Accepted Answer

A)   Attenuated polio
B)   Diphtheria toxoid
C)   Snake toxin
D)   Tetanus toxoidE) B) and C)
F) A) and D) C

Question 4

The nurse is concerned that a client will develop an overwhelming infection because which of the following laboratory values is low?

Accepted Answer

A)   Hematocrit
B)   Hemoglobin
C)   Eosinophils
D)   NeutropilsE) B) and C)
F) A) and C)

Question 5

The nurse is caring for a client who is experiencing an infection. The nurse knows that the body has specific cells to entrap invading organisms. Which of the following cells is not a phagocytic cell?

Accepted Answer

A)   Dendritic cells
B)   Eosinophils
C)   Macrophages
D)   NeutrophilsE) A) and D)
F) C) and D)

Question 6

A client is demonstrating signs of the inflammatory response. The nurse would assess which of the following in this client? (Select all that apply.)

Accepted Answer

A)   Increased urine output
B)   Thirst
C)   Edema
D)   Heat
E)   ErythemaF)  PainG) B) and E)
H) E) and F)

Question 7

A baby is recovering from a thymectomy. The nurse realizes that this child is at risk for developing which of the following as an adult? (Select all that apply.)

Accepted Answer

A)   Infections
B)   Increased inflammation
C)   Increase in age-related chronic diseases
D)   Acute otitis media
E)   GoutF)  Autoimmune responsesG) A) and C)
H) A) and B) A,B,C,F

Question 8

The nurse is reviewing the results of a laboratory test to measure the amount of immunoglobulins in a client's blood. Which of the following should have the highest value?

Accepted Answer

A)   IgA
B)   IgG
C)   IgM
D)   IgEE) None of the above
F) A) and B)

Question 9

Which of the following test results would not be associated with systemic lupus erythematosus (SLE) ?

Accepted Answer

A)   Decreased level of anti-DNA antibodies
B)   Decreased level of total complement
C)   Increased level of antinuclear antibodies
D)   Increased level of rheumatoid factorE) None of the above
F) A) and B)

Question 10

The nurse is providing medication to a client in order to improve the function of the client's antibodies. Which of the following are considered antibody functions? (Select all that apply.)

Accepted Answer

A)   Neutralization
B)   Agglutination
C)   Opsonization
D)   Activation of inflammation
E)   PhagocytosisF)  Activation of complementG) A) and E)
H) A) and F)

Question 11

The nurse is completing a physical assessment with a client. Which of the following findings could be caused by impaired immune function in the client?

Accepted Answer

A)   Jugular vein distention
B)   Neck pain
C)   Leg rash
D)   Hip painE) C) and D)
F) B) and D)

Question 12

An elderly client, diagnosed with a wound infection, is not demonstrating the expected signs of inflammation. The nurse realizes this is because the:

Accepted Answer

A)   client is prescribed medications that block this effect.
B)   client is experiencing age-related changes in immunological function.
C)   infection is localized.
D)   client has been misdiagnosed.E) A) and B)
F) A) and C) B

Question 13

The nurse is assessing a client for a history of cancer. To aid in this assessment, the nurse can use which of the following words as a mnemonic?

Accepted Answer

A)   CAUTION
B)   ACTION
C)   RACE
D)   OLDCARTE) B) and C)
F) A) and B)

Question 14

The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. These efforts will reduce others' exposure to molecules that can elicit an immune response or:

Accepted Answer

A)   antigens.
B)   epitopes.
C)   haptens.
D)   immunogens.E) None of the above
F) B) and C)

Question 15

A client tells the nurse that he is allergic to Valium because he experienced nausea, vomiting, and dizziness after ingesting. How should the nurse document this information?

Accepted Answer

A)   Client is allergic to Valium.
B)   Client does not want to be prescribed Valium.
C)   Valium has caused an allergic reaction in this client.
D)   Client experiences nausea, vomiting, and dizziness after ingesting Valium.E) A) and B)
F) B) and C)

Question 16

Which of the following interventions would be appropriate for a client recovering from a splenectomy?

Accepted Answer

A)   Assist with ambulation once per shift.
B)   Medicate for pain.
C)   Utilize strict infection control techniques.
D)   Encourage the client to deep breathe and cough every 8 hours.E) All of the above
F) None of the above

Question 17

The nurse is using a systematic approach to assessing a client's mole. Which of the following is included in this approach? (Select all that apply.)

Accepted Answer

A)   Asymmetry
B)   Border
C)   Color
D)   Containment
E)   DensityF)  DiameterG) A) and F)
H) B) and C)

Question 18

The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or:

Accepted Answer

A)   acquired immunity.
B)   adaptive immunity.
C)   innate immunity.
D)   specific immunity.E) B) and C)
F) All of the above

Exam 41: Assessment of Immunological Function

Which of the following would the nurse identify as age-related changes in immunologic function that occur in the older adult? (Select all that apply.)

Correct Answer
verified

A client's social readjustment rating scale score was

Correct Answer
verified

The nurse, after reviewing a client's immunization history, realizes that which of the following pathogen toxoids would not be given to an individual to develop an immune response?

Correct Answer
verified
C

The nurse is concerned that a client will develop an overwhelming infection because which of the following laboratory values is low?

Correct Answer
verified

The nurse is caring for a client who is experiencing an infection. The nurse knows that the body has specific cells to entrap invading organisms. Which of the following cells is not a phagocytic cell?

Correct Answer
verified

A client is demonstrating signs of the inflammatory response. The nurse would assess which of the following in this client? (Select all that apply.)

Correct Answer
verified

A baby is recovering from a thymectomy. The nurse realizes that this child is at risk for developing which of the following as an adult? (Select all that apply.)

Correct Answer
verified
A,B,C,F

The nurse is reviewing the results of a laboratory test to measure the amount of immunoglobulins in a client's blood. Which of the following should have the highest value?

Correct Answer
verified

Which of the following test results would not be associated with systemic lupus erythematosus (SLE) ?

Correct Answer
verified

The nurse is providing medication to a client in order to improve the function of the client's antibodies. Which of the following are considered antibody functions? (Select all that apply.)

Correct Answer
verified

The nurse is completing a physical assessment with a client. Which of the following findings could be caused by impaired immune function in the client?

Correct Answer
verified

An elderly client, diagnosed with a wound infection, is not demonstrating the expected signs of inflammation. The nurse realizes this is because the:

Correct Answer
verified
B

The nurse is assessing a client for a history of cancer. To aid in this assessment, the nurse can use which of the following words as a mnemonic?

Correct Answer
verified

The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. These efforts will reduce others' exposure to molecules that can elicit an immune response or:

Correct Answer
verified

A client tells the nurse that he is allergic to Valium because he experienced nausea, vomiting, and dizziness after ingesting. How should the nurse document this information?

Correct Answer
verified

Which of the following interventions would be appropriate for a client recovering from a splenectomy?

Correct Answer
verified

The nurse is using a systematic approach to assessing a client's mole. Which of the following is included in this approach? (Select all that apply.)

Correct Answer
verified

The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or:

Correct Answer
verified

Exam 41: Assessment of Immunological Function

Which of the following would the nurse identify as age-related changes in immunologic function that occur in the older adult? (Select all that apply.)

Correct AnswerverifiedShow Answer

A client's social readjustment rating scale score was

Correct AnswerverifiedShow Answer

The nurse, after reviewing a client's immunization history, realizes that which of the following pathogen toxoids would not be given to an individual to develop an immune response?

Correct AnswerverifiedC

The nurse is concerned that a client will develop an overwhelming infection because which of the following laboratory values is low?

Correct AnswerverifiedShow Answer

The nurse is caring for a client who is experiencing an infection. The nurse knows that the body has specific cells to entrap invading organisms. Which of the following cells is not a phagocytic cell?

Correct AnswerverifiedShow Answer

A client is demonstrating signs of the inflammatory response. The nurse would assess which of the following in this client? (Select all that apply.)

Correct AnswerverifiedShow Answer

A baby is recovering from a thymectomy. The nurse realizes that this child is at risk for developing which of the following as an adult? (Select all that apply.)

Correct AnswerverifiedA,B,C,F

The nurse is reviewing the results of a laboratory test to measure the amount of immunoglobulins in a client's blood. Which of the following should have the highest value?

Correct AnswerverifiedShow Answer

Which of the following test results would not be associated with systemic lupus erythematosus (SLE) ?

Correct AnswerverifiedShow Answer

The nurse is providing medication to a client in order to improve the function of the client's antibodies. Which of the following are considered antibody functions? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is completing a physical assessment with a client. Which of the following findings could be caused by impaired immune function in the client?

Correct AnswerverifiedShow Answer

An elderly client, diagnosed with a wound infection, is not demonstrating the expected signs of inflammation. The nurse realizes this is because the:

Correct AnswerverifiedB

The nurse is assessing a client for a history of cancer. To aid in this assessment, the nurse can use which of the following words as a mnemonic?

Correct AnswerverifiedShow Answer

The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. These efforts will reduce others' exposure to molecules that can elicit an immune response or:

Correct AnswerverifiedShow Answer

A client tells the nurse that he is allergic to Valium because he experienced nausea, vomiting, and dizziness after ingesting. How should the nurse document this information?

Correct AnswerverifiedShow Answer

Which of the following interventions would be appropriate for a client recovering from a splenectomy?

Correct AnswerverifiedShow Answer

The nurse is using a systematic approach to assessing a client's mole. Which of the following is included in this approach? (Select all that apply.)

Correct AnswerverifiedShow Answer

The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or:

Correct AnswerverifiedShow Answer

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C

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A,B,C,F

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B

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