Altered Immune Response And Transplantation

This question bank verified by Studydeets

Questions Bank

All Questions
Filter by:
Question 1
Free
Multiple Choice

Chickenpox is an example of which of the following types of immunities?

Choose correct answer/s
A

Innate

B

Natural active

C

Artificial

D

Cell-mediated

Check answer
Question 2
Free
Multiple Choice

The nurse is caring for a client in the outpatient clinic who has an immune deficiency involving the T-lymphocytes. Which of the following areas should the nurse teach the client about the need for more frequent screening?

Choose correct answer/s
A

Allergies

B

Malignancy

C

Antibody deficiency

D

Autoimmune disorders

Check answer
Question 3
Free
Multiple Choice

Which of the following antibodies is involved with an anaphylactic reaction?

Choose correct answer/s
A

IgE

B

IgA

C

IgM

D

IgG

Check answer
Question 4
Free
Multiple Choice

The nurse encourages a new mother to breastfeed her infant, even for a short time, because colostrum will provide the infant with which of the following types of immunity?

Choose correct answer/s
A

Innate

B

Active

C

Passive

D

Cell-mediated

Check answer
Question 5
Free
Multiple Choice

The nurse is assessing a client for possible atopic dermatitis. Which of the following laboratory values should the nurse review?

Choose correct answer/s
A

IgE

B

IgA

C

Basophils

D

Neutrophils

Check answer
Question 6
Multiple Choice

The nurse is conducting an annual health examination on an older adult client who states, "I don't understand why I need to have so many cancer screening tests now. I feel just fine!" Based upon this statement, which of the following topics will the nurse include in the clients' teaching plan?

Choose correct answer/s
A
Consequences of aging on cell-mediated immunity
B
Decrease in antibody production associated with aging
C
Impact of poor nutrition on immune function in older people
D
Incidence of cancer-stimulating infections in older individuals
To unlock the question
Question 7
Multiple Choice

The nurse discusses the prevention and management of allergic reactions with a client who is a beekeeper and has developed a hypersensitivity to bee stings. Which of the following client statements indicates a need for additional teaching?

Choose correct answer/s
A
"I will plan to take oral antihistamines daily before going to work."
B
"I will get a prescription for epinephrine and learn to self-inject it."
C
"I should wear a Medic Alert bracelet indicating my allergy to bee stings."
D
"I am going to need job retraining so that I can work in a different occupation."
To unlock the question
Question 8
Multiple Choice

Which of the following instructions should the nurse include when teaching a client with possible allergies about intradermal skin testing?

Choose correct answer/s
A
"Do not eat anything for about 6 hours before the testing."
B
"Take an oral antihistamine about an hour before the testing."
C
"Plan to wait in the clinic for 20-30 minutes after the testing."
D
"Reaction to the testing will take about 48-72 hours to occur."
To unlock the question
Question 9
Multiple Choice

The nurse is caring for a client who receives weekly immunotherapy and has missed the previous appointment. Which of the following actions should the nurse implement when the client comes for the next injection?

Choose correct answer/s
A
Schedule an additional dose that week.
B
Administer the usual dosage of the allergen.
C
Consult with the health care provider about giving a lower allergen dose.
D
Re-evaluate the client's sensitivity to the allergen with a repeat skin test.
To unlock the question
Question 10
Multiple Choice

The nurse is obtaining a health history from a client who works as a laboratory technician and learns that the client has a history of allergic rhinitis, asthma, and multiple food allergies. Which of the following actions is most important for the nursetoimplement?

Choose correct answer/s
A
Encourage the client to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
B
Advise the client to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
C
Document the client's allergy history and be alert for any clinical manifestations of a type I latex allergy.
D
Recommend that the client use vinyl gloves instead of latex gloves in preventing bloodborne pathogen contact.
To unlock the question
Question 11
Multiple Choice

A client diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. Which of the following pathophysiological events should the nurse plan to teach the client about this procedure?

Choose correct answer/s
A
It eliminates eosinophils and basophils from blood.
B
It removes antibody-antigen complexes from circulation.
C
It prevents foreign antibodies from damaging various body tissues.
D
It decreases the damage to organs caused by attacking T-lymphocytes.
To unlock the question
Question 12
Multiple Choice

Which of the following adverse reactions should the nurse monitor when a client is undergoing plasmapheresis?

Choose correct answer/s
A
Shortness of breath
B
High blood pressure
C
Transfusion reactions
D
Hypotension and paresthesia
To unlock the question
Question 13
Multiple Choice

The nurse is completing an assessment and health history with a client. Which of the following statements made by the client should alert the nurse to a possible immunodeficiency disorder?

Choose correct answer/s
A
"I take one baby Aspirin every day to prevent stroke."
B
"I usually eat eggs or meat for at least two meals a day."
C
"I had my spleen removed many years ago after a car accident."
D
"I had a chest x-ray 6 months ago when I had walking pneumonia."
To unlock the question
Question 14
Multiple Choice

The nurse is caring for a client who had a bone marrow transplant for treatment of leukemia and has developed a skin rash 10 days after the transplant. The nurse recognizes this reaction as an indication of which of the following?

Choose correct answer/s
A
Donor T cells are attacking the client's skin cells.
B
The client's antibodies are rejecting the donor bone marrow.
C
The client is experiencing a delayed hypersensitivity reaction.
D
The client will need treatment to prevent hyperacute rejection.
To unlock the question
Question 15
Multiple Choice

The nurse is caring for a client who has experienced Goodpasture's syndrome. Which of the following adverse effects should the nurse be aware of?

Choose correct answer/s
A
Thrombocytopenia
B
Leukopenia
C
Angioedema
D
Pulmonary hemorrhage
To unlock the question
Question 16
Multiple Choice

The nurse is teaching a client on immunosuppressant therapy after a kidney transplant about the post-transplant drug regimen. Which of the following statements by the client should alert the nurse that additional teaching is required?

Choose correct answer/s
A
"If I develop an acute rejection episode, I will need to have other types of drugs given IV."
B
"I need to be monitored closely because I have a greater chance of developing malignant tumours."
C
"After a couple of years, it is likely that I will be able to stop taking the calcineurin inhibitor."
D
"The drugs are given in combination because they inhibit different aspects of transplant rejection."
To unlock the question
Question 17
Multiple Choice

Which of the following adverse effects is related to cyclosporine administration?

Choose correct answer/s
A
Nephrotoxicity
B
Aseptic necrosis
C
Peptic ulcer
D
Leukopenia
To unlock the question
Question 18
Multiple Choice

The nurse is admitting a client to the hospital with a diagnosis of an acute rejection of a kidney transplant. Which of the following actions should the nurse anticipate implementing?

Choose correct answer/s
A
Administration of immunosuppressant medications
B
Insertion of an arteriovenous graft for hemodialysis
C
Placement of the client on the transplant waiting list
D
Drawing blood for human leukocyte antigen (HLA) and ABO compatibility matching
To unlock the question
Question 19
Multiple Choice

The nurse is admitting a client to hospital who has an acute rejection of an organ transplant. Which of the following clients is the most appropriate roommate?

Choose correct answer/s
A
A client who has viral pneumonia
B
A client with second-degree burns
C
A client who is recovering from an anaphylactic reaction to a bee sting
D
A client with graft-versus-host disease after a recent bone marrow transplant
To unlock the question
Question 20
Multiple Choice

For early detection of an anaphylactic reaction in a client who has received allergen testing using the cutaneous scratch method, which of the following actions should the nurse take first?

Choose correct answer/s
A
Check blood pressure and pulse rate.
B
Auscultate the lung sounds bilaterally.
C
Monitor pupil size and reaction to light.
D
Assess the arm at the site of the skin testing.
To unlock the question