The nurse believes that a patient is experiencing a systemic reaction associated with an inflammatory response. Which assessment finding supports this nurse's belief?
1. edematous groin lymph nodes
2. erythema
3. edema
4. pain
Question 2The nurse is concerned that a patient is exhibiting signs and symptoms of inflammation. What did the nurse assess to come to this conclusion?
Select all that apply.
1. leg edema
2. severe pain from swelling
3. severe erythema of leg
4. leg cool to the touch
5. decreased peripheral pulses
Question 3The nurse is caring for a patient diagnosed with a lung infection. Which immunoglobulin level should the nurse expect to be elevated in this patient?
1. immunoglobulin A
2. immunoglobulin M
3. immunoglobulin E
4. immunoglobulin D
Question 4A patient who just delivered a newborn baby is concerned that the baby will catch a cold from a healthcare provider who was coughing and sneezing in the delivery room. How should the nurse respond?
1. The baby has some protection from infections from the time of birth.
2. The baby should be isolated.
3. I will be sure to have everyone check the baby's temperature for signs of an infection.
4. The healthcare provider should not have been participating in your care.
Question 5An older patient has a small pressure ulcer on the coccyx. What should the nurse do to promote healing of the wound?
1. encourage high-protein food choices in the diet
2. limit carbohydrate intake
3. encourage a high intake of vitamin E
4. restrict caloric intake
Question 6A patient tells the nurse that he's happy that his wife did not catch the same cold from which he has recently recovered. The nurse realizes that what most likely occurred in his wife?
1. Helper T cells had a memory of a previous exposure to the same virus that caused the patient's illness.
2. Suppressor T cells killed the virus.
3. The virus was eliminated via phagocytosis by neutrophils.
4. Cytokines were released.
Question 7A patient sustains fractures to the ribs, both femurs, and one humerus. When planning care for this patient's immunologic status, what should the nurse include?
1. Monitor complete blood count daily.
2. Limit food rich in iron.
3. Perform passive range of motion to unaffected extremities.
4. Keep on bed rest.
Question 8A patient is diagnosed with a positive tuberculosis skin test. The nurse understands that this response is due to what?
1. performing a cell-mediated inflammatory response
2. promoting phagocytosis of the antigen by neutrophils
3. clumping antigens to form a noninvasive aggregate
4. coating the antigen with antibodies
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