An older patient tells the nurse that he develops pneumonia easily; however, his wife of the same age rarely gets sick. How should the nurse respond?
1. Not everyone's immune system is the same, regardless of their age.
2. Your wife must be doing something that you're not doing.
3. Maybe your wife just doesn't tell you when she's sick.
4. It's just a matter of time. Your wife will have the same illnesses you do.
Question 2A patient tells the nurse that she used to get the common cold at least three times a year but now can't remember the last time she had one. What should the nurse realize this patient is describing?
1. healthy B cell functioning
2. healthy helper T cell functioning
3. T cell secretion of antibodies
4. healthy regulator T cell functioning
Question 3A patient is admitted to receive a kidney transplant from a live sibling. The nurse realizes that what must have occurred for this surgery to be planned?
1. The human leukocyte antigens between the patient and sibling must be very similar.
2. The human leukocyte antigens between the patient and sibling must be very different.
3. The patient has an overactive immune system.
4. The donor has an overactive immune system.
Question 4A patient in isolation for an incompetent immune system asks the nurse what disease he has that requires placement in isolation. How should the nurse respond?
1. Because your immune system is weak, you can develop a disease. The isolation is to protect you.
2. I will have to find out from your doctor.
3. It's not a bad disease. The isolation is just to make sure it doesn't spread.
4. I am sure that once your medications start to work, you won't have to remain in isolation.
Question 5The daughter of an older patient asks why the patient is experiencing frequent episodes of pneumonia. What factors should the nurse discuss when responding?
Select all that apply.
1. Diminished thirst reflex
2. Diminished cough reflex
3. Less production of sputum
4. Reduced bladder contractility
5. Reduced mucociliary clearance in the lungs
Question 6A patient is prescribed metronidazole (Flagyl) for treatment of C. difficile. What should the nurse include when teaching the patient about this medication?
Select all that apply.
1. Do not drink any alcohol while taking this medication.
2. Drink a minimum of 2-1/2 to 3 quarts of fluid every day.
3. Notify the healthcare provider if urine color changes to reddish brown.
4. Changes in mentation and coordination are expected when taking this medication.
5. Contact the healthcare provider if urination becomes painful when taking this medication.
Question 7The nurse is preparing instructions for a patient with an inflammation of the right lower leg. What should the nurse emphasize when teaching this patient?
Select all that apply.
1. Elevate the extremity.
2. Reduce the intake of fluids.
3. Take analgesics as prescribed.
4. Increase activity to the extremity.
5. Cleanse the area with soap and water.
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