The nurse is reviewing the antibody-mediated immune response with a patient experiencing a first exposure to an antigen. What events should the nurse explain that occur in this immune response?
Select all that apply.
1. Antigen-binding fragment (Fab) decreases.
2. An antigen begins the process of reaction.
3. Memory B cells and plasma cells are cloned.
4. T helper cells are stimulated.
5. Cell division and differentiation occur.
Question 2The nurse suspects that a patient is experiencing a local inflammatory response. What findings would support this conclusion?
Select all that apply.
1. temperature under 96.8F (36C)
2. heat at the site of injury
3. increased platelets
4. edema
5. functional impairment
Question 3A patient comes to the emergency department complaining of dyspnea. Based on an analysis of the data provided, what should the nurse suspect is occurring with this patient?
1. pancytopenia
2. chronic bacterial infections
3. a respiratory infection
4. a hypersensitivity response
Question 4A patient is prescribed to receive linezolid (Zyvox) 600 mg intravenously twice a day. The nurse receives the medication prepared as 600 mg/300 mL with directions to give over 120 minutes. An infusion set that administers 15 gtts/mL is available.
How many drops of medication per minute should the nurse set this infusion to deliver?
Record your answer rounding to the nearest whole number.
Question 5A patient is receiving an aminoglycoside. Which findings should the nurse immediately report?
Select all that apply.
1. history of allergy to penicillins
2. weight gain of 5 kg in 2 days
3. symptoms of vertigo
4. fluid intake below 2,000 mL/day
5. new order for IV furosemide (Lasix)
Question 6The nurse is reviewing data for a patient with a wound. Which type of precaution would the nurse identify as needed by this patient?
1. contact
2. droplet
3. airborne
4. reverse
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