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s.l.green s.l.green
wrote...
Posts: 274
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6 years ago
The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select all that apply.)
 
  a. Edema
  b. Pulselessness
  c. Pallor
  d. Redness
  e. Warmth

Question 2

A student nurse is learning about the types of different cells involved in the inflammatory response. Which principles does the student learn? (Select all that apply.)
 
  a. Basophils are only involved in the general inflammatory process.
  b. Eosinophils increase during allergic reactions and parasitic invasion.
  c. Macrophages can participate in many episodes of phagocytosis.
  d. Monocytes turn into macrophages after they enter body tissues.
  e. Neutrophils can only take part in one episode of phagocytosis.

Question 3

For a person to be immunocompetent, which processes need to be functional and interact appropriately with each other? (Select all that apply.)
 
  a. Antibody-mediated immunity
  b. Cell-mediated immunity
  c. Inflammation
  d. Red blood cells
  e. White blood cells

Question 4

A client receiving muromonab-CD3 (Orthoclone OKT3) asks the nurse how the drug works. What response by the nurse is best?
 
  a. It increases the elimination of T lymphocytes from circulation.
  b. It inhibits cytokine production in most lymphocytes.
  c. It prevents DNA synthesis, stopping cell division in activated lymphocytes.
  d. It prevents the activation of the lymphocytes responsible for rejection.

Question 5

An older adult has a mild temperature, night sweats, and productive cough. The client's tuberculin test comes back negative. What action by the nurse is best?
 
  a. Recommend a pneumonia vaccination.
  b. Teach the client about viral infections.
  c. Tell the client to rest and drink plenty of fluids.
  d. Treat the client as if he or she has tuberculosis (TB).

Question 6

The nurse working in an organ transplantation program knows that which individual is typically the best donor of an organ?
 
  a. Child
  b. Identical twin
  c. Parent
  d. Same-sex sibling

Question 7

A nurse is assessing a client for acute rejection of a kidney transplant. What assessment finding requires the most rapid communication with the provider?
 
  a. Blood urea nitrogen (BUN) of 18 mg/dL
  b. Cloudy, foul-smelling urine
  c. Creatinine of 3.9 mg/dL
  d. Urine output of 340 mL/8 hr
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Replies
wrote...
6 years ago
The answer to question 1

ANS: A, D, E
The five cardinal signs of inflammation include redness, warmth, pain, swelling, and decreased function.

The answer to question 2

ANS: B, C, D, E
Eosinophils do increase during allergic and parasitic invasion. Macrophages participate in many episodes of phagocytosis. Monocytes turn into macrophages after they enter body tissues. Neutrophils only take part in one episode of phagocytosis. Basophils are involved in both the general inflammatory response and allergic or hypersensitivity responses.

The answer to question 3

ANS: A, B, C
The three processes that need to be functional and interact with each other for a person to be immunocompetent are antibody-mediated immunity, cell-mediated immunity, and inflammation. Red and white blood cells are not processes.

The answer to question 4

ANS: A
Muromonab-CD3 (Orthoclone OKT3) is a monoclonal antibody that works to increase the elimination of T lymphocytes from circulation. The corticosteroids broadly inhibit cytokine production in most leukocytes, resulting in generalized immunosuppression. The main action of all antiproliferatives (such as azathioprine Imuran) is to inhibit something essential to DNA synthesis, which prevents cell division in activated lymphocytes. Calcineurin inhibitors such as cyclosporine (Sandimmune) stop the production and secretion of interleukin-2, which then prevents the activation of lymphocytes involved in transplant rejection.

The answer to question 5

ANS: D
Due to an age-related decrease in circulating T lymphocytes, the older adult may have a falsely negative TB test. With signs and symptoms of TB, the nurse treats the client as if he or she does have TB. A pneumonia vaccination is not warranted at this time. TB is not a viral infection. The client should rest and drink plenty of fluids, but this is not the best answer as it does not address the possibility that the client's TB test could be a false negative.

The answer to question 6

ANS: B
The recipient's immune system recognizes donated tissues as non-self except in the case of an identical twin, whose genetic makeup is identical to the recipient.

The answer to question 7

ANS: C
A creatinine of 3.9 mg/dL is high, indicating possible dysfunction of the kidney. This is a possible sign of rejection. The BUN is normal, as is the urine output. Cloudy, foul-smelling urine would probably indicate a urinary tract infection.
s.l.green Author
wrote...
6 years ago
Genius!!!!!!
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