CHAPTER 39: AGENTS THAT AFFECT THE IMMUNE SYSTEM

CHAPTER 39: AGENTS THAT AFFECT THE IMMUNE SYSTEM

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When teaching the client about his prescribed immune globulin, the nurse recognizes the client understands the instructions when he comments:

a.	“I can leave as soon as I get my shot.”
b.	“This will give me passive immunity.”
c.	“This will give me active immunity.”
d.	“This drug has no serious side effects.”

 

 

ANS:  B

 

	Feedback
A	Incorrect: The client should be monitored for at least 20-30 minutes after injection.
B	Correct: This is an example of passive immunity.
C	Incorrect: Immune globulin does not provide active immunity.
D	Incorrect: An anaphylactic reaction can occur.

 

 

PTS:   1                    REF:   p. 894, Table 39-1                           OBJ:   Cognitive Level: Evaluation

 

2. The nurse recognizes which of the following drugs is used as an immunosuppressant agent in small doses and as an antineoplastic agent in large doses?

a.	methotrexate	c.	cyclosporine
b.	emtricitabine	d.	gamma globulin

 

 

ANS:  A

 

	Feedback
A	Correct: Methotrexate and cyclophosphamide are used as immunosuppressant agents in small doses and as antineoplastic agents in large doses.
B	Incorrect: This is an antiviral agent used to treat clients with HIV.
C	Incorrect: This is an immunosuppressant, but not an antineoplastic.
D	Incorrect: This provides passive immunity.

 

 

PTS:   1                    REF:   p. 914            OBJ:   Cognitive Level: Comprehension

 

3. When administering interleukins to a client, the nurse should monitor the client for:

a.	severe fatigue.	c.	chills.
b.	fever.	d.	fluid retention.

 

 

ANS:  D

 

	Feedback
A	Incorrect: This is an adverse effect of interferons.
B	Incorrect: This is an adverse effect of interferons.
C	Incorrect: This is an adverse effect of interferons.
D	Correct: This is an adverse effect of interleukins.

 

 

PTS:   1                    REF:   p. 916, Safe Nursing Practice 39-1

OBJ:   Cognitive Level: Comprehension

 

4. The Vaccine Injury Compensation Act requires that a written record of vaccines be maintained of all the following information, except:

a.	injection site of vaccination.	c.	lot number.
b.	manufacturer.	d.	expiration date of the vaccine.

 

 

ANS:  A

 

	Feedback
A	Correct: This is not required information according to this legislation, however, most health care facilities require this information to be documented on facility records.
B	Incorrect: This is required information.
C	Incorrect: This is required information.
D	Incorrect: This is required information.

 

 

PTS:   1                    REF:   p. 916            OBJ:   Cognitive Level: Comprehension

 

5. When administering antivenin to a client bitten by a rattlesnake, the nurse should:

a.	apply a tourniquet distal to the site of the bite.
b.	apply a tourniquet proximal to the site of the bite.
c.	observe the client for pain, swelling, or shortness of breath.
d.	administer 1 vial of antivenin intravenously every 10 minutes.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Tourniquets are no longer considered standard practice for snake bites.
B	Incorrect: Tourniquets are no longer considered standard practice for snake bites.
C	Correct: These are manifestations indicating more antivenin may be needed.
D	Incorrect: This is not the appropriate administration schedule.

 

 

PTS:   1                    REF:   p. 896, Table 39-1

OBJ:   Cognitive Level: Application