Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 19. Nursing Care of Patients With Immune Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is diagnosed with urticaria. For which type of hypersensitivity reaction should the nurse plan care for this patient?
| a. | Type I |
| b. | Type II |
| c. | Type III |
| d. | Type IV |
____ 2. A patient is diagnosed with hypogammaglobulinemia. Which of immune cell should the nurse realize is defective in this disorder?
| a. | T cells |
| b. | B cells |
| c. | Mast cells |
| d. | Plasma cells |
____ 3. The nurse is contributing to a group of patients care plans. Which patient should the nurse identify as being at risk for developing serum sickness?
| a. | A patient who receives intravenous (IV) penicillin for an infection |
| b. | A patient who has a transfusion with packed red blood cells (RBCs) |
| c. | A patient who is given cryoprecipitate and factor IX after an abdominal injury |
| d. | A patient given steroids and immunosuppressant therapy after organ transplantation |
____ 4. The nurse is caring for a patient with idiopathic autoimmune hemolytic anemia. Which action should the nurse include in the plan of care for this patient?
| a. | Assist with ambulation. |
| b. | Teach good hand hygiene. |
| c. | Avoid intramuscular injections. |
| d. | Obtain manual blood pressures. |
____ 5. The nurse is caring for a patient who has had a portion of stomach removed. Which manifestations should the nurse expect to determine if the patient has a vitamin B12 deficiency?
| a. | Fever, malaise, muscle soreness, and diarrhea |
| b. | Numbness and tingling, weakness, and glossitis |
| c. | Urticaria, angioedema, anorexia, pruritus, and blistered lesions |
| d. | Frequent infections, fever, malaise, vertigo, and lymphadenopathy |
MULTIPLE CHOICE
Anaphylaxis, urticaria, and angioedema are the most severe forms of type I hypersensitivity reactions. B. A type II hypersensitivity reaction involves the destruction of a cell or substance that has an anti-gen attached to its cell membrane. C. A type III hypersensitivity reaction involves immune complexes formed by antigens and antibodies, usually of the IgG type. D. A type IV hypersensitivity reaction, also called a delayed reaction, occurs when a sensitized T lymphocyte comes in contact with the particular antigen to which it is sensitized.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
Hypogammaglobulinemia is characterized by the absence or deficiency of one or more of the five classes of immunoglobulins from defective B-cell function. A. C. D. Hypogammaglobulinemia is not caused by defective T, mast, or plasma cells.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
Serum sickness is seen occasionally after administration of penicillin and sulfonamide. B. C. D. Serum sickness is not associated with blood transfusions, cryoprecipitate, factor IX, steroids, or immunosuppressant therapy.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
With anemia, the patient will be fatigued and may have activity intolerance and be a fall risk. Assistance with ambulation should be done for safety. C. D. These actions would be appropriate if the patient had thrombocytopenia. B. This action would be appropriate if the patient had neutropenia.
PTS: 1 DIF: Moderate
KEY: Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application
Non-immune-related causes of pernicious anemia include any type of gastric or small bowel resections coupled with no or inadequate vitamin B12 or intrinsic factor replacement. Vitamin B12 deficiency symptoms include numbness and tingling, weakness, and glossitis. A. C. D. These are not manifestations associated with vitamin B12 deficiency.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
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