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Chapter 11- Drug Therapy to Suppress Immunity
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following is the most likely indication for the use of immunosuppressant agents? | |
| A) | Intractable seizure disorders | |
| B) | Increased intracranial pressure | |
| C) | Organ transplantation | |
| D) | HIV/AIDS with multiple drug resistance | |
| Ans: | C | |
| Feedback: | ||
| Immunosuppressant agents are used for inflammatory autoimmune disorders or to prevent or treat tissue rejection reactions in organ transplantation. Immunosuppressant agents are not administered for seizure disorders, increased intracranial pressure, or HIV/AIDS. | ||
| 2. | A patient has received a bone marrow transplant. What will occur if the patient receives inadequate immunosuppression after the transplant? | |
| A) | Graft-versus-host disease | |
| B) | Hepatotoxicity | |
| C) | Acute kidney injury | |
| D) | Sepsis | |
| Ans: | A | |
| Feedback: | ||
| The goal after bone marrow transplantation is to provide adequate immunosuppression. If immunosuppression is inadequate, graft-versus-host disease will occur with bone marrow transplantation. The patient will not suffer from hepatic or renal failure. Inadequate immunosuppression will not place the patient at risk for serious infection. | ||
| 3. | A patient with Crohn’s disease is given a corticosteroid to decrease inflammation. Which of the following effects will occur with the use of corticosteroids? | |
| A) | Increased joint pain | |
| B) | Increased C-reactive protein levels | |
| C) | Increased T-cell counts | |
| D) | Decreased antibody production | |
| Ans: | D | |
| Feedback: | ||
| The administration of corticosteroids will decrease T-cell and antibody production. Corticosteroids do not cause joint pain or increase a patient’s C-reactive protein levels. | ||
| 4. | A patient is to begin treatment for rheumatoid arthritis with infliximab (Remicade). What potential risk should the nurse identify as being associated with this drug? | |
| A) | Risk for infection | |
| B) | Risk for decreased level of consciousness | |
| C) | Risk for nephrotoxicity | |
| D) | Risk for hepatotoxicity | |
| Ans: | A | |
| Feedback: | ||
| All TNF-alpha blockers carry a risk for infection. This risk supersedes the risks of kidney or liver damage. Changes in LOC are not typically noted. | ||
| 5. | A patient is administered mycophenolate (CellCept) to prevent rejection of his transplanted heart. It is recommended that he have a CBC drawn weekly. He asks the nurse the reason for the weekly CBC. Which of the following is the nurse’s best response? | |
| A) | “The weekly CBC is routine and ordered for all patients.” | |
| B) | “The weekly CBC assesses for the development of bleeding.” | |
| C) | “The weekly CBC assesses for the development of infection.” | |
| D) | “The weekly CBC assesses for changes in your blood’s oxygen carrying capacity.” | |
| Ans: | C | |
| Feedback: | ||
| The weekly CBC is to assess for infection, neutropenia, and thrombocytopenia. Stating to the patient that the CBC is routine is a belittling response that does not provide patient education. The weekly CBC is not indicated to assess for bleeding or a decrease in erythrocytes. | ||
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.
$30.00 Original price was: $30.00.$20.00Current price is: $20.00.