Chapter 13: Altered Immune Responses and Transplantation

Chapter 13: Altered Immune Responses and Transplantation

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse provides discharge instructions to a patient who has an immune deficiency involving the T lymphocytes. Which health screening should the nurse include in the teaching plan for this patient?

a.	Screening for allergies
b.	Screening for malignancies
c.	Screening for antibody deficiencies
d.	Screening for autoimmune disorders

 

 

ANS:  B

Cell-mediated immunity is responsible for the recognition and destruction of cancer cells. Allergic reactions, autoimmune disorders, and antibody deficiencies are mediated primarily by B lymphocytes and humoral immunity.

 

DIF:    Cognitive Level: Apply (application)           REF:               196

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Health Promotion and Maintenance

 

2. Which example should the nurse use to explain an infant’s “passive immunity” to a new mother?

a.	Vaccinations
b.	Breastfeeding
c.	Stem cells in peripheral blood
d.	Exposure to communicable diseases

 

 

ANS:  B

Colostrum in breast milk provides passive immunity through antibodies from the mother. These antibodies protect the infant for a few months. However, memory cells are not retained, so the protection is not permanent. Active immunity is acquired by being immunized with vaccinations or having an infection. Stem cells are unspecialized cells used to repopulate a person’s bone marrow after high-dose chemotherapy.

 

DIF:    Cognitive Level: Apply (application)           REF:               192

TOP:   Nursing Process: Implementation     MSC:  NCLEX: Physiological Integrity

 

3. A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value?

a.	IgE	c.	Basophils
b.	IgA	d.	Neutrophils

 

 

ANS:  A

Serum IgE is elevated in an allergic response (type 1 hypersensitivity disorders). The eosinophil level will be elevated rather than neutrophil or basophil counts. IgA is located in body secretions and would not be tested when evaluating a patient who has symptoms of atopic dermatitis.

 

DIF:    Cognitive Level: Apply (application)           REF:               194

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Physiological Integrity

 

4. An older adult patient who is having an annual check-up tells the nurse, “I feel fine, and I don’t want to pay for all these unnecessary cancer screening tests!” Which information should the nurse plan to teach this patient?

a.	Consequences of aging on cell-mediated immunity
b.	Decrease in antibody production associated with aging
c.	Impact of poor nutrition on immune function in older people
d.	Incidence of cancer-associated infections in older individuals

 

 

ANS:  A

The primary impact of aging on immune function is on T cells, which are important for immune surveillance and tumor immunity. Antibody function is not affected as much by aging. Poor nutrition can also contribute to decreased immunity, but there is no evidence that it is a contributing factor for this patient. Although some types of cancer are associated with specific infections, this patient does not have an active infection.

 

DIF:    Cognitive Level: Apply (application)           REF:               196

TOP:   Nursing Process: Planning               MSC:  NCLEX: Physiological Integrity