Adult Health Care 7th edition By Cooper
Adult Health Care 7th edition By Cooper
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Chapter 15: Care of the Patient with an Immune Disorder
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | A child that is immune to measles because of an inoculation |
| b. | A person who has seasonal allergies every fall |
| c. | When the symptoms of a common cold disappear in 1 day |
| d. | A neonate having a natural immunity from maternal antibodies |
ANS: C
Immunocompetence is demonstrated by the immune system responding appropriately to a foreign stimulus and the body’s integrity is maintained as with cold symptoms that resolve with residual illness.
DIF: Cognitive Level: Application REF: Page 737 OBJ: 1
TOP: Immunocompetence KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | Apply cool compresses to urticaria |
| b. | Provide oxygen per non-rebreathing mask |
| c. | Cover patient with a warm blanket |
| d. | Prepare for venipuncture for the delivery of IV medication |
ANS: B
Provision of oxygen is the initial primary intervention. Anaphylaxis may advance very rapidly and the patient may have to be intubated. Covering the patient with a warm blanket is not wrong, but not an initial intervention.
DIF: Cognitive Level: Application REF: Page 746 OBJ: 6
TOP: Anaphylactic reaction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | Reaction to a “superantigen” |
| b. | Immune system producing no antibodies at all |
| c. | T cells destroying B cells |
| d. | B and T cells producing autoantibodies |
ANS: D
Autoimmune disorders are failures of the tolerance to “self.” B and T cells produce autoantibodies that can cause pathophysiologic tissue damage. Autoimmune disorders may be described as an immune attack on the self and result from the failure to distinguish “self” protein from “foreign” protein.
DIF: Cognitive Level: Application REF: Page 749 OBJ: 1
TOP: Autoimmune disorders KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
| a. | infection control. |
| b. | supporting self-care. |
| c. | nutritional education. |
| d. | maintaining high fluid intake. |
ANS: A
Immune deficient persons are at risk for infection and need to be protected aggressively for contagion.
DIF: Cognitive Level: Application REF: Page 748 OBJ: 10
TOP: Immunodeficiency diseases KEY: Nursing Process Step: Planning
MSC: NCLEX: Safe, Effective Care Environment
| a. | toughens the cell wall. |
| b. | generates more T cells. |
| c. | attracts phagocytes. |
| d. | makes the antigen resistant. |
ANS: C
The complement system is a group of plasma proteins that are dormant until there is an antigen-antibody interaction. The proteins destroy the cell membrane and attract phagocytes.
DIF: Cognitive Level: Application REF: Page 741 OBJ: 3
TOP: Complement system KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
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