Chapter 41--Assessment of Immunological Function

Contemporary Medical Surgical Nursing 2nd Edition by Daniels, Rick

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Chapter 41–Assessment of Immunological Function

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. The mother of a newborn baby is concerned that the baby will develop illnesses from being around so many people. The nurse should explain that the baby has immunity that is present at birth or:
1. acquired immunity.
2. adaptive immunity.
3. innate immunity.
4. specific immunity.

 

 

ANS:  3

Innate immunity or natural immunity is present at birth. It is nonspecific. Acquired immunity is immunity not present at birth and can also be adaptive or specific.

 

PTS:   1                    DIF:    Apply            REF:   Overview of Immunity

 

  1. The nurse instructs a client to use good handwashing and cover her nose and mouth when sneezing. These efforts will reduce others’ exposure to molecules that can elicit an immune response or:
1. antigens.
2. epitopes.
3. haptens.
4. immunogens.

 

 

ANS:  4

An immunogen is any molecule that elicits an immune response. An antigen is any molecule that can bind with a specific antibody. An antigen that does not elicit an immune response by itself is called a hapten. An epitope is the reaction portion of an antigen.

 

PTS:   1                    DIF:    Apply            REF:   Antigen

 

  1. The nurse is caring for a client who is experiencing an infection. The nurse knows that the body has specific cells to entrap invading organisms. Which of the following cells is not a phagocytic cell?
1. Dendritic cells
2. Eosinophils
3. Macrophages
4. Neutrophils

 

 

ANS:  2

The function of the eosinophils is to release toxic granules that can kill parasites and other microorganisms. Dendritic cells, macrophages, and neutrophils all have phagocytic properties.

 

PTS:   1                    DIF:    Analyze         REF:   Overview of Immunity

 

  1. The nurse, after reviewing a client’s immunization history, realizes that which of the following pathogen toxoids would not be given to an individual to develop an immune response?
1. Attenuated polio
2. Diphtheria toxoid
3. Snake toxin
4. Tetanus toxoid

 

 

ANS:  3

Snake toxin works too quickly for the adaptive immune system to be effective. Horses are immunized with the toxin and produce antibodies against the venom. This venom is stored until needed. The other toxoids would be provided to an individual to develop an immune response.

 

PTS:   1                    DIF:    Analyze         REF:   Mechanisms of Immunization

 

  1. Which of the following test results would not be associated with systemic lupus erythematosus (SLE)?
1. Decreased level of anti-DNA antibodies
2. Decreased level of total complement
3. Increased level of antinuclear antibodies
4. Increased level of rheumatoid factor

 

 

ANS:  1

Increased levels of anti-DNA antibodies are associated with SLE. Decreased levels are associated with other connective tissue disorders. SLE is associated with decreased levels of total complement, increased levels of antinuclear antibodies, and increased levels of rheumatoid factor.

 

PTS:     1          DIF:     Analyze           REF:    Diagnostic Tests

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