Lewis Med-Surg Ch 14 Questions and Answers With Verified Solutions 2025
The nurse provides discharge instructions to a patient who has an immune deficiency involving the T
lymphocytes. Which screening should the nurse include in the teaching plan for this patient?
a. Screening for allergies
b. Screening for malignancy
c. Antibody deficiency screening
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
A new mother expresses concern about her baby developing allergies and asks what the health care
provider meant by "passive immunity." Which example should the nurse use to explain this type of
immunity?
a. Early immunization
b. Bone marrow donation
c. Breastfeeding her infant
d. Exposure to communicable diseases - ✔✔ANS: C
Colostrum 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. It requires
that the infant has an immune response after exposure to an antigen. Cell-mediated immunity is
acquired through T lymphocytes and is a form of active immunity
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory value?
a. IgE
b. IgA
, c. Basophils
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
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-stimulating 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
A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee
stings. Which statement, if made by the patient, would indicate a need for additional teaching?
a. "I need to find another way to earn extra money."
b. "I will get a prescription for epinephrine and learn to self-inject it."
c. "I will plan to take oral antihistamines daily before going to work."
d. "I should wear a Medic-Alert bracelet indicating my allergy to bee stings." - ✔✔ANS: C
Because the patient is at risk for bee stings and the severity of allergic reactions tends to increase with
added exposure to allergen, taking oral antihistamines will not adequately control the patient's
hypersensitivity reaction. The other patient statements indicate a good understanding of management
of the problem
Which teaching should the nurse provide about intradermal skin testing to a patient with possible
allergies?
The nurse provides discharge instructions to a patient who has an immune deficiency involving the T
lymphocytes. Which screening should the nurse include in the teaching plan for this patient?
a. Screening for allergies
b. Screening for malignancy
c. Antibody deficiency screening
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
A new mother expresses concern about her baby developing allergies and asks what the health care
provider meant by "passive immunity." Which example should the nurse use to explain this type of
immunity?
a. Early immunization
b. Bone marrow donation
c. Breastfeeding her infant
d. Exposure to communicable diseases - ✔✔ANS: C
Colostrum 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. It requires
that the infant has an immune response after exposure to an antigen. Cell-mediated immunity is
acquired through T lymphocytes and is a form of active immunity
A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which
laboratory value?
a. IgE
b. IgA
, c. Basophils
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
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-stimulating 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
A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee
stings. Which statement, if made by the patient, would indicate a need for additional teaching?
a. "I need to find another way to earn extra money."
b. "I will get a prescription for epinephrine and learn to self-inject it."
c. "I will plan to take oral antihistamines daily before going to work."
d. "I should wear a Medic-Alert bracelet indicating my allergy to bee stings." - ✔✔ANS: C
Because the patient is at risk for bee stings and the severity of allergic reactions tends to increase with
added exposure to allergen, taking oral antihistamines will not adequately control the patient's
hypersensitivity reaction. The other patient statements indicate a good understanding of management
of the problem
Which teaching should the nurse provide about intradermal skin testing to a patient with possible
allergies?
