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Immune, HIV, Allergies, GI, Obesity Verified and Updated Questions and Answers (100% Correct Answers)

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Immune, HIV, Allergies, GI, Obesity Verified and Updated Questions and Answers (100% Correct Answers)

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Immune, HIV, Allergies, GI, Obesity
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Immune, HIV, Allergies, GI, Obesity Verified
and Updated Questions and Answers (100%
Correct Answers)
The student nurse learns that the most important function of inflammation and
immunity is which purpose?


a. Destroying bacteria before damage occurs


b. Preventing any entry of foreign material


c. Providing protection against invading organisms


d. Regulating the process of self-tolerance
Answer: ANS: C


The purpose of inflammation and immunity is to provide protection to the body
against invading organisms, whether they are bacterial, viral, protozoal, or fungal.
These systems eliminate, destroy, or neutralize the offending agents. The cells of the
immune system are the only cells that can distinguish self from non-self. This
function is generalized and incorporates destroying bacteria, preventing entry of
foreign invaders, and regulating self-tolerance


A client is taking prednisone to prevent transplant rejection. What instruction by the
nurse is most important?


a. Avoid large crowds and people who are ill.


b. Check over-the-counter meds for acetaminophen.


c. Take this medicine exactly as prescribed.


d. You have a higher risk of developing cancer
Answer: ANS: A


Prednisone, like all steroids, decreases immune function. The client should be
advised to avoid large crowds and people who are ill. Prednisone does not contain
acetaminophen. All clients should be taught to take medications exactly as
prescribed. A higher risk for cancer is seen with drugs from the calcineurin inhibitor
category, such as tacrolimus (Prograf)

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A nursing student learning about antibody-mediated immunity learns that the cell
with the most direct role in this process begins development in which tissue or
organ?


a. Bone marrow


b. Spleen


c. Thymus


d. Tonsils
Answer: ANS: A


The B cell is the primary cell in antibody-mediated immunity and is released from
the bone marrow. These cells then travel to other organs and tissues, known as the
secondary lymphoid tissues for B cells.


For a person to be immunocompetent, which processes need to be functional and
interact appropriately with each other? (Select all that apply.)


a. Antibody-mediated immunity


b. Cell-mediated immunity


c. Inflammation


d. Red blood cells


e. White blood cells
Answer: ANS: A, B, C


The three processes that need to be functional and interact with each other for a
person to be immunocompetent are antibody-mediated immunity, cell-mediated
immunity, and inflammation. Red and white blood cells are not processes.


The student nurse is learning about the functions of different antibodies. Which
principles does the student learn? (Select all that apply.)


a. IgA is found in high concentrations in secretions from mucous membranes.


b. IgD is present in the highest concentrations in mucous membranes.

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c. IgE is associated with antibody-mediated hypersensitivity reactions.


d. IgG comprises the majority of the circulating antibody population.


e. IgM is the first antibody formed by a newly sensitized B cell.
Answer: ANS: A, C, D, E


Immunoglobulin A (IgA) is found in high concentrations in secretions from mucous
membranes. Immunoglobulin E (IgE) is associated with antibody-mediated
hypersensitivity reactions. The majority of the circulating antibody population
consists of immunoglobulin G (IgG). The first antibody formed by a newly sensitized
B cell is immunoglobulin M (IgM). Immunoglobulin D (IgD) is typically present in low
concentrations.


A nurse is assessing an older client for the presence of infection. The clients
temperature is 97.6 F (36.4 C). What response by the nurse is best?


a. Assess the client for more specific signs.


b. Conclude that an infection is not present.


c. Document findings and continue to monitor.


d. Request that the provider order blood cultures.
Answer: ANS: A


Because older adults have decreased immune function, including reduced neutrophil
function, fever may not be present during an episode of infection. The nurse should
assess the client for specific signs of infection. Documentation needs to occur, but a
more thorough assessment comes first. Blood cultures may or may not be needed
depending on the results of further assessment


A clinic nurse is working with an older client. What assessment is most important for
preventing infections in this client?


a. Assessing vaccination records for booster shot needs b. Encouraging the client to
eat a nutritious diet


c. Instructing the client to wash minor wounds carefully


d. Teaching hand hygiene to prevent the spread of microbes
Answer: ANS: A

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Older adults may have insufficient antibodies that have already been produced
against microbes to which they have been exposed. Therefore, older adults need
booster shots for many vaccinations they received as younger people. A nutritious
diet, proper wound care, and hand hygiene are relevant for all populations.


A nursing student learning about antibody-mediated immunity learns that the cell
with the most direct role in this process begins development in which tissue or
organ?


a. Bone marrow


b. Spleen


c. Thymus


d. Tonsils
Answer: ANS: A


The B cell is the primary cell in antibody-mediated immunity and is released from
the bone marrow. These cells then travel to other organs and tissues, known as the
secondary lymphoid tissues for B cells.


A nurse is studying the function of immunoglobulins. Which immunoglobulins are
correctly matched to their function? (Select all that apply.)


a. IgA: most responsible for preventing infection in the respiratory tracts, the GI
tract, and the genitourinary tract. b. IgD: provides protection against parasite
infestations, especially helminths.


c. IgE: associated with antibody-mediated immediate hypersensitivity reactions.


d. IgG: activates classic complement pathway and enhances neutrophil and
macrophage actions.


e. IgM: first antibody formed by a newly sensitized B-lymphocyte plasma cell.
Answer: ANS: A, C, D, E


All options are true except IgD acts as a B-cell antigen receptor. IgE provides
protection against parasite infestations, especially helminths.

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Immune, HIV, Allergies, GI, Obesity

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