Chapter 10: The Immune and Lymphatic System deWit: Medical-Surgical Nursing: Concepts & Practice, 3rd Edition

MULTIPLE CHOICE 1. The nurse is teaching about changes in the immune system that result from the aging process. Which change should the nurse include? a. Thickened skin b. Reduced ciliary action c. Thinned periosteum d. Reduced saliva ANS: B Reduced ciliary action in the respiratory and gastrointestinal tracts results in a decrease in the removal of harmful organisms. PTS:1 DIF: Cognitive Level: Knowledge REF:200 OBJ:5 (theory) TOP: Aging Immune System KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. The nurse differentiates the humoral response from the cell-mediated response. Which statement about cell-mediated response is true? a. The sensitized lymphocytes attack the cell for which they were sensitized. b. Cells produce new antibodies. c. The response does not occur until the white blood cell (WBC) count rises. d. There is a systemic response of fever and malaise. ANS: A Cell-mediated response occurs when the specifically antigen-sensitized T lymphocytes attack whole cells, infectious organisms, and nonliving matter such as pollen and dust. PTS:1 DIF:Cognitive Level: Comprehension REF:201 OBJ:1(theory) TOP: Cell-Mediated Response KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. Which type of lymphocytes actually produces either sensitized lymphocytes or antibodies? a. B lymphocytes b. T cells c. Suppressor T cells d. Stem cells ANS: A The B-cells secrete immunoglobulins that are called antibodies. PTS:1 DIF: Cognitive Level: Comprehension REF: 201 OBJ:1 (theory) TOP: Production of Antibodies KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance 4. The nurse explains to a patient with a painful toe that the pain is related to the inflammatory response. What process causes this discomfort? a. Swelling, which compresses nerves. b. Enzyme release, which irritates the area. c. Acidic waste from the destroyed cells. d. Heat of lysis, which affects the nerves.