Abrams's Clinical Drug Therapy,
10th Edition Chapter 11: Drug
Therapy to Suppress Immunity
A 56-year-old client, discharged from the hospital following a successful kidney transplant, is prescribed
antirejection drug therapy. When performing health education with the client and the client's family, which
topic should the nurse emphasize? - Ans>>strategies for reducing the client's risk of infection
A client's blood work reveals that a client's absolute neutrophil count is 880/µL (0.88 ×109/L). The nurse
should expect to see evidence of: - Ans>>decreased phagocytosis. pg. 229
The nurse learns that a client in a clinic is taking folic acid to treat an associated anemia. The client decided
to go on a fasting diet for the last two weeks to lose weight before her daughter's wedding. How would the
nurse explain the importance of staying on the diet that the provider prescribed last month? - Ans>>"The
prescribed diet and drug are necessary to correct anemia associated with folic acid deficiency." pg. 623
A client is receiving anakinra for treatment of rheumatoid arthritis. The client is scheduled to have
arthroscopic evaluation of the right knee. What is the priority nursing diagnosis for this client after the
procedure? - Ans>>Risk for infection pg. 193
After a client age 65 years diagnosed with vitamin B12 deficiency learns about the use of the vitamin, she
asks the nurse what caused her B12 deficiency anemia. Which of the following statements would the nurse
use when teaching the client about vitamin B12? - Ans>>"You have a deficiency because you are on a
strict vegan diet." pg. 623
Upon reviewing the results of a complete blood count on a patient who is diagnosed with an acute infection,
what will the nurse expect to see elevated? - Ans>>Neutrophil count pg. 150
A client has a low white blood cell count and is concerned about acquiring an infection. The client will not
sign the informed consent due to a knowledge deficit about the CSF. How should the nurse respond? -
Ans>>"Chemotherapy kills cancer cells as well as good cells needed to prevent and control infection. The
cells are called white blood cells that grow in stages but are not effective until the cell is in the adult stage.
A colony-stimulating drug acts on these cells to stimulate growth to the mature adult white blood cell stage,
so that the cells can go to work to help protect you from infection." pp. 153-154.
The classic signs of inflammation include: - Ans>>rubor, swelling, and pain.
A nurse caring for elderly clients in an assisted living facility is required to educate the clients on the effects
of aging on the immune system. What are effects of aging on the immune system? - Ans>>Immune system
acts with slower, muted inflammatory process
A care aide who works in a long term care facility has observed the high incidence of infectious illnesses
among the older adults who reside there. Which of the following consequences of aging is most likely the
reason for diminished immune capacity older adults? - Ans>>Decreased numbers and responsiveness of T
lymphocytes pg.
10th Edition Chapter 11: Drug
Therapy to Suppress Immunity
A 56-year-old client, discharged from the hospital following a successful kidney transplant, is prescribed
antirejection drug therapy. When performing health education with the client and the client's family, which
topic should the nurse emphasize? - Ans>>strategies for reducing the client's risk of infection
A client's blood work reveals that a client's absolute neutrophil count is 880/µL (0.88 ×109/L). The nurse
should expect to see evidence of: - Ans>>decreased phagocytosis. pg. 229
The nurse learns that a client in a clinic is taking folic acid to treat an associated anemia. The client decided
to go on a fasting diet for the last two weeks to lose weight before her daughter's wedding. How would the
nurse explain the importance of staying on the diet that the provider prescribed last month? - Ans>>"The
prescribed diet and drug are necessary to correct anemia associated with folic acid deficiency." pg. 623
A client is receiving anakinra for treatment of rheumatoid arthritis. The client is scheduled to have
arthroscopic evaluation of the right knee. What is the priority nursing diagnosis for this client after the
procedure? - Ans>>Risk for infection pg. 193
After a client age 65 years diagnosed with vitamin B12 deficiency learns about the use of the vitamin, she
asks the nurse what caused her B12 deficiency anemia. Which of the following statements would the nurse
use when teaching the client about vitamin B12? - Ans>>"You have a deficiency because you are on a
strict vegan diet." pg. 623
Upon reviewing the results of a complete blood count on a patient who is diagnosed with an acute infection,
what will the nurse expect to see elevated? - Ans>>Neutrophil count pg. 150
A client has a low white blood cell count and is concerned about acquiring an infection. The client will not
sign the informed consent due to a knowledge deficit about the CSF. How should the nurse respond? -
Ans>>"Chemotherapy kills cancer cells as well as good cells needed to prevent and control infection. The
cells are called white blood cells that grow in stages but are not effective until the cell is in the adult stage.
A colony-stimulating drug acts on these cells to stimulate growth to the mature adult white blood cell stage,
so that the cells can go to work to help protect you from infection." pp. 153-154.
The classic signs of inflammation include: - Ans>>rubor, swelling, and pain.
A nurse caring for elderly clients in an assisted living facility is required to educate the clients on the effects
of aging on the immune system. What are effects of aging on the immune system? - Ans>>Immune system
acts with slower, muted inflammatory process
A care aide who works in a long term care facility has observed the high incidence of infectious illnesses
among the older adults who reside there. Which of the following consequences of aging is most likely the
reason for diminished immune capacity older adults? - Ans>>Decreased numbers and responsiveness of T
lymphocytes pg.
