11: Drug Therapy to Suppress Immunity || Possible Questions
Accurately Answered.
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? correct answers 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: correct answers 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? correct answers "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? correct answers 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? correct answers
"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? correct answers 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? correct answers "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: correct answers 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?
correct answers 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? correct answers
Decreased numbers and responsiveness of T lymphocytes pg.
When explaining the risks of pretransplant immunosuppression, the nurse demonstrates
understanding of the process when making which statement? correct answers "Serious
complications can occur if you are not monitored carefully while you are immunosuppressed."
An adult male client experienced a kidney transplant 2 days ago, and his regimen of antirejection
drugs began just prior to surgery. What nursing action should be integrated into this client's plan
of care? correct answers Place the client in a single, protective isolation room.
The health care provider changes a female client's immunosuppressant to a newer drug. The
client asks why this is necessary. What is true about the newer immunosuppressants? correct
answers They have fewer severe adverse effects. pg. 181