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Chapter 31 Immunologic System Introduction Linton Medical-Surgical Nursing, 7th Edition Questions
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Chapter 31 Immunologic System Introduction Linton Medical-Surgical Nursing, 7th Edition Questions
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Chapter 31 Immunologic System Introduction Linton Medical-Surgical Nursing, 7th Edition Questions and Correct AnswersMULTIPLE CHOICE
1. What is responsible for initiating theinflammatory response in addition to
immunoglobulin E (IgE)?
a. Eosinophils
b. Lymphocytes
c. Basophils
d. Neutrophils - Correct Answer: ANS: C
Basophils initiate a massive inflammatory response with histamine that quickly brings
other white blood cells (WBCs) to thesite of an infection:
DIF:Cognitive Level: Knowledge REF: p: 554 OBJ: 1
TOP: Components of theImmune System
KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Physiological Adaptation
2. Where are histamine-releasing mast cells located?
a. Circulating in theblood
b. Circulating in thelymph
c. Attached to organ tissue
d. Embedded in thebone marrow - Correct Answer: ANS: C
Mast cells are located in organ tissue when they release their histamine: theorgan to
which they are attached is thehost of theinflammatory response: If theorgan is thelung,
theresponse may be asthma; if theorgan is thecolon, theresponse may be diarrhea:
DIF:Cognitive Level: Knowledge REF: p: 554 OBJ: 1 TOP: Mast Cells KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What is true concerning passive-acquired immunity?
a. Antibodies are acquired from outside thehost and instilled in thehost:
b. Antibodies are manufactured in response to a disease in thehost:
c. Antibodies are innately acquired because of being born a human being:
d. Antibodies are cell mediated inside thehost: - Correct Answer: ANS: A
Gamma globulin injections provide passive-acquired immunity: theantibodies that are
injected have been produced by another host, collected, fused in themixture, and injected
into a separate host: This gives thehost a passive-acquired immunity that lasts for only 2
to 3 months:
DIF:Cognitive Level: Knowledge REF: p: 557 OBJ: 1
TOP:Functions of theImmune System KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Physiological Adaptation
4. A patient taking dexamethasone (Decadron) reports insomnia: What is thebest
information to provide this patient regarding administration of thismedication?
a. Take with milk:
b. Take at breakfast:
c. Dissolve in fruit juice:
d. Take at bedtime: - Correct Answer: ANS: B
Patients taking steroids should take them early in theday to avoid sleep disturbances:
DIF:Cognitive Level: Knowledge REF: p: 566 OBJ: 5
TOP:Insomnia with Steroids KEY: Nursing Process Step: Implementation
MSC:NCLEX: Physiological Integrity: Pharmacological Therapies
5. A nurse is preparing a patient for a liver and spleen scan: Which intervention is most
important to implement before theprocedure?
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