Nursing 1 Exam 3, Unit 9- Infection, Tissue Integrity, Pain,
Immunity (mod 1), Immunity and Infection M8 Nursing 120,
Module 3 First Semester Nursing Program, Infection,
Inflammation, Immunity NCLEX Review Questions, week 7.5
stress, coping with Verified Answers| 100% Correct| 100% Score
most effective way to break the chain of infection - ✔✔performing hand hygeine
Primary immunodeficiency - ✔✔- congenital
- usually genetic errors
- lack of B cell and/or T cell activity
- lupus, T1 diabetes
phases of infection - ✔✔incubation period, prodromal stage, full stage of illness, convalescent
period IPFC
Virulence - ✔✔Potency or harmfulness of a disease
A bug can be virulent to me, but not near as virulent to another person
Frequency - ✔✔intermittent
-episodic (triggered)
-continuous
Stage II pressure ulcer - ✔✔partial thickness skin loss involving epidermis, dermis, or both
What is altered Immunity? - ✔✔when immune responses are either suppressed or
exaggerated -Suppressed responses AKA immunocompromised or immunodeficiency -
Exaggerated responses AKA hypersensitive
Optimal Immune Response - ✔✔protects the body from invasion
,removes dead/damaged cells
recognizes mutated cells (cancer)
Sepsis - ✔✔A life-threatening infection of the blood stream that can cause damage, organ failure,
and eventually death.
Stage III pressure ulcer - ✔✔full thickness tissue loss with visible fat
Physical pain - ✔✔suffering caused by illness, disease or injury
Immunocompromised - ✔✔-having an immune system incapable of responding normally and
completely to a pathogen or disease
-cancer patients, HIV/AIDS, corticosteroids
incu. Chicken pox - ✔✔10-21 days
incu.common cold - ✔✔1-2 days
Optimal response - ✔✔-represents an immune system that protects the body from the invasion
of microorganisms, removes dead and damaged tissue and cells, and recognizes and removes cell
mutations
Stage IV pressure ulcer - ✔✔Full-thickness tissue loss with exposed bone, tendon, or muscle
Cognitive Pain - ✔✔altered state, can increase or decrease mental state
Opportunistic - ✔✔Microorganism that wouldn't normally cause a sickness or infection, but it
does when the immune system is compromised
Examples: AIDS, some types of cancers, yeast infection due to antibiotics
,What are the 3 lines of defense in an Optimal Immune Response - ✔✔1. skin boundary:
mucous membranes, natural microbial flora, and complement proteins
2. activities of phagocytes, natural killer T lymphocytes, granulocytes & macrophages
3. antibodies derived from B & T lymphocytes
Suppressed Immune Response (hypo) - ✔✔PRIMARILY: results from improperly developed cells
of absence of cells
SECONDARILY: loss of immune function from illness or treatment (chemo or autoimmune disease)
this causes: risk for infection/ risk for cancer
Epidemiology - ✔✔The branch of medicine that deals and controls the diseases.
Unstagable ulcer - ✔✔Ulcer covered with slough or eschar in the base
Emotional Pain - ✔✔too much pain can lead to emotional distress; Increased risk of depression
Abnormal function - ✔✔-includes a suppressed immune response and exaggerated immune response
incu. Influenza - ✔✔1-5 days
prodromal stage - ✔✔non specific symptoms to specific, micro org grow and multiply, hours to days,
contagious
Suppressed immune response - ✔✔-basically have no immune system so they are in a state of
immunodeficiency.
-at significant risk for infection, and eventually cancer.
Pain Classification - ✔✔-nociceptive
, -neuropathic
-mixed pain syndromes
Deep Tissue Injury (DTI) - ✔✔Purple or maroon localized area of discolored intact skin or blood-filled
blister due to damage of underlying soft tissue from pressure and/or shear that is unstageable
different from a bruise
to palpate area, it will feel squishy
Exaggerated Immune Response (hyper) - ✔✔allergic reactions, cytotoxic reaction, autoimmune reaction
Infectious Agent - ✔✔Bacteria, Fungi, Virus, Prion, Protozoa.
Critical point of immune system - ✔✔body must differentiate between self & non-self cells
-when body fails to do so the immune system begins to attack host cells leading to autoimmune diseases
and disorders such as Rheumatoid arthritis
Reservoir - ✔✔Place where the microbe lives and replicates
People, equipment, water, food, animals
Undermining - ✔✔lip around the wound underneath
Nocicepive Pain - ✔✔tissues damage/inflammation; can pinpoint
Exaggerated immune response - ✔✔-exaggerated immune response such as allergic reactions. body
can eventually begin to attack itself
