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NURA 1500 Inflammation and Immunity Testbank

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This was a comprehensive and detailed testbank on;Inflammation and Immunity for NURA 1500.

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  • November 20, 2024
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  • 2021/2022
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MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS TEST BANK
TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare9e 116



Chapter17:InflammationandImmunity
MULTIPLECHOICE

1.Thestudentnurselearnsthatthemostimportantfunctionofinflammationandimmunityiswhichpurpose?
a.Destroyingbacteriabeforedamageoccurs
b.Preventinganyentryofforeignmaterial
c.Providingprotectionagainstinvadingorganisms
d.Regulatingtheprocessofself-tolerance

ANS:C
Thepurposeofinflammationandimmunityistoprovideprotectiontothebodyagainstinvadingorganisms,
whethertheyarebacterial,viral,protozoal,orfungal.Thesesystemseliminate,destroy,orneutralizethe
offendingagents.Thecellsoftheimmunesystemaretheonlycellsthatcandistinguishselffromnon-self.
Thisfunctionisgeneralizedandincorporatesdestroyingbacteria,preventingentryofforeigninvaders,and
regulatingself-tolerance.

DIF:Remembering/KnowledgeREF:289
KEY:Immunity|inflammation|infectioncontrol
MSC:IntegratedProcess:Teaching/Learning
NOT:ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation

2.Anurseisassessinganolderclientforthepresenceofinfection.Theclientstemperatureis97.6F(36.4C).
Whatresponsebythenurseisbest?
a.Assesstheclientformorespecificsigns.
b.Concludethataninfectionisnotpresent.
c.Documentfindingsandcontinuetomonitor.
d.Requestthattheproviderorderbloodcultures.

ANS:A NURSINGTB.COM
Becauseolderadultshavedecreasedimmunefunction,includingreducedneutrophilfunction,fevermaynot
bepresentduringanepisodeofinfection.Thenurseshouldassesstheclientforspecificsignsofinfection.
Documentationneedstooccur,butamorethoroughassessmentcomesfirst.Bloodculturesmayormaynotbe
neededdependingontheresultsoffurtherassessment.

DIF:Applying/ApplicationREF:291
KEY:Infection|inflammation|immunity|olderadult|nursingassessment
MSC:IntegratedProcess:NursingProcess:Assessment
NOT:ClientNeedsCategory:HealthPromotionandMaintenance

3.Aclientistakingprednisonetopreventtransplantrejection.Whatinstructionbythenurseismost
important?
a.Avoidlargecrowdsandpeoplewhoareill.
b.Checkover-the-countermedsforacetaminophen.
c.Takethismedicineexactlyasprescribed.
d.Youhaveahigherriskofdevelopingcancer.

ANS:A
Prednisone,likeallsteroids,decreasesimmunefunction.Theclientshouldbeadvisedtoavoidlargecrowds
andpeoplewhoareill.Prednisonedoesnotcontainacetaminophen.Allclientsshouldbetaughttotake
medicationsexactlyasprescribed.Ahigherriskforcancerisseenwithdrugsfromthecalcineurininhibitor
category,suchastacrolimus(Prograf).

DIF:Understanding/ComprehensionREF:301
KEY:Inflammation|immunity|infectioncontrol|clientteaching
MSC:IntegratedProcess:Teaching/Learning
NOT:ClientNeedsCategory:PhysiologicalIntegrity:PharmacologicalandParenteralTherapies

4.Aclinicnurseisworkingwithanolderclient.Whatassessmentismostimportantforpreventinginfections




NURSINGTB.COM

, MEDICAL SURGICAL NURSING 9TH EDITION IGNATAVICIUS TEST BANK
TestBank-Medical-SurgicalNursing:ConceptsforInterprofessionalCollaborativeCare9e 117


inthisclient?
a.Assessingvaccinationrecordsforboostershotneeds
b.Encouragingtheclienttoeatanutritiousdiet
c.Instructingtheclienttowashminorwoundscarefully
d.Teachinghandhygienetopreventthespreadofmicrobes

ANS:A
Olderadultsmayhaveinsufficientantibodiesthathavealreadybeenproducedagainstmicrobestowhichthey
havebeenexposed.Therefore,olderadultsneedboostershotsformanyvaccinationstheyreceivedasyounger
people.Anutritiousdiet,properwoundcare,andhandhygienearerelevantforallpopulations.

DIF:Understanding/ComprehensionREF:291
KEY:Immunity|inflammation|olderadult|vaccinations
MSC:IntegratedProcess:NursingProcess:Assessment
NOT:ClientNeedsCategory:HealthPromotionandMaintenance

5.Aclienthasalegwoundthatisinthesecondstageoftheinflammatoryresponse.Forwhatmanifestation
doesthenurseassess?
a.Noticeablerubor
b.Purulentdrainage
c.Swellingandpain
d.Warmthatthesite

ANS:B
Duringthesecondphaseoftheinflammatoryresponse,neutrophiliaoccurs,producingpus.Rubor(redness),
swelling,pain,andwarmtharecardinalsignsofthegeneralinflammatoryprocess.

DIF:Remembering/KnowledgeREF:295
KEY:Inflammation|immunity|inflammatoryresponse|nursingassessment
MSC:IntegratedProcess:NursingProcess:Assessment
NURSINGTB.COM
NOT:ClientNeedsCategory:PhysiologicalIntegrity:ReductionofRiskPotential

6.Anursingstudentlearningaboutantibody-mediatedimmunitylearnsthatthecellwiththemostdirectrolein
thisprocessbeginsdevelopmentinwhichtissueororgan?
a.Bonemarrow
b.Spleen
c.Thymus
d.Tonsils

ANS:A
TheBcellistheprimarycellinantibody-mediatedimmunityandisreleasedfromthebonemarrow.These
cellsthentraveltootherorgansandtissues,knownasthesecondarylymphoidtissuesforBcells.

DIF:Remembering/KnowledgeREF:295
KEY:Immunity|inflammation|antibody-mediatedimmunity|Bcell|bonemarrow
MSC:IntegratedProcess:Teaching/Learning
NOT:ClientNeedsCategory:PhysiologicalIntegrity:PhysiologicalAdaptation

7.Thenurseunderstandsthatwhichtypeofimmunityisthelongestacting?
a.Artificialactive
b.Inflammatory
c.Naturalactive
d.Naturalpassive

ANS:C
Naturalactiveimmunityisthemosteffectiveandlongestactingtypeofimmunity.Artificialandnatural
passivedonotlastaslong.Inflammatoryisnotatypeofimmunity.

DIF:Remembering/KnowledgeREF:299




NURSINGTB.COM

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