Question 1

A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chickenpox). What does the best plan by the nurse include?

Accepted Answer

The child should receive varicella immune globulin as soon as possible after exposure to chickenpox to help prevent or lessen the severity of the disease, especially since the child is immunosuppressed.

Question 2

The client receives cyclosporine (Neoral). The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Grapefruit can increase the blood levels of cyclosporine, leading to potential toxicity.

Question 3

The nursing instructor is teaching student nurses about humoral and cell-mediated immune responses. What does the best teaching plan include?

Accepted Answer

Humoral immunity involves the production of antibodies by B cells, which target and neutralize pathogens in the body fluids.

Question 4

The nurse manages care for clients who have had organ transplants. What is the best information for the nurse to include when teaching the clients about body defenses?

Accepted Answer

Specific body defense, also known as adaptive immunity, targets specific pathogens and usually acts against a single organism.

Question 5

A mother brings her child to the clinic for his last diphtheria-pertussis-tetanus (DPT) immunization. The mother tells the nurse that the child developed a red rash after the previous diphtheria-pertussis-tetanus (DPT) immunization. What does the best action by the nurse include?

Accepted Answer

Withholding the immunization and contacting the physician is the best action because the child developed a rash after the previous DPT immunization. This could be a sign of an allergic reaction, and it is important to rule out any potential contraindications before administering the immunization.

Question 6

The client receives interferon alfa-2b (Intron-A) for treatment of Kaposi's sarcoma. Which question by the client would alert the nurse that additional assessment is necessary?

Accepted Answer

Interferon alfa-2b can cause neuropsychiatric side effects, including depression. The client's statement about feeling sad may indicate depression, requiring further assessment by the nurse.

Question 7

The nurse is teaching a class on immunizations for women with newborn infants. The nurse evaluates that learning has occurred when the women make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Accepted Answer

Explanation: Mild fever and fussiness are common side effects of immunizations, and acetaminophen can be given to manage mild fever.

Question 8

A mother comes to the clinic and tells the nurse, "I don't want my child to have any vaccinations. I have heard they cause diseases." What is the best response by the nurse?

Accepted Answer

The nurse should acknowledge the mother's concerns and provide balanced information, emphasizing that while there are some risks, the benefits of vaccinations in preventing serious diseases far outweigh these risks.

Question 9

The client receives interferon alfa-2b (Intron-A). The client tells the nurse that he gets very sleepy and thirsty every time he takes the medication. What is the best assessment question for the nurse to ask?

Accepted Answer

The answer of The client receives interferon alfa-2b (Intron-A). The...

Question 10

Which of the following would the nurse identify as a component of the specific immune response?

Accepted Answer

Lymphocytes, specifically B cells and T cells, are key components of the specific immune response, which targets specific pathogens.

Question 11

Immunosuppressants include

Accepted Answer

Glucocorticoids are a class of corticosteroids, which are steroid hormones that act as immunosuppressants by reducing inflammation and suppressing the immune system.

Question 12

The major difference between B cell lymphocytes and T cell lymphocytes is that

Accepted Answer

B cells produce antibodies, which are proteins that bind to specific antigens and help to neutralize them. T cells do not produce antibodies, but they do help to activate other immune cells, such as B cells and macrophages.

Question 13

The client receives an immunosuppressant medication. What is the priority information for the nurse to teach the client about this medication?

Accepted Answer

Immunosuppressant medications weaken the immune system, making the client more susceptible to infections. Therefore, avoiding crowds is crucial to reduce the risk of exposure to infectious agents.

Question 14

Uence the vaccines are administered. In which order will the nurse discuss these vaccines?
A) Human papillomavirus
B) First dose hepatitis A
C) Meningococcal conjugate
D) First dose of diphtheria, tetanus, and pertussis
E) Second dose of measles, mumps, rubella

Accepted Answer

The answer of Uence the vaccines are administered. In which...

Question 15

An adult female client is beginning her series of hepatitis B immunizations. What does the best teaching by the nurse include?

Accepted Answer

The hepatitis B vaccine is generally safe, but it is recommended to avoid pregnancy for a short period after vaccination as a precaution.

Question 16

The nurse is teaching a class to clients who have recently undergone transplant surgery and are taking immunosuppressant drugs. The nurse evaluates that learning has occurred when the clients make which statements?

Accepted Answer

The answer of The nurse is teaching a class to...

Question 17

T cells produce

Accepted Answer

T cells produce cytokines, which are signaling molecules that help regulate immune responses.

Question 18

A mother tells the nurse, "I am so concerned about my child. He may not have adequate immunity to chickenpox." What is the best response by the nurse?

Accepted Answer

A titer test can be conducted to measure the level of antibodies in the blood, which helps determine if there is adequate immunity to chickenpox.

Question 19

When planning care for a patient receiving immunostimulant therapy, the nurse puts the highest priority on monitoring for which changes?

Accepted Answer

Immunostimulant therapy can affect liver function, so monitoring hepatic enzymes is crucial to detect any potential liver damage or dysfunction.

Question 20

The physician has ordered cyclosporine (Sandimmune) for the client who has undergone a kidney transplant. What will the nurse's priority assessment of this client include?

Accepted Answer

Cyclosporine is an immunosuppressant used to prevent organ rejection, which increases the risk of infection. Therefore, assessing for infection is a priority.

Quiz 34: Drugs for Immune System Modulation

A child has leukemia and is immunosuppressed due to chemotherapy. The mother frantically calls the clinic to say that her child was exposed to varicella (chickenpox) . What does the best plan by the nurse include?

The client receives cyclosporine (Neoral) . The nurse completes medication education and evaluates that learning has occurred when the client makes which statement?