Chapter 35 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

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Chapter 35  Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13Th Edition

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1. A woman has been diagnosed with breast cancer and is being treated aggressively with a chemotherapeutic regimen. As a result of this regimen, she has an inability to fight infection due to the fact that her bone marrow is unable to produce a sufficient amount of what?

  1. A)  Lymphocytes
  2. B)  Cytoblasts
  3. C)  Antibodies
  4. D)  Capillaries

Ans: A

Feedback:

The white blood cells involved in immunity (including lymphocytes) are produced in the bone marrow. Cytoblasts are the protoplasm of the cell outside the nucleus. Antibodies are produced by lymphocytes, but not in the bone marrow. Capillaries are small blood vessels

2. During a mumps outbreak at a local school, a patient, who is a school teacher, is exposed. She has previously been immunized for mumps. What type of immunity does she possess?

  1. A)  Acquired immunity
  2. B)  Natural immunity
  3. C)  Phagocytic immunity
  4. D)  Humoral immunity

Ans: A

Feedback:

Acquired immunity usually develops as a result of prior exposure to an antigen, often through immunization. When the body is attacked by bacteria, viruses, or other pathogens, it has three means of defense. The first line of defense, the phagocytic immune response, involves the WBCs that have the ability to ingest foreign particles. A second protective response is the humoral immune response, which begins when the B lymphocytes transform themselves into plasma cells that manufacture antibodies. The natural immune response system is rapid, nonspecific immunity present at birth.

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3. A gardener sustained a deep laceration while working and requires sutures. The patient is asked about the date of her last tetanus shot, which is over 10 years ago. Based on this information, the patient will receive a tetanus immunization. The tetanus injection will allow for the release of what?

  1. A)  Antibodies
  2. B)  Antigens
  3. C)  Cytokines
  4. D)  Phagocytes

Ans: A

Feedback:

Immunizations activate the humoral immune response, culminating in antibody production. Antigens are the substances that induce the production of antibodies. Immunizations do not prompt cytokine or phagocyte production.

4. An infection control nurse is presenting an inservice reviewing the immune response. The nurse describes the clumping effect that occurs when an antibody acts like a cross- link between two antigens. What process is the nurse explaining?

  1. A)  Agglutination
  2. B)  Cellular immune response
  3. C)  Humoral response
  4. D)  Phagocytic immune response

Ans: A

Feedback:

Agglutination refers to the clumping effect occurring when an antibody acts as a cross- link between two antigens. This takes place within the context of the humoral immune response, but is not synonymous with it. Cellular immune response, the immune system’s third line of defense, involves the attack of pathogens by T-cells. The phagocytic immune response, or immune response, is the system’s first line of defense, involving white blood cells that have the ability to ingest foreign particles.

5. A nurse has administered a child’s scheduled vaccination for rubella. This vaccination will cause the child to develop which of the following?

  1. A)  Natural immunity
  2. B)  Active acquired immunity
  3. C)  Cellular immunity
  4. D)  Mild hypersensitivity

Ans: B

Feedback:

Active acquired immunity usually develops as a result of vaccination or contracting a disease. Natural immunity is present at birth and provides a nonspecific response to any foreign invader. Immunizations do not activate the process of cellular immunity. Hypersensitivity is not an expected outcome of immunization.

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6. A patient with a history of dermatitis takes corticosteroids on a regular basis. The nurse should assess the patient for which of the following complications of therapy?

  1. A)  Immunosuppression
  2. B)  Agranulocytosis
  3. C)  Anemia
  4. D)  Thrombocytopenia

Ans: A

Feedback:

Corticosteroids such as prednisone can cause immunosuppression. Corticosteroids do not typically cause agranulocytosis, anemia, or low platelet counts.

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