cc Immune

Leonora C
Quiz by , created 11 months ago

Quiz on cc Immune, created by Leonora C on 12/07/2018.

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Leonora C
Created by Leonora C 11 months ago
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Question 1

The nurse is assessing a patient being admitted for anemia. The nurse sees no overt signs of bleeding. The nurse understands that
  • mucous membranes have a high threshold for bleeding
  • capillaries in mucous membranes lie deep in the membrane.
  • many patients have bleeding that is not obvious.
  • all patients with bleeding disorders demonstrate active bleeding.

Question 2

Cases of primary immunodeficiency are usually related to
  • a single gene defect.
  • malignancies.
  • nutritional deficiencies.
  • aging.

Question 3

The patient is admitted with multiple myeloma. The nurse assesses the patient and is aware that the symptom most unique to this disease is
  • lymph node enlargement
  • . bone pain.
  • night sweats
  • fever.

Question 4

Erythrocytes (RBCs) are flexible biconcave disks without nuclei whose primary component is an oxygen-carrying molecule called
  • a reticulocyte
  • erythropoietin
  • 2,3-DPG
  • hemoglobin

Question 5

The patient’s platelet count is 35,000/microliter. The provider prescribes administration of 10 units of single-donor platelets. After transfusion, the nurse can expect the patient’s platelet count to be
  • greater than 150,000/microliter
  • between 150,000/microliter and 185,000/microliter.
  • between 50,000/microliter and 75,000/microliter.
  • between 85,000/microliter and 135,000/microliter.

Question 6

The patient is diagnosed with lymphoma but has a normal white blood cell (WBC) count. The nurse understands that this patient
  • will have increased bruising and bleeding.
  • is at risk for infection.
  • has normal WBC function as the WBC is normal.
  • is at risk for an allergic reaction.

Question 7

When caring for a patient with HIV, the nurse should
  • assure the patient that infections are not a major problem at this point.
  • inform the patient that the disease does not affect the respiratory system.
  • monitor the patient’s medication regimen.
  • not focus on the mouth, as infections of the mouth are rare.

Question 8

The patient is complaining of severe joint pain, as well as fatigue and shortness of breath. The nurse notices that the patient’s joints are swollen and the legs are edematous. The nurse realizes that these are symptoms of
  • anemia reflective of low volume.
  • hemolytic anemia.
  • aplastic anemia.
  • sickle cell anemia.

Question 9

The nurse is evaluating the patient’s laboratory values and notes an IgG level of 240 mg/dL. The nurse realizes that this patient is a candidate for
  • no change in therapy because the level is normal.
  • gene replacement therapy.
  • increased doses of immunosuppressive medications.
  • an immunoglobulin infusion.

Question 10

Cellular immunity is mediated by
  • T lymphocytes
  • B lymphocytes.
  • immunoglobulins.
  • suppressor B cells.

Question 11

Lymphocytes are made up of B cells and T cells. B cells
  • mediate humoral immunity.
  • migrate to the thymus gland
  • mature in lymphoid tissue.
  • destroy virus-infected cells.

Question 12

Critical to caring for the immunocompromised patient is the understanding that
  • the immunocompromised patient has normal white blood cell (WBC) physiology
  • infection is the leading cause of death in these patients.
  • the immunosuppression involves a single element or process
  • immune incompetence is symptomatic even without pathogen exposure.

Question 13

A patient with a history of pulmonary embolism is being worked up for a potential coagulopathy that increases the risk for clotting. The nurse understands that the provider may request a test for
  • factor X deficiency
  • factor VII deficiency.
  • factor IX deficiency
  • protein C deficiency

Question 14

The nurse is caring for a patient who has undergone a splenectomy and notices that the patient’s platelet count has increased. The nurse realizes that the increase is due to
  • the patient’s inability to store platelets.
  • the platelet’s 120-day life cycle.
  • stimulation secondary to erythropoietin.
  • platelet response to infection.

Question 15

The patient is admitted with anemia caused by blood loss and thrombocytopenia and has a platelet count of 22,000/microliter. The patient is scheduled for a transfusion of RBCs and a transfusion of platelets. The nurse should
  • give the RBCs before the platelets
  • give the platelets before the RBCs
  • use local therapies to stop the bleeding.
  • give the platelets and RBCs at the same time.

Question 16

The nurse is caring for a patient receiving chemotherapeutic agents and notices that the patient’s neutrophil count is low. The nurse realizes that
  • the patient has a bacterial infection.
  • chemotherapeutic agents alter the ability to fight infection.
  • neutrophils have a long life span and multiply slowly
  • a shift to the left is occurring

Question 17

In vivo, the primary activator of the coagulation cascade occurs via the
  • either intrinsic or extrinsic pathway.
  • intrinsic pathway
  • extrinsic pathway
  • common pathway.

Question 18

The patient has a platelet count of 9,000/microliter. The nurse realizes that
  • this is a normal platelet level.
  • this level is considered slightly low.
  • spontaneous bleeding may occur.
  • the patient is at great risk for fatal hemorrhage.

Question 19

Common to both the intrinsic and the extrinsic pathway is
  • factor X.
  • factor XII.
  • subendothelial collagen
  • factor VII.

Question 20

Erythrocytes (RBCs) are generated from precursor stem cells under the influence of a growth factor called
  • erythropoietin.
  • 2,3-DPG.
  • hemoglobin.
  • reticulocytes.