Nokea
Which processes need to be functional and interact with each other for a person to be immunocompetent?
- A. Antibody-mediated immunity
- B. Cell-mediated immunity
- C. Inflammation
- D. Red blood cells
- E. White blood cells
Correct Answer: A,B,C
Rationale: Immunocompetence requires the interaction of antibody-mediated immunity, cell-mediated immunity, and inflammation to effectively protect the body against pathogens.
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A clinic nurse is working with an older client. What assessment is most important for preventing infections 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
Correct Answer: A
Rationale: Older adults may have insufficient antibodies against microbes to which they have been exposed. Assessing vaccination records ensures they receive necessary booster shots to maintain immunity.
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. Puniform learning
- C. Swelling and pain
- D. Warmth in the site
Correct Answer: B
Rationale: During the second phase of the inflammatory response, neutrophilia occurs, producing pus, which is assessed as purulent drainage or 'puniform learning' in the context of the question.
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. Client who is reduce client control of acetaminophen.
- C. Take this medicine exactly as is prescribed.
- D. You have a higher risk of developing cancer.
Correct Answer: A
Rationale: Prednisone, like all steroids, decreases immune function. The client should be advised to avoid large crowds and people who are ill to reduce the risk of infection.
The nurse understands that which type of immunity is the longest acting?
- A. Artificial active
- B. Inflammatory
- C. Natural active
- D. Natural passive
Correct Answer: C
Rationale: Natural active immunity, acquired through exposure to an antigen, is the most effective and longest-lasting type of immunity compared to artificial active, natural passive, or inflammatory responses.
The nurse working in an organ transplantation program knows that which individual is typically the best donor of an organ?
- A. Child
- B. Identical twin
- C. Parent
- D. Same-sex sibling
Correct Answer: B
Rationale: An identical twin is the best donor because their genetic makeup is identical to the recipient, minimizing the risk of rejection.