ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 17 Questions
Question 1 of 5
A client has been on dialysis for many years and now is receiving a kidney transplant. The client experiences hyperacute rejection. What treatment does the nurse prepare to facilitate?
Correct Answer: A
Rationale: Hyperacute rejection occurs within minutes of transplantation and is irreversible. The organ must be removed, and the client returns to dialysis.
Question 2 of 5
The student nurse is learning about the functions of different antibodies. Which principles does the student learn?
Correct Answer: C
Rationale: IgE is associated with antibody-mediated hypersensitivity reactions, such as allergic responses, due to its role in triggering mast cell degranulation.
Question 3 of 5
A student nurse is learning about the types of different cells involved in the inflammatory response. Which principles does the student learn?
Correct Answer: B,C,D,E
Rationale: Basophils are involved in both general inflammation and allergic/hypersensitivity responses. Macrophages can perform multiple phagocytosis episodes, monocytes differentiate into macrophages in tissues, and neutrophils are limited to one phagocytosis event.
Question 4 of 5
A client is taking prednisone to prevent transplant rejection. What instruction by the nurse is most important?
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.
Question 5 of 5
A nurse is assessing any older client for the presence of infection. The clients temperature is 97.6 F (36.4 C). What response by the nurse is best?
Correct Answer: A
Rationale: 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.