ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 17 Questions
Question 1 of 5
The student nurse learns that the most important function of inflammation and immunity is which purpose?
Correct Answer: C
Rationale: The purpose of inflammation and immunity is to provide protection to the body against invading organisms, whether they are bacterial, viral, protozoal, or fungal. These systems eliminate, destroy, or neutralize the offending agents.
Question 2 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.
Question 3 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 4 of 5
A clinic nurse is working with an older client. What assessment is most important for preventing infections in this client?
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.
Question 5 of 5
A client has a leg wound that is in the second stage of the inflammatory response. For what manifestation does the nurse assess?
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.