chapter 13 - Chapter 13 Inflammation Infection and Immunity...

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Chapter 13: Inflammation, Infection, and Immunity MULTIPLE CHOICE 1. The patient in early labor says to the nurse: “I will pass on protection from diseases and the baby will not ever need any shots.” The best response by the nurse should be: 1. “Babies are born with innate (natural) immunity at birth.” 2. “Babies are born with IgE, an antibody that crosses the placenta, but it only pro- tects the baby briefly.” 3. “Yes, immediate antibody immunity from the mother is the first line of defense against disease for babies.” 4. “Yes, the mother passes on cell-mediated immunity.” ANS: 2 Babies acquire antibodies from their mother which lasts only a few months. 2. The school nurse starts a clean-up campaign at a local elementary school in an effort to combat some of the allergens that cause one of the most common allergic response dis- orders, which is: 1. anaphylaxis. 2. asthma. 3. contact dermatitis. 4. urticaria. ANS: 2 Fungi are principal allergens which can trigger respiratory allergic responses such as asthma. 3. The nurse is discussing the body’s first and second lines of defense against infection with a community group. The first line of defense includes which of the following? 1. Teeth 2. Sweat 3. White blood cells 4. T lymphocytes ANS: 2 The sweat glands excrete an antimicrobial enzyme.
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4. The nurse explains that medication being given to a client with a severe inflammatory re- sponse mimics a hormone secreted by the adrenal cortex. This hormone is: 1. aldosterone. 2. testosterone. 3. histamine. 4. cortisol. ANS: 4 Cortisol slows the release of antihistamine and stabilizes lysosomal membranes. 5. The nurse explains that with the exposure to an antigen, the initiator of the inflammatory re- sponse is the presence of histamine, which is released by the: 1. neutrophils. 2. eosinophils. 3. basophils. 4. monocytes. ANS: 3 Basophil release histamine. 6. The nurse is bathing an immunodeficient patient who is suffering from Cryptococcus infest- ation. The organism is classified as a: 1. bacteria. 2. virus. 3. fungus. 4. protozoa. ANS: 3 Cryptococcus fungal infections can be life threatening. 7. When a mosquito or a fly carries an organism that infects another living organism, this mode of transmission is infection via: 1. a common vehicle. 2. direct excretion. 3. ingestion.
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4. a vector. ANS: 4 Vector-borne diseases are carried from one host to another. Part of the life cycle of the pathogen occurs in the body of the fly, mosquito, or tick. 8. The home health nurse is teaching the family that the most effective method to control the spread of communicable disease is which of the following? 1. Isolate the infected person from all contact with noninfected persons 2. Vigorously petition the community health department to increase spraying 3. Administer prophylactic antibiotics to the rest of the family 4. Demonstrate and monitor a return demonstration of good hand washing technique by the family. ANS:
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This note was uploaded on 10/14/2010 for the course HNSC HNSC 6.1 taught by Professor Katz during the Spring '10 term at CUNY Brooklyn.

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chapter 13 - Chapter 13 Inflammation Infection and Immunity...

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