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when explaining the type of leukocytes produced by the bone marrow, the nurse describes lymphocytes. Which would the nurse include?(select all that apply)
T Cells, B Cells, Natural Killer Cells
T cells are programmed to provide humoral immunity. (T or F)
False
The first physical line of defense in innate immunity is
Skin and mucous membranes
A client who is a young adult was immunized against pertussis as a child and has now been exposed to the causative bacteria, Bordetella pertussis. The client's exposure to this bacteria will cause:
the release of IgG by memory B cells
Our bodies interact with both their internal and external environments. What is a generalized response to cellular injury?
inflammation
A client has developed a wound infection and leukocytes are leaving the bloodstream to perform phagocytosis on pathogens. What white cells are most likely performing this function?
neutrophils
The nurse reviews laboratory results from a client experiencing an allergic reaction to a medication. Which immunoglobulin level will the nurse expect to be elevated in this client?
IgE
What occurs when the body responds to specific self-antigens by producing antibodies or cell-mediated immune responses against its own cells?
Autoimmune disease
Basophils are myelocytic leukocytes that are responsible for phagocytosis. (T or F)
False
What produces the two types of leukocytes known as lymphocytes and myelocytes?
Stem cells in the bone marrow
Which New York Heart Association classification of heart failure has a poor prognosis and includes symptoms of cardiac insufficiency at rest?
IV
The nurse is performing a history for a client who is concerned about developing coronary artery disease since it "runs in the family." What modifiable risk factor does the nurse identify when taking the history?
Client is a current smoker
A client presents to the emergency department via ambulance with a heart rate of 130 beats/minute and a sawtooth waveform pattern per cardiac monitor. The nurse is most correct to alert the medical team of the presence of a client with which disorder?
Atrial flutter
A nurse is educating a group of nursing students about the heart's chambers and the muscular septum wall. What information by a nursing student demonstrates a correct understanding about the four chambers into which the heart is divided? (Select all that apply.)
Ventricles are high-pressure chambers because they pump blood out of the heart.
The thin-walled, low-pressure chambers are the receiving centers for blood.
The left ventricle is the thickest chamber and it pumps blood to the rest of the body.
The nurse is assessing the client for left-sided heart failure. Which symptom would the nurse identify as left-ventricular heart failure? (Select all that apply.)
Dyspnea
Cough
Tachycardia
The critical care nurse is caring for a client with bradycardia after cardiovascular surgery. The nurse knows that the heart rate is determined by myocardial cells with the fastest depolarizing rate. Under normal circumstances, where are these cells located?
SA Node
Which symptoms would likely be present in a client with right-ventricular heart failure? (Select all that apply)
Peripheral edema
Nocturia
Neck vein distention
A student asks the instructor what the goal of drug therapy is in cardiogenic shock. What is the most appropriate response from the instructor?
Restore and maintain adequate tissue perfusion
A backflow of blood is noted in the left ventricle from the left atrium. The client is suffering from a defect in which valve?
Mitral valve
A nurse is caring for a client with hypertension. If blood pressure is not adequately controlled, what organs can be damaged? (Select all that apply.)
Brain
Kidneys
Heart
Eyes
What allows the alveoli sac to stay open and allows for exchange of gases?
Surfactant
The nurse is caring for a client with chronic respiratory failure. What are the signs and symptoms of chronic respiratory failure?
Progressive loss of lung function associated with chronic disease
A group of students are reviewing the mechanics of oxygen and carbon dioxide exchange in the alveoli. The students demonstrate understanding when they identify which mechanism as being responsible?
Diffusion
A nurse is caring for a 73-year-old female client who just arrived to the medical surgical floor following a radical mastectomy for breast cancer. The nurse will encourage the client to cough and deep breathe to help prevent:
Atelectasis
A nurse is assessing a client who comes to the clinic for care. Which findings in this client suggest bacterial pneumonia?
Dyspnea and wheezing
The volume of air inhaled and exhaled with each breath is termed:
tidal volume
The nurse assessed a 28-year-old client who was experiencing dyspnea severe enough to make them seek medical attention. The history revealed no prior cardiac problems and the presence of symptoms for 6 months' duration. On assessment, the nurse noted the presence of both inspiratory and expiratory wheezing. Based on this data, which of the following diagnoses is likely?
Asthma
A junior-level nursing class has just finished learning about the management of clients with chronic pulmonary diseases. Which of the following disorders is classified as COPD?
Emphysema
The nurse is assessing a client who, after an extensive surgical procedure, is at risk for developing acute respiratory distress syndrome (ARDS). The nurse assesses for which most common early sign of ARDS?
Rapid onset of severe dyspnea
What is the difference between respiration and ventilation?
Ventilation is the movement of air in and out of the respiratory tract.