A client asks the nurse to explain the importance of T-cell lymphocytes. In discussing the various types of T cells, the nurse would explain that suppressor T cells do which of the following things?
1. Recognize foreign antigens and initiate a quick response
2. Weaken certain foreign proteins so other cells can kill them easier
3. Turn off immune response to protect body from self-destruction
4. Keep opportunistic diseases from developing and/or worsening
3
Rationale: The suppressor T cells suppress the immune response, turning it off to prevent damage to the body, and are suspected to be involved in autoimmune disorders.
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The nurse checks the capillary refill of a new patient. The amount of time for the nail color to return after the pressure is released on the patient's nail should not exceed which of the following?
a. 1–2 seconds c. 3–4 seconds b. 2–3 seconds d. 4–5 seconds
The nurse is planning to obtain a capillary blood specimen from a client. The site that is LEAST LIKELY to be used for this specimen would be the:
a. heel. b. fingertip. c. earlobe. d. antecubital space.
The NIC system includes:
a. interventions for illness prevention. b. medication administration records (MARs). c. 30 domains with 7 classes each. d. nursing outcomes.
A patient receiving an antacid is experiencing muscle cramps. What should the nurse do to assist this patient?
1. Notify the healthcare provider. 2. Review the patient's diet history. 3. Review the patient's elimination patterns. 4. Provide reassurance to the patient.