The student nurse learns that the most important function of inflammation and immunity is which purpose?
a. Destroying bacteria before damage occurs
b. Preventing any entry of foreign material
c. Providing protection against invading organisms
d. Regulating the process of self-tolerance
ANS: C
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. The cells of the immune system are the only cells that can distinguish self from non-self. This function is generalized and incorporates destroying bacteria, preventing entry of foreign invaders, and regulating self-tolerance.
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A newly admitted older patient has severe edema in the lower extremities and no hair on the legs. What do these manifestations most likely indicate to the nurse?
A) A diet low in protein B) Exposure to the cold from a lack of heat C) Frequent falls and injuries because of unsteady gain D) Circulatory problems related to age and a chronic illness
The nurse is preparing to perform an assessment of the client's social support and organization. Which of the following questions will provide the needed information?
1. Where was the client born? 2. What is the primary language spoken in the family home? 3. What nonverbal communication behaviors are observed during the nurse-client interaction? 4. Is there a religious affiliation linked with the cultural affiliation?
A nurse is caring for a client diagnosed with a delusional disorder. While assessing this client, which of the following would a nurse expect to find?
A) History of chronic major depression B) Consistently disrupting behavior patterns C) Verbalization of bizarre delusions D) Living with one or more delusions for a period of time
During conversation, the nurse observes that the patient is talking continuously and excitedly, and is switching rapidly from one topic to another with seemingly no relationship between topics. This behavior is often associated with which disorder?
a. Depression b. Obsessive-compulsive disorder c. Schizophrenia d. Bipolar disorder