To provide examples of an active acquired immunity, the nurse uses the example of a person who has acquired immunity from measles because that person has had: (Select all that apply.)
a. Chickenpox and mumps
b. Measles
c. An extremely healthy immune system
d. An inoculation against measles
e. Maternal antibodies against measles
ANS: B, D
Active or acquired or adaptive immunity occurs from having had disease or having had an immunization against that specific disease.
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You are caring for a patient scheduled for a cervical discectomy tomorrow. You are presenting pre-operative teaching to the patient. Your teaching includes what potential complications?
A) Damage to the vocal cords B) Hematoma at the surgical site C) Airway edema D) Hemorrhage
After completing a nutritional history, the nurse determines that a patient is experiencing anorexia nervosa because of which assessment findings? (Select all that apply.)
A) Preoccupation with eating B) Body mass index of 16 C) Overeats at least twice a week D) Discusses feeling fat in clothes E) Body mass index of 29
The nurse tells the client that his newly created permanent ileostomy:
1. Will initially produce dark green fecal matter. 2. Will require additional surgery in 2 to 3 months. 3. Was necessary when his condition required a gastroduodenostomy (Billroth I). 4. Should not produce any bloody discharge.
The nurse realizes that a client, diagnosed with chronic dry eyes, may have a disorder of the lacrimal gland because it:
1. covers the eye for protection. 2. produces tears to lubricate the eye. 3. helps the eye keep its shape. 4. provides blood to the eye.