LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)

Chapter 13 Nursing Care of Patients with Altered Immunity

1) A patient is having a kidney transplant from a live sibling. What must have occurred for this surgery to be planned?

1. The human leukocyte antigens between the patient and sibling must be very similar.

2. The human leukocyte antigens between the patient and sibling must be very different.

3. The patient has an overactive immune system.

4. The donor has an overactive immune system.

Page Ref: 377

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.2 Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

2) A patient with an incompetent immune system asks what "disease" required placement in isolation. How should the nurse respond?

1. "Because your immune system is weak, you can develop a disease. The isolation is to protect you."

2. "I will have to find out from your doctor."

3. "It's not a bad disease. The isolation is just to make sure it doesn't spread."

4. "I am sure that once your medications start to work, you won't have to remain in isolation."

Page Ref: 383

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

3) A patient reports having the "common cold" at least three times a year but now cannot remember when the last one occurred. What should the nurse realize this patient is describing?

1. Healthy B cell functioning

2. Healthy helper T cell functioning

3. T cell secretion of antibodies

4. Healthy regulator T cell functioning

Page Ref: 365

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.1 Review the normal immune system function, including self-recognition.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

4) An older patient reports developing pneumonia easily; however, a spouse of the same age rarely "gets sick." How should the nurse respond?

1. "Not everyone's immune system is the same, regardless of their age."

2. "Your spouse must be doing something that you're not doing."

3. "Maybe your spouse just doesn't tell you about being sick."

4. "It's just a matter of time. Your spouse will have the same illnesses you do."

Page Ref: 365

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Aging Process

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.1 Review the normal immune system function, including self-recognition.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

5) A patient comes into the emergency department with itching, swelling, and slight shortness of breath after being stung by a bee. Which type of hypersensitivity reaction is this patient most likely experiencing?

1. Type I IgE-mediated hypersensitivity

2. Type II cytotoxic hypersensitivity

3. Type III immune complex-mediated hypersensitivity

4. Type IV delayed hypersensitivity

Page Ref: 366

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

6) A patient is diagnosed with a type IV delayed hypersensitivity reaction. For which reason did this type of reaction occur?

1. Latex allergy

2. Reaction to a wasp sting

3. Serum sickness

4. Autoimmune hemolytic anemia

Page Ref: 370

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

7) A patient develops hemolytic anemia after receiving a dose of penicillin. What action should the nurse realize is indicated for this patient?

1. Administer no further doses of penicillin.

2. Administer a blood transfusion.

3. Provide oxygen.

4. Increase fluids.

Page Ref: 368

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

8) A patient develops a fever, rash, joint and muscle pain, and swollen lymph nodes after receiving a sulfonamide. What should these symptoms suggest to the nurse?

1. Serum sickness

2. Exacerbation of a disease process

3. Acute influenza

4. Subacute rheumatoid arthritis

Page Ref: 269

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

9) A patient recovering from a bone marrow transplant develops a maculopapular rash on the palms of both hands and the soles of the feet along with severe abdominal pain and bloody diarrhea. What should the nurse suspect this patient is experiencing?

1. Graft-versus-host disease

2. Chronic tissue rejection

3. Acute tissue rejection

4. Hyperacute tissue rejection

Page Ref: 379

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

10) A patient is diagnosed with valvular heart disease after experiencing rheumatic heart fever. What should the nurse realize caused this disorder?

1. Molecular mimicry

2. Release of hidden antigens into the circulation

3. Biologic changes that cause self-antigens to produce autoantibodies

4. Autoimmune response by slow-growing mycobacteria

Page Ref: 374

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

11) A patient is concerned about developing rheumatoid arthritis because a family member has so much pain from the disorder. What should the nurse respond?

1. "Autoimmune disorders are genetically linked."

2. "The only way you will develop this disorder is if you become highly stressed."

3. "The amount of estrogen you have in your body will prevent the onset of the disorder."

4. "Limit your physical activity to prevent the onset of the disorder."

Page Ref: 375

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

12) A patient had skin taken from the upper thigh and placed over a burn area on the shoulder. Which should be the likely outcome from this procedure?

1. The graft will be successful.

2. The graft will immediately become cyanotic.

3. The graft will become swollen and edematous within 3 to 4 months.

4. The graft will lift away from the body over several years.

Page Ref: 377

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

13) A patient is prescribed an immunosuppressive agent. Which patient statement indicates that additional teaching about this medication is required?

1. "I should drink a lot of fruit juices, such as grapefruit juice."

2. "I know to call the physician if I start experiencing a lot of bruising."

3. "I should drink plenty of water to keep from getting dehydrated."

4. "If I experience any joint pain, I should take ibuprofen for the pain as needed every 4 hours."

Page Ref: 381

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

14) A patient who is immunosuppressed asks why so many illnesses are occurring. How should the nurse respond?

1. "You are unable to develop immunity to common bacteria, so you experience more illnesses."

2. "Your body takes longer to develop an immune response."

3. "Your body thinks everything is foreign matter and responds with an illness."

4. "You are under severe stress, which is causing the illnesses."

Page Ref: 385

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

15) A patient is suspected of having a hypersensitivity reaction. Which laboratory test result supports this suspicion?

1. Patch test with a 1-inch area of erythema

2. Eosinophils 2% of the total WBC

3. Coombs indirect showing no agglutination

4. Elevated hematocrit level

Page Ref: 271

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

16) A patient has a history of severe responses to skin testing done for allergies. What should be used in place of skin testing for this patient?

1. Radioallergosorbent test

2. White blood cell count and differential

3. Blood type and crossmatch

4. Immune complex assay

Page Ref: 371

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

17) The intradermal skin test conducted on a patient is positive. What did the nurse most likely assess in this patient?

1. A wheal larger than 5 cm from the control and erythema

2. Localized, itchy wheal

3. Papules

4. Ulceration

Page Ref: 371

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

18) After one week on an elimination diet to help identify food allergies, the patient's symptoms resolve. What should be planned for this patient?

1. Reintroducing the eliminated foods one at a time to determine the allergy.

2. Resuming the regular pre-elimination diet.

3. Taking an antihistamine before eating a food that causes a food allergy.

4. Consuming foods identified as causing allergies for the full week following the elimination diet.

Page Ref: 371

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

19) A patient is experiencing symptoms of exposure to environmental ragweed. About which medication should the nurse instruct this patient?

1. Antihistamines

2. Antibiotics

3. Antiviral medications

4. Antifungal medications

Page Ref: 372

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

20) A patient diagnosed with rheumatoid arthritis is not responding to NSAID therapy. Which medication or therapy may be considered for this patient's treatment? Select all that apply.

1. Gold salt

2. Plasmapheresis

3. Methotrexate (Rheumatrex)

4. Infliximab (Remicade)

5. Corticosteroids

Page Ref: 375, 377

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

21) A patient receiving cyclosporine after an organ transplant is experiencing an acute onset of hypertension and headaches. What should these assessment findings suggest to the nurse?

1. These are signs of toxicity.

2. This is a normal reaction to the medication.

3. These are signs of impending transplanted organ failure.

4. The transplanted organ is beginning to function.

Page Ref: 379

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

22) A patient with AIDS experiences nausea, fever, severe diarrhea, and anorexia. Which medication would be the most effective to relieve the anorexia, as well as to stimulate the patient's appetite?

1. Megestrol (Megace)

2. Ciprofloxacin (Cipro)

3. Zidovudine (Retrovir, AZT)

4. Abacavir (Ziagen)

Page Ref: 397

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

23) The nurse is instructing a patient with AIDS regarding foods that will increase caloric intake. Which meal choice indicates that the patient understands which types of foods to consume?

1. Spaghetti and meat sauce, raisin salad, whole grain roll with butter, vanilla milkshake (with Ensure), and a piece of pecan pie

2. Baked chicken (thigh), cabbage, small green salad, slice of white bread, dried prunes, and a soda

3. Red beans and rice, slaw, tomato, crackers, chocolate pudding, and iced tea

4. Vegetable soup, small piece of cornbread, banana pudding, and water

Page Ref: 397

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

24) A patient with HIV has an HIV viral load test of 9,000 copies/mL. What should this test result suggest to the nurse?

1. The current prescribed medication therapy is not effective.

2. The current prescribed medication therapy is effective.

3. The dose of prescribed medication can be reduced.

4. A less toxic medication needs to be prescribed.

Page Ref: 391

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

25) The nurse is teaching a patient newly diagnosed with HIV. Which patient statement indicates the need for additional teaching?

1. "I know to use an oil-based lubricant to prevent giving the disease to my partner."

2. "I know I have to practice safe sex with my partner."

3. "I will not share my toothbrush or razor with my partner."

4. "I know I can't donate blood anymore because I have HIV."

Page Ref: 398

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

26) A patient is demonstrating signs of anaphylactic shock. What should the nurse do first to assist this patient?

1. Administer subcutaneous epinephrine.

2. Maintain an airway.

3. Provide calm reassurance.

4. Place the patient on a cardiac monitor.

Page Ref: 373

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

27) A patient says, "I had this arthritis pain under control, but then I learned I might lose my job." How should the nurse respond?

1. "Well, we'd better do everything to help you before you lose your health benefits."

2. "I'm sure you'll find another job."

3. "Stress can exacerbate arthritis."

4. "Have you considered going on disability?"

Page Ref: 375

Cognitive Level: Applying

Client Need & Sub: Psychosocial Integrity: Stress Management

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

28) A patient with an autoimmune disorder says, "My family keeps telling me I don't look sick." Which problem should the nurse use to guide this patient's care?

1. Lack of family comprehension about the disease process

2. Alteration in body functions

3. Inability of the patient to cope with the health problem

4. Inability of the patient to tolerate activity

Page Ref: 377

Cognitive Level: Applying

Client Need & Sub: Psychosocial Integrity: Support Systems

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Diagnosis

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

29) A patient is prescribed a monoclonal antibody after an allograft on the left thigh. What does the use of this medication suggest to the nurse?

1. The patient will have a shorter recovery time.

2. This medication has fewer adverse effects.

3. There is a risk for steroid-resistant rejection of the graft.

4. The patient is at risk for developing a graft infection.

Page Ref: 380

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

30) A patient with HIV is complaining of increased pain in the feet and legs. What should the nurse realize this patient is demonstrating?

1. A reaction to the medication

2. An opportunistic infection

3. A secondary cancer

4. A nervous system manifestation of the disease

Page Ref: 389

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Neurologic problems attributable to HIV include inflammatory, demyelinating, and degenerative changes | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

31) A young female patient with HIV does not want to see the gynecologist because "I'm going to die anyway." How should the nurse respond?

1. "Having a PAP smear will help detect the onset of cervical cancer."

2. "Why do you think you are going to die?"

3. "The gynecologist will help diagnose any Hodgkin disease."

4. "But you still should be on birth control."

Page Ref: 390

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Health Screening

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

32) A patient with HIV is not adhering to the prescribed medication therapy. Which nursing action will best improve patient compliance and the long-term treatment of the disease process?

1. Confront the patient about the noncompliant behavior.

2. Talk with the patient about not adhering to the medication schedule.

3. Suggest that the patient take the medication at bedtime to prevent nausea.

4. Refer the patient to a social worker so that lower-cost medications can be obtained.

Page Ref: 392

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.5. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

33) An adolescent patient asks the nurse about sexual practices that help avoid contracting HIV. What should the nurse instruct this patient?

1. Always use a condom.

2. Be sure to be tested for HIV every 6 months.

3. There is no such thing as safe sex.

4. The only safe sex is no sex.

Page Ref: 399

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: High Risk Behaviors

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

34) The nurse is preparing to instruct a class of young adults about ways to perform safe sex. What should be included in the nurse's presentation? Select all that apply.

1. Avoid spermicidal agents.

2. Get tested for HIV if entering into a new monogamous relationship.

3. Use oral birth control pills.

4. Use only oil-based lubricants with condoms.

5. Avoid sharing intravenous drug paraphernalia.

Page Ref: 399

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Teaching/Learning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

35) A patient is diagnosed with a type I hypersensitivity reaction. Which chemical mediators should the nurse realize caused the patient's symptoms? Select all that apply.

1. Histamine

2. Complement

3. Autoantibodies

4. Erythrocytes

5. Kinins

Page Ref: 366

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

36) The nurse is preparing to instruct a patient with hypersensitivity reactions to bee stings. What should the nurse include in this teaching? Select all that apply.

1. Wear a medical-alert bracelet identifying the allergy at all times.

2. Carry a bee sting kit at all times.

3. Wear long-sleeved clothing while outdoors.

4. Minimize exposure by staying indoors.

5. Take an antihistamine prior to going outdoors.

Page Ref: 374

Cognitive Level: Applying

Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

37) The nurse is preparing to assess patients in the clinic who are HIV positive. Which patient should the nurse realize is at the greatest risk for developing AIDS-associated secondary cancers? Select all that apply.

1. Men who have sex with men

2. Heterosexual couples who are monogamous

3. Females with cervical dysplasia

4. HIV-positive patients with Mycobacterium avium complex

5. HIV patients who have recently seroconverted

Page Ref: 390

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

38) The nurse is planning care for an older patient. Which factor does the nurse realize affects this patient's immune status? Select all that apply.

1. Environmental pollution

2. A chronic illness

3. Presence of autoantibodies

4. Nutritional status

5. Quality of sleep and rest

Page Ref: 365

Cognitive Level: Analyzing

Client Need & Sub: Health Promotion and Maintenance: Aging Process

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.1 Review the normal immune system function, including self-recognition.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

39) The nurse is conducting a physical assessment on a patient experiencing a hypersensitivity reaction. On which area should the nurse focus this assessment? Select all that apply.

1. Skin condition

2. Mucous membranes

3. Peripheral pulses

4. Lymph nodes

5. Cranial nerve function

Page Ref: 366

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.1 Review the normal immune system function, including self-recognition.

MNL Learning Outcome: 1. Examine the pathophysiology, incidence, risk factors, and clinical manifestations for patients with altered immunity.

40) A patient is being treated for an acute hypersensitivity reaction. Which assessment finding indicates that the patient is developing an alteration in cardiac output? Select all that apply.

1. Lethargy

2. Itchy skin

3. Urine output 15 mL/hr

4. Prolonged capillary refill

5. Blood pressure 98/50 mmHg

Page Ref: 373

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Physiological Adaptation

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.2 Compare and contrast the four types of hypersensitivity reactions.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

41) A patient has a rheumatoid factor titer of 1:30. Which health problem might the patient be experiencing? Select all that apply.

1. Leukemia

2. Renal disease

3. Liver cirrhosis

4. Rheumatoid arthritis

5. Systemic lupus erythematosus

Page Ref: 375

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 3. Analyze assessment data to determine a plan of care for patients with altered immunity.

42) A patient is prescribed to receive lymphocyte immune globulin (Atgam) to prevent an immediate transplant reaction. What action should the nurse take when administering this medication? Select all that apply.

1. Measure hourly urine output.

2. Keep epinephrine at the bedside.

3. Premedicate with acetaminophen.

4. Plan to infuse the medication over 2 hours.

5. Measure vital signs every hour during the infusion.

Page Ref: 382

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 13.3 Describe the pathophysiology and manifestations of autoimmune disorders and tissue transplant rejection, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 2. Consider intraprofessional care for patients with altered immunity.

43) A patient with HIV is being treated with the protease inhibitor raltegravir (Ritonavir). Which effect should the nurse expect the patient to experience while taking this medication? Select all that apply.

1. Abdominal obesity

2. Reduction in viral load

3. Skeletal muscle wasting

4. Minimal adverse effects

5. Improved serum lipid levels

Page Ref: 393

Cognitive Level: Analyzing

Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.

44) A patient who engages in high-risk sexual behavior is urged to have total knee replacement surgery. What action should the patient consider prior to scheduling this surgery? Select all that apply.

1. Delay the surgery for 1 year.

2. Schedule the surgery immediately.

3. Begin medication therapy for HIV.

4. Have testing for HIV in 6 months.

5. Consider autologous transfusions for the surgery.

Page Ref: 400

Cognitive Level: Applying

Client Need & Sub: Physiological Integrity: Reduction of Risk Potential

Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 13.4 Describe the pathophysiology and manifestations of disorders of impaired immune response, and outline the interprofessional care, nursing care, and transitions of care for patients with these disorders.

MNL Learning Outcome: 4. Determine appropriate nursing interventions for patients with altered immunity.