Flashcards in MED 2052 Exam #1 - Immunity Deck (75)
list types of foods the immunosuppressed client should avoid
Raw food, fruits and veggies unless cooked.
list the fx of macrophages and neutrophils
Macrophages become active (phagocytic immune response) and engulf and destroy antigens.
discuss the patho of scleroderma
hardening of the skin.
list the common signs of inflammation
redness, swelling, warmth, pain, and decreased function
describe Raynaud's phenomenon
condition that is characterized by spasmodic construction of arteries supplying the extremities. affects fingers and toes, often only the fingers. cold and emotional stress can make the condition worse. cause is unknown.
discuss the nursing implications/client teaching for the nurse administering prednisone
take with food. take exactly how prescribed. do not stop it abruptly. avoid alcohol during therapy. avoid people with contagious infections. caution vaccinations. check blood glucose often
discuss the fx of basophils during an allergic reaction
basophils are involved in INFLAMMATION. they contain HISTAMINE, heparin, bradykinin, and serotonin.
list three precautions to include in the plan of care for the client who is immunosuppressed
no not eat raw uncooked food
cook fruits and veggies
wash hands/shower daily
a procedure in which antibodies are removed from the blood.
discuss the "scratch test" that tests for allergies
A skin test that tests for allergies with the use of intradermal injections or scratching of the superficial layer.
condition where WBC increase by the number
discuss the priority of care for the client with a bee sting
take out bee stinger with a credit card. apply ice. elevate. antihistamine.
list the s/s in a client with an immunodeficiency
Frequent and recurrent pneumonia, bronchitis, sinus infections, ear infections, meningitis or skin infections. Inflammation and infection of internal organs. Blood disorders, such as low platelet counts or anemia.
give 3 examples of lymph tissue
white blood cells (leukocytes), bone marrow, and the thymus, spleen, and lymph nodes.
list the side effects of immune suppression
Identify the location in the body of the thymus, spleen, stomach, and liver
Thymus - center sternum
Spleen - Left middle quadrant
Appendix - end of Small intestine into large
lymph nodes everywhere
Tonsils and adenoids - back of throat
define desensitization, immunotherapy, and immunity
Immunotherapy is more trying to cure the body with meds to bring the body back to homeostasis.
Desensitization - consists of giving minute doses of allergens subQ. "allergy shots" are gradually increased to enable the client slowly develop an immunologic tolerance to the allergen.
Immunity - condition of being non-susceptible to a certain disease.
discuss the discharge teaching for the client with systemic lupus erythematous (SLE)
- avoid UV and sun exposure. sunscreen
- mild shampoo. avoid harsh hair treatments
- steroid cream for rash
- report peripheral/periorbital edema
- report evidence of infection
- avoid crowds
- risk w/childbearing age
how are rheumatoid arthritis (RA) and systemic lupus erythematous (SLE) similar
joint pain including swelling and tenderness. also energy levels are low
explain the lab test "culture and sensitivity"
lab test ordered when infection is suspected or known.
- identifies the pathogenic microorganism
- determines which tx will eliminate
- monitors the microorganisms response to therapy
do before prescribing medication
discuss the patho of systemic lupus erythematous (SLE)
- body produces antibodies against components of its own cells, such as the antinuclear antibody (ANA), and immune complex disease then follows
list three symptoms the client might have if having an allergic reaction to a medication
edema, dyspnea, anaphylaxis
list the side effects of anti-rejection medications
Kidney toxicity, neurotoxicity, hypertension, gout, high potassium levels, hyperlipidemia
list the vaccines that are recommended for the older adult
Hep A and B
describe the s/s of systemic lupus erythematous (SLE)
- blurred vision
- pleuritic pain
- anorexia, weight loss
- joint pain, swelling, tenderness
Difference between natural and artificial active immunity. example of each
Active Natural - Develops when the body produces antibodies in response to exposure to a live pathogen.
Active Artificial - Develops when a caving is given and the body produces antibodies in response to exposure to skilled or attenuated virus.
describe the physical assessment of a client with an immune-related disorder
check for fever, enlarged lymph nodes, fatigue, rashes, change in LOC, sore throat, cough.
list 3 functions of the immune system
defense, homeostasis, and surveillance.
discuss the documentation required after giving an immunization
administration of vaccines to include date, route, site, type, manufacturer, lot number, and expiration date of vaccine. Also document the name, address, and signature.
Include name, and title of the person administering the vaccine, and address of the facility where the permanent record is located.