A charge nurse is preparing a teaching session for a group of newly licensed nurses about the general principles of Immunity. Which of the following statements should the nurse plan to include in the teaching?
“The body produces antibodies in response to an antigen with active immunity."
"There is lifelong immunity with passive immunity."
"The body is able to recognize previous exposure to antigens with passive immunity."
"There is a short duration of immunity with active immunity."
The Correct Answer is A
A. "The body produces antibodies in response to an antigen with active immunity." Active immunity develops after exposure to an antigen, leading to antibody production.
B. "There is lifelong immunity with passive immunity." Passive immunity is temporary (e.g., maternal antibodies).
C. "The body is able to recognize previous exposure to antigens with passive immunity." Passive immunity does not create immune memory.
D. "There is a short duration of immunity with active immunity." Active immunity is long-lasting and sometimes lifelong.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nausea: Nausea is a sign of intolerance to enteral feedings and may indicate delayed gastric emptying or feeding that is too rapid. The nurse should slow the rate of feeding, assess for abdominal distention, and check for residual volume.
B. Urine output 40 mL/hr: Urine output of 40 mL/hr is within the normal range (≥30 mL/hr) and does not indicate intolerance to enteral feedings. However, a significant decrease in urine output (oliguria) could indicate dehydration or kidney issues.
C. Soft stools: Soft stools can be a normal response to enteral feedings unless the client develops diarrhea. Watery, frequent stools may indicate malabsorption, but soft stools alone are not a sign of feeding intolerance.
D. Headache: Headaches are not a common symptom of enteral feeding intolerance. They may be related to other issues such as dehydration, hypertension, or medication side effects.
Correct Answer is ["B","C","D"]
Explanation
A. Observations about family relationships: Personal relationship details are not required unless relevant to care.
B. Response to pain medication: Pain management effectiveness is crucial for continuity of care.
C. Review of ongoing discharge plan: The receiving unit should be aware of discharge plans to provide appropriate care.
D. Recent physical changes: Any changes in condition must be reported for safe care continuation.
E. Comprehensive demographic information: Basic demographic details are in the medical record and do not need to be included in a verbal report.
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