Chapter 51 Essay

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Chapter: Chapter 51: Management of Patients With Immunodeficiency

Multiple Choice

1. A healthy high school athlete is diagnosed with fever and cellulitis of the right knee. The infection is resistant to oral antibiotics. He then develops osteomyelitis of the right knee. If untreated, the infection could result in
A) Severe neutropenia
B) Decrease white blood cells
C) Normal
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The infant is ultimately diagnosed with DiGeorge syndrome. What will prolong this infant's survival?
A) Heart transplant
B) Liver transplant
C) Lung transplant
D) Thymus gland transplant

Ans: D
Chapter: 51
Client Needs: D-3
Cognitive Level: Comprehension
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 1
Page and Header: 1566, T-Cell Deficiencies

Feedback: Prolonged survival has been reported following the successful transplantation of the thymus gland or spontaneous remission of immunodeficiency. A heart, liver, or lung transplant will not resolve the hypocalcemia.

6. A patient who has received a heart transplant is taking cyclosporine, an immunosuppressant. What self-care intervention is most important to teach to the patient?
A) Administer pain medications and be aware of respiratory depression.
B) Provide frequent rest periods to build endurance.
C) If the patient misses a dose of medication take two doses.
D) Frequent handwashing is needed to protect from infection.

Ans: D
Chapter: 51
Client Needs: D-2
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 3
Page and Header: 1571, Nursing Management for Patients with Immunodeficiencies

Feedback: The use of cyclosporine to protect the patient from rejection of the heart places the patient in an immunosuppressive state. The nurse should instruct on frequent
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