NUR 355 Exam 2 Study Guide:
Questions & Answers: Updated A+
Guide Solution
1. Active Natural Immunity: Received by exposure to a pathogen (e.g. getting COVID
through exposure)
a. Longest acting
2. Active artificial immunity: Vaccines
3. Innate: Natural (what your born with)
4. Natural passive: Breastfeed babies acquiring antibodies through breast milk
5. Artificial Passive: Immune serum
6. Type 1: Allergic (IgE)
i. Anaphylaxis
ii. Emergency
b. Symptoms:
i. Facial swelling
ii. Auditory wheezing
iii. Stridor
iv. Maintain airway
7. Type 2: Cytotoxic (IgG, IgM)
a. Blood reaction
i. Stay with patient for first 15 minutes after administering blood products
ii. Stop infusion immediately with AR and change tubing
iii. Rapid infuse normal saline
iv. Maintain airway
v. Administer oxygen
vi. Notify rapid response team
vii. Symptoms
1. Increased heart rate
2. Increased respirtions
3. Fever
viii. DO NOT LEAVE PATIENT ALONE
8. Type 3: Immune IgG, IgM)
a. Complement release & information of deposit form antigens/antibodies.
b. SLE (Lupus)
i. Butterfly rash
c. Fatigue
d. Pale
e. Females
f. RA:
i. bilateral
ii. Red
, iii. Hot
iv. Swollen joints
g. Serum sickness: reaction to immune system from conditions antibodies such as
snake bite
9. Type 4: Delayed
a. Due to exposure
i. Poison IVY
ii. Positive TB test
iii. Latex
10. Type 5: Stimulated
a. Antibodies
b. Hyperthyroidism
c. Graves Disease (bulging eyes)
11. HIV/AIDS: HIV progresses to AIDS when rapid rise In HIV viral load and CD4+ falls below
200 cell/mm3
a. Risk factors
i. Unprotected intercourse
ii. IV drug use
b. Stages
i. Stage 1: HIV: 500 cell.mm3 or more
ii. Stage 2: HIV: 200-499 cell/mm3
iii. Stage 3: AIDS: <200 cell/mm3
iv. Stage 4: No information yet available
c. Medication/treatment
i. Protective isolation
ii. Reverse \isolation
iii. ART medications
1. Antiretroviral Therapy (ART): Involves using 3 to 4 HIV medications
in combination with other ART medications to reduce medication
resistance, adverse effects and dosage.
iv. Fusion inhibitors
v. Entry inhibitors
vi. Nucleoside reverse transcriptase inhibitors
vii. Non-Nucleoside reverse transcriptase inhibitors
viii. Protease inhibitors
ix. Integrase inhibitors
x. Antineoplastic medications
d. Nursing education
i. Safe sex
ii. High protein/calorie diet
e. Nursing interventions
i. Universal protection
ii. Protective isolation
f. Complication of HIV
i. Kaposis sarcoma
1. Cancer caused by virus
Questions & Answers: Updated A+
Guide Solution
1. Active Natural Immunity: Received by exposure to a pathogen (e.g. getting COVID
through exposure)
a. Longest acting
2. Active artificial immunity: Vaccines
3. Innate: Natural (what your born with)
4. Natural passive: Breastfeed babies acquiring antibodies through breast milk
5. Artificial Passive: Immune serum
6. Type 1: Allergic (IgE)
i. Anaphylaxis
ii. Emergency
b. Symptoms:
i. Facial swelling
ii. Auditory wheezing
iii. Stridor
iv. Maintain airway
7. Type 2: Cytotoxic (IgG, IgM)
a. Blood reaction
i. Stay with patient for first 15 minutes after administering blood products
ii. Stop infusion immediately with AR and change tubing
iii. Rapid infuse normal saline
iv. Maintain airway
v. Administer oxygen
vi. Notify rapid response team
vii. Symptoms
1. Increased heart rate
2. Increased respirtions
3. Fever
viii. DO NOT LEAVE PATIENT ALONE
8. Type 3: Immune IgG, IgM)
a. Complement release & information of deposit form antigens/antibodies.
b. SLE (Lupus)
i. Butterfly rash
c. Fatigue
d. Pale
e. Females
f. RA:
i. bilateral
ii. Red
, iii. Hot
iv. Swollen joints
g. Serum sickness: reaction to immune system from conditions antibodies such as
snake bite
9. Type 4: Delayed
a. Due to exposure
i. Poison IVY
ii. Positive TB test
iii. Latex
10. Type 5: Stimulated
a. Antibodies
b. Hyperthyroidism
c. Graves Disease (bulging eyes)
11. HIV/AIDS: HIV progresses to AIDS when rapid rise In HIV viral load and CD4+ falls below
200 cell/mm3
a. Risk factors
i. Unprotected intercourse
ii. IV drug use
b. Stages
i. Stage 1: HIV: 500 cell.mm3 or more
ii. Stage 2: HIV: 200-499 cell/mm3
iii. Stage 3: AIDS: <200 cell/mm3
iv. Stage 4: No information yet available
c. Medication/treatment
i. Protective isolation
ii. Reverse \isolation
iii. ART medications
1. Antiretroviral Therapy (ART): Involves using 3 to 4 HIV medications
in combination with other ART medications to reduce medication
resistance, adverse effects and dosage.
iv. Fusion inhibitors
v. Entry inhibitors
vi. Nucleoside reverse transcriptase inhibitors
vii. Non-Nucleoside reverse transcriptase inhibitors
viii. Protease inhibitors
ix. Integrase inhibitors
x. Antineoplastic medications
d. Nursing education
i. Safe sex
ii. High protein/calorie diet
e. Nursing interventions
i. Universal protection
ii. Protective isolation
f. Complication of HIV
i. Kaposis sarcoma
1. Cancer caused by virus
