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
PR
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
O
b. Symptoms:
i. Facial swelling
ii. Auditory wheezing
FD
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
O
ii. Stop infusion immediately with AR and change tubing
iii. Rapid infuse normal saline
iv. Maintain airway
C
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
PR
200 cell/mm3
a. Risk factors
i. Unprotected intercourse
ii. IV drug use
b. Stages
i. Stage 1: HIV: 500 cell.mm3 or more
O
ii. Stage 2: HIV: 200-499 cell/mm3
iii. Stage 3: AIDS: <200 cell/mm3
iv. Stage 4: No information yet available
FD
c. Medication/treatment
i. Protective isolation
ii. Reverse \isolation
iii. ART medications
1. Antiretroviral Therapy (ART): Involves using 3 to 4 HIV medications
O
in combination with other ART medications to reduce medication
resistance, adverse effects and dosage.
iv. Fusion inhibitors
C
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
PR
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
O
b. Symptoms:
i. Facial swelling
ii. Auditory wheezing
FD
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
O
ii. Stop infusion immediately with AR and change tubing
iii. Rapid infuse normal saline
iv. Maintain airway
C
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
PR
200 cell/mm3
a. Risk factors
i. Unprotected intercourse
ii. IV drug use
b. Stages
i. Stage 1: HIV: 500 cell.mm3 or more
O
ii. Stage 2: HIV: 200-499 cell/mm3
iii. Stage 3: AIDS: <200 cell/mm3
iv. Stage 4: No information yet available
FD
c. Medication/treatment
i. Protective isolation
ii. Reverse \isolation
iii. ART medications
1. Antiretroviral Therapy (ART): Involves using 3 to 4 HIV medications
O
in combination with other ART medications to reduce medication
resistance, adverse effects and dosage.
iv. Fusion inhibitors
C
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
