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Rosenthal: Lehne's Pharmacotherapeutics For Advanced Practice Nurses And Physician Assistants

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ROSENTHAL: LEHNE'S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS A patient who breastfeeds her infant asks the nurse about the immunity the infant receives from breast milk. What does the nurse tell the patient about immunity through breastfeeding? a. "The immunity protects the infant from hypersensitivity reactions." b. "The immunity provides phagocytes to help the infant fight infections." c. "The immunity results from the transfer of IgA through the breast milk." d. "The immunity protects the infant from respiratory and gastrointestinal (GI) microbes." - CORRECT ANSWER -ANS: C IgA crosses breast milk and, in the GI tract, where it is not absorbed, provides passive immunity to microbes. Infants do not receive protection from hypersensitivity reactions through breast milk. Phagocytes are not transmitted through breast milk. Infants are not protected from respiratory microbes via breast milk. DIF: Cognitive Level: Analysis REF: p. 574TOP: Nursing Process: Assessment MSC: NCLEX Client Needs Category: Physiologic Integrity: Physiologic Adaptation A nurse is caring for a patient infected with the human immunodeficiency virus(HIV). Which finding would most concern the nurse? a. High level of macrophages b. Low neutrophil count c. Low red blood cell (RBC) count d. Very low helper T lymphocyte count - CORRECT ANSWER -ANS: D The nurse understands that this patient may be vulnerable to opportunistic infections, especially if there were an indication of the HIV conversion to acquired immunodeficiency syndrome (AIDS). A very low helper T lymphocyte count would most concern the nurse, because the helper T cells are essential to the immune system, and people with AIDS have a low or deficient count. A high level of macrophages could indicate an inflammatory response. A low RBC count may indicate anemia. A low neutrophil count can be caused by multiple conditions, but a high count most likely indicates an infection. DIF: Cognitive Level: Analysis REF: p. 572TOP: Nursing Process: Evaluation MSC: NCLEX Client Needs Category: Physiologic Integrity: Physiologic Adaptation

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Jacqueline Rosenjack Burchum, Laura D. Rosenthal Study Guide for Lehne\'s Pharmacology for Nursing Care - E-Book
Publisher: 2023 ISBN: 9780443106484 Edition: Unknown

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