A 60-year-old male client with an acute viral infection is ...

[anjilletteb]

A 60-year-old male client with an acute viral infection is receiving interferon therapy. The physician is teaching the family of the client about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies.
 
  Which of the following teaching points listed below should the physician least likely include?
  A)
  Interferon can help your father's unaffected cells adjacent to his infected cells produce antiviral proteins that can stop the spread of the infection.
  B)
  Interferon can help limit the replication of the virus that's affecting your father.
  C)
  Interferon helps your father's body recognize infected cells more quickly.
  D)
  Interferon can bolster your father's immune system through the stimulation of natural killer cells that attack viruses.

Question 2

Tumor necrosis factor-a and IL-1 are major cytokines that mediate inflammation.
 
  If the patient is developing a systemic response to an infection, the nurse will likely assess which of the following clinical manifestations? Select all that apply.
  A)
  Elevated temperature
  B)
  Hypertension
  C)
  Tachycardia
  D)
  Decrease in urine output
  E)
  Anorexia

[jliusyl]

Answer to Question 1

Ans:
D

Feedback:

Interferons can activate macrophages in the fight against viral invaders, but they are not noted to stimulate the action of natural killer cells. Answers A, B, and C all capture elements of the action of interferons.

Answer to Question 2

Ans:
A, C, E

Feedback:

IL-1 and TNF-a are mediators of the acute-phase responses associated with infection or injury. Features of these systemic responses include fever (elevated temperature), hypotension, tachycardia (increased heart rate), anorexia, increase in neutrophil count, and increased levels of corticosteroid hormones.