The nurse provides discharge instructions to a patient who has an ...

[jlmhmf]

The nurse provides discharge instructions to a patient who has an immune deficiency involving the T lymphocytes. Which screening should the nurse include in the teaching plan for this patient?
 
  a. Screening for allergies
  b. Screening for malignancy
  c. Antibody deficiency screening
  d. Screening for autoimmune disorders

Question 2

The nurse in the outpatient clinic has obtained health histories for these new patients. Which patient may need referral for genetic testing?
 
  a. 35-year-old patient whose maternal grandparents died after strokes at ages 90 and 96
  b. 18-year-old patient with a positive pregnancy test whose first child has cerebral palsy
  c. 34-year-old patient who has a sibling with newly diagnosed polycystic kidney disease
  d. 50-year-old patient with a history of cigarette smoking who is complaining of dyspnea

[vickyvicksss]

Answer to Question 1

ANS: B
Cell-mediated immunity is responsible for the recognition and destruction of cancer cells. Allergic reactions, autoimmune disorders, and antibody deficiencies are mediated primarily by B lymphocytes and humoral immunity.

Answer to Question 2

ANS: C
The adult form of polycystic kidney disease is an autosomal dominant disorder and frequently it is asymptomatic until the patient is older. Presymptomatic testing will give the patient information that will be useful in guiding lifestyle and childbearing choices. The other patients do not have any indication of genetic disorders or need for genetic testing.

[jlmhmf]

Thank you

[vickyvicksss]

No problemo