C H A P T E R 1 7
Immune modulators
271
C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
In which situation would the health professional
be least likely to expect to administer an immune
suppressant?
a.
treatment of transplant rejection
b.
treatment of autoimmune disease
c.
reduction of number of relapses in multiple
sclerosis
d.
treatment of aggressive cancers
2.
Teaching for an individual receiving an interferon
would include:
a.
proper use of oral contraceptives.
b.
use of aspirin to control adverse effects.
c.
importance of cardiovascular workouts.
d.
proper methods of injecting the drug.
3.
People who are receiving an immune stimulant
may experience any of the clinical signs of immune
response activity, including:
a.
flu-like symptoms.
b.
diarrhoea.
c.
constipation.
d.
headache.
4.
Organ transplants are often rejected by the body
because the T cells recognise the transplanted cells
as foreign and try to destroy them. Treatment with
an immune suppressant would:
a.
activate antibody production.
b.
stimulate interleukin release.
c.
stimulate thymus secretions.
d.
block the initial damage to the transplanted cells.
5.
You might use a monoclonal antibody in treating:
a.
warts.
b.
herpes zoster.
c.
tumours that overexpress HER2.
d.
Kaposi’s sarcoma.
MULTIPLE RESPONSE
Select all that apply.
1.
The nurse is assigned to care for a person who is
receiving immune suppressants. The nurse would
continually assess the person for which of the
following anticipated adverse effects?
a.
development of cancers
b.
increased risk of infection
c.
cardiac standstill
d.
development of secondary infections
e.
increased bleeding tendencies
f.
hepatomegaly
2.
Teaching points that the nurse would incorporate
into the care of a person receiving cyclosporin would
include which of the following?
a.
Use barrier contraceptives to avoid pregnancy.
b.
If mouth sores occur, try to restrict eating as
much as possible.
c.
Dilute the solution with milk, chocolate milk, or
orange juice and drink immediately.
d.
Avoid drinking grapefruit juice when on this
drug.
e.
Stop taking the drug if GI upset or fever occurs.
f.
Refrigerate the oral solution.
