A client receiving an influenza vaccine (flu shot) asks when the immunization will be effective. The nurse response based on the knowledge that after receiving the vaccine, the levels of immunoglobulin M (IgM) are high enough to provide immunization (select all that apply) a. immediately b. 14 days c. 10 days d. 7 days e. 48 hours f. 24 hours {Ans: D. 7 days IgM levels will peak approximately one week (7 days) after vaccination. The client will continue to be susceptible to influenza prior to that time.}Type II {Ans: ABO blood incompatibility}What type of immunity is provided by a vaccination {Ans: active artificial Vaccine (live or attenuated) is injected into a person, no illness forms, but antibodies form.}Which of the following would be considered normal serum pH A. 7.4 B. 8 C. 4.5 to 8 C. 7.0 {Ans: A. 7.4 The normal serum pH range is 7.35 to 7.45.}A bodybuilder exercises his biceps by repetitively lifting weight. The biceps get bigger over time. What type of adaptation is occurring {Ans: Hypertrophy}Which term refers to the spread of malignant cells through blood and lymph to distant sites {Ans: metastasis}