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The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel. Which finding requires the nurse's immediate action?
- A. The patient's fingers swollen and warm.
- B. The patient complains of generalized pain 5/10.
- C. The capillary refill time is 8 seconds.
- D. The patient's fingers are pink and cool bilaterally.
Correct Answer: C
Rationale: The correct answer is C because a capillary refill time of 8 seconds indicates poor perfusion, which could be a sign of compromised blood flow to the fingers post-surgical decompression. This finding requires immediate action to prevent complications such as ischemia or impaired wound healing.
A: Swollen and warm fingers are expected after surgery due to inflammation.
B: Generalized pain can be managed with appropriate pain relief measures and is not an immediate concern post-surgery.
D: Pink and cool fingers indicate adequate perfusion and are normal findings post-surgery.
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Which of the following is an example of a live attenuated bacterial vaccine?
- A. Cholera
- B. Typhoid
- C. Anthrax
- D. Plague
Correct Answer: B
Rationale: The correct answer is B: Typhoid. Live attenuated vaccines contain weakened forms of the pathogen that can replicate in the host to stimulate a strong immune response without causing disease. Typhoid vaccine is an example of a live attenuated bacterial vaccine because it contains weakened Salmonella typhi bacteria. Cholera (A), Anthrax (C), and Plague (D) vaccines are not live attenuated bacterial vaccines; they are either killed/inactivated or subunit vaccines. Live attenuated vaccines provide longer-lasting immunity compared to other vaccine types.
The release of IL-8 at an infection site specifically induces
- A. Increase of adhesion molecules on local endothelial cells
- B. Local recruitment of neutrophils
- C. Systemic effects, including fever
- D. Increase of acute-phase proteins
Correct Answer: B
Rationale: The correct answer is B because IL-8 is a chemokine that specifically functions to recruit neutrophils to the site of infection. Neutrophils are crucial for fighting off pathogens. A: Increase of adhesion molecules on local endothelial cells is not directly induced by IL-8. C: Systemic effects, including fever, are typically mediated by other cytokines like IL-1 and IL-6. D: Increase of acute-phase proteins is not the primary role of IL-8 in the immune response.
What is the medical term for an abnormal decrease in red blood cells?
- A. Leukopenia
- B. Thrombocytopenia
- C. Anemia
- D. Hemolysis
Correct Answer: C
Rationale: The correct answer is C: Anemia. Anemia is the medical term for an abnormal decrease in red blood cells. Red blood cells are responsible for carrying oxygen throughout the body, and a decrease in their numbers can lead to symptoms like fatigue, weakness, and paleness.
Rationale:
1. Leukopenia (A) refers to a decrease in white blood cells, not red blood cells.
2. Thrombocytopenia (B) is a decrease in platelets, which are involved in blood clotting, not red blood cells.
3. Hemolysis (D) is the breakdown of red blood cells, not a decrease in their numbers.
In summary, anemia is the correct answer as it specifically describes the condition of low red blood cell count, while the other choices are related to decreases in different components of blood.
A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines. What response by the nurse is most appropriate?
- A. Antihistamines do not help poison ivy.
- B. There are different antihistamines to try.
- C. You should be seen in the clinic right away.
- D. You will need to take some IV steroids.
Correct Answer: C
Rationale: The correct answer is C: "You should be seen in the clinic right away." This response is appropriate because poison ivy rashes can worsen and may require prescription medications like corticosteroids. Seeing a healthcare provider ensures proper diagnosis and treatment.
A: "Antihistamines do not help poison ivy." - Incorrect, as antihistamines may provide some relief for itching but are not the primary treatment for poison ivy rashes.
B: "There are different antihistamines to try." - Incorrect, as trying different antihistamines may not address the underlying issue of poison ivy exposure.
D: "You will need to take some IV steroids." - Incorrect, as IV steroids are typically reserved for severe cases and should be prescribed by a healthcare provider after evaluation.
The term 'lymphocyte repertoire' refers to:
- A. The range of antigen receptor specificities found in a lymphocyte population
- B. The variety of effector functions that result from an adaptive immune response
- C. Antigen receptor specificities found on a given lymphocyte
- D. The collection of daughter cells produced when a lymphocyte divides after activation
Correct Answer: A
Rationale: The correct answer is A because the term 'lymphocyte repertoire' specifically refers to the range of antigen receptor specificities found in a lymphocyte population. Lymphocytes are immune cells that play a crucial role in recognizing and responding to antigens, and their diverse antigen receptor specificities allow them to recognize a wide range of pathogens. This term does not refer to effector functions (B) or a single lymphocyte's receptor specificities (C). Additionally, it does not describe the collection of daughter cells produced after division (D), as the repertoire refers to the initial diversity of antigen receptors within a lymphocyte population.