Nokea
Which of the following best describes the relationship between innate and adaptive immunity?
- A. Innate immunity suppresses adaptive immunity
- B. Adaptive immunity enhances innate immune functions
- C. Innate immunity activates and stimulates adaptive immunity
- D. They function entirely independently of each other
Correct Answer: C
Rationale: The correct answer is C because innate immunity plays a crucial role in initiating and influencing adaptive immunity. Innate immunity activates and stimulates adaptive immune responses by recognizing pathogens and initiating the adaptive immune system to produce specific responses. This relationship is essential for the body's overall immune defense.
Choice A is incorrect because innate immunity does not suppress adaptive immunity; instead, they work together synergistically. Choice B is incorrect because adaptive immunity does not enhance innate immune functions, but rather complements them. Choice D is incorrect because innate and adaptive immunity are interconnected and work together to provide comprehensive immune protection.
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What receptor is targeted in Grave's disease, a Type V hypersensitivity reaction?
- A. Insulin receptor
- B. Thyroid-stimulating hormone (TSH) receptor
- C. Complement receptor
- D. CD4 receptor
Correct Answer: B
Rationale: The correct answer is B: Thyroid-stimulating hormone (TSH) receptor. In Grave's disease, autoantibodies bind to and activate the TSH receptor on thyroid cells, leading to hyperthyroidism. This is a Type II hypersensitivity reaction. Insulin receptor (A) is not involved in Grave's disease. Complement receptor (C) is not the target in this condition. CD4 receptor (D) is primarily involved in T cell activation, not in Grave's disease.
A client is in the hospital and has received two doses of an angiotensin-converting enzyme for hypertension. When the nurse answers the client's call light, the client presents an appearance as shown below: What action by the nurse takes is most appropriate?
- A. Administer epinephrine 1:1000, 0.3 mg IV push immediately.
- B. Apply oxygen by facemask at 100% and a pulse oximeter.
- C. Ensure a patent airway while calling the Rapid Response Team.
- D. Reassure the client that these symptoms will go away.
Correct Answer: C
Rationale: The correct action by the nurse is to ensure a patent airway while calling the Rapid Response Team (Choice C). This is because the client is showing signs of angioedema, a potential adverse reaction to angiotensin-converting enzyme (ACE) inhibitors. Angioedema can lead to airway compromise and respiratory distress, hence ensuring a patent airway is crucial. Additionally, calling the Rapid Response Team will allow for immediate medical intervention and monitoring of the client's condition.
Choice A (Administer epinephrine) is incorrect as epinephrine is not the first-line treatment for angioedema associated with ACE inhibitors. Choice B (Apply oxygen) is not sufficient to address the potential airway compromise. Choice D (Reassure the client) is inappropriate as the client's condition requires immediate action to address the potential airway obstruction.
What are the characteristics of the carbonic acid–bicarbonate buffer system (select all that apply)?
- A. CO2 is eliminated by the lung
- B. Neutralizes HCl acid to yield carbonic acid and salt
- C. H2CO3 formed by neutralization dissociates into H2O and CO2
- D. Shifts H+ in and out of cell in exchange for other cations such as potassium and sodium
Correct Answer: A
Rationale: This buffer system eliminates CO2 via lungs, neutralizes acids/bases, shifts hydrogen ions across membranes, and maintains pH balance.
Phagocytes were discovered by:
- A. Ilya Metchnikoff
- B. Louis Pasteur
- C. Emil von Behring
- D. Robert Koch
Correct Answer: A
Rationale: The correct answer is A: Ilya Metchnikoff. He discovered phagocytes through his research on immune responses in starfish larvae. Metchnikoff observed cells engulfing foreign particles, leading to the discovery of phagocytosis. Louis Pasteur is famous for his work in microbiology and vaccination. Emil von Behring discovered antitoxins. Robert Koch is known for his work in bacteriology and identifying the causative agents of diseases. Therefore, the correct answer is A as Metchnikoff specifically discovered phagocytes.
The patient is admitted from home with a stage II pressure ulcer. This wound is classified as a yellow wound using the red-yellow-black concept of wound care. What is the nurse likely to observe when she does her wound assessment?
- A. Serosanguineous drainage
- B. Adherent gray necrotic tissue
- C. Clean, moist granulating tissue
- D. Creamy ivory to yellow-green exudate
Correct Answer: B
Rationale: Yellow wounds typically exhibit adherent gray necrotic tissue, indicating partial-thickness tissue loss without slough or eschar.