Nokea
Which defense function is a specialty of both IgG and IgA antibody?
- A. Neonatal immunity
- B. Opsonization
- C. Antibody-mediated degranulation of mast cells
- D. Complement activation
Correct Answer: B
Rationale: The correct answer is B: Opsonization. Both IgG and IgA antibodies can participate in opsonization, which involves tagging pathogens for destruction by phagocytes. IgG and IgA have specific receptors on phagocytes that recognize the tagged pathogens, enhancing their clearance. Neonatal immunity (choice A) is primarily mediated by IgG antibodies transferred from mother to fetus. Antibody-mediated degranulation of mast cells (choice C) is mainly associated with IgE antibodies in allergic reactions. Complement activation (choice D) mainly involves IgM and IgG antibodies, leading to a cascade of reactions for pathogen elimination.
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A client with HIV has been prescribed antiviral medications. What instructions related to administration of medications should the nurse give such a client?
- A. Complying with the timing of antiviral medications around meals.
- B. Avoiding exposure to harsh sunlight for about two hours after taking the medication.
- C. Having the medications with plenty of fruit juice.
- D. Having an increased dose of the medications if the symptoms worsen.
Correct Answer: A
Rationale: Adhering to the timing of antiviral medications around meals ensures optimal absorption and effectiveness.
What is the structural composition of an antibody?
- A. Two heavy chains and two light chains
- B. Three heavy chains and one light chain
- C. Two heavy chains and three light chains
- D. Four heavy chains
Correct Answer: A
Rationale: The correct answer is A: Two heavy chains and two light chains. Antibodies are composed of two identical heavy chains and two identical light chains. Heavy chains provide structural support and effector functions, while light chains contribute to antigen binding. Choice B is incorrect as antibodies do not have three heavy chains. Choice C is incorrect as antibodies do not have three light chains. Choice D is incorrect as antibodies do not have four heavy chains.
Which of the following would have the highest priority in septic shock?
- A. Monitoring temperature.
- B. Monitoring airway,breathing,circulation (ABC).
- C. Monitoring pupillary reaction.
- D. Monitoring ANA and RF levels.
Correct Answer: B
Rationale: In septic shock, maintaining airway, breathing, and circulation (ABC) is critical because these systems ensure oxygenation and perfusion, which are compromised in shock states. Monitoring temperature and other parameters is secondary to stabilizing ABC.
Which of the following is the best match between antibody class and major antibody effector function?
- A. IgG: Opsonization
- B. IgA: Complement activation
- C. IgE: Antibody-dependent cell-mediated cytotoxicity
- D. IgM: Neonatal immunity
Correct Answer: A
Rationale: The correct answer is A: IgG: Opsonization. IgG antibodies are known for their role in opsonization, where they tag pathogens for phagocytosis by immune cells. This process enhances the removal of pathogens. IgA is mainly involved in mucosal immunity and not complement activation, making choice B incorrect. IgE is associated with allergic reactions and not antibody-dependent cell-mediated cytotoxicity as stated in choice C. IgM is the first antibody produced in response to an infection and plays a role in neonatal immunity, making choice D incorrect.
A client is being administered the first dose of belimumab for a systemic lupus erythematosus flare. What actions by the nurse are most appropriate? (Select one that does not apply.)
- A. Observe the client for at least 2 hours afterward.
- B. Instruct the client about the monthly infusion schedule.
- C. Inform the client not to drive or sign legal papers for 24 hours.
- D. Ensure emergency equipment is working and nearby.
Correct Answer: C
Rationale: The correct answer is C: Inform the client not to drive or sign legal papers for 24 hours. This is because belimumab can cause dizziness and fatigue as side effects, which may impair the client's ability to drive or make important decisions. It is crucial for the nurse to ensure the safety of the client and others by advising against these activities for 24 hours post-administration.
Choice A: Observing the client for at least 2 hours is important for monitoring immediate adverse reactions, but it is not the most appropriate action in this scenario.
Choice B: Instructing the client about the monthly infusion schedule is important for treatment adherence, but it is not the most immediate concern after the first dose administration.
Choice D: Ensuring emergency equipment is working and nearby is important for safety precautions, but advising the client not to drive or sign legal papers is more directly related to the potential side effects of belimumab.