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A male client is suspected of an immune system disorder. Which of the ff important factors will the nurse document while assessing the client?
- A. The client's diet
- B. The client's family member's history of
- C. The client's drug history chronic diseases
- D. The client's ability to produce antibodies
Correct Answer: D
Rationale: Assessing the client's ability to produce antibodies is a crucial factor in determining immune system function. Antibodies are proteins produced by the immune system to help fight off infections and other harmful substances. In a male client suspected of an immune system disorder, understanding his ability to produce antibodies can provide valuable insights into the functionality of his immune system. This assessment can help healthcare providers identify potential deficiencies or abnormalities in the immune response, leading to appropriate diagnosis and treatment strategies.
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Which bite causes Rocky Mountain spotted fever?
- A. Flea
- B. Tick
- C. Mosquito
- D. Mouse or rat
Correct Answer: B
Rationale: Rocky Mountain spotted fever is caused by the bite of an infected tick. The bacterium Rickettsia rickettsii is transmitted to humans through the bite of the American dog tick, the Rocky Mountain wood tick, or the brown dog tick. These ticks are commonly found in wooded areas and attach themselves to the skin of humans or animals, transmitting the bacteria responsible for Rocky Mountain spotted fever. It is important to take precautions to prevent tick bites, such as using insect repellent, wearing long sleeves and pants when in wooded areas, and conducting thorough tick checks after being outdoors.
Which combination of signs is commonly associated with glomerulonephritis?
- A. Mild proteinuria, hematuria, decreased urine output, and lethargy.
- B. Massive proteinuria, hematuria, increased output, and lethargy.
- C. Mild proteinuria, increased output, and lethargy.
- D. Massive proteinuria, decreased output, and hypotension.
Correct Answer: A
Rationale: Glomerulonephritis typically presents with mild to moderate proteinuria, hematuria, decreased urine output, and lethargy.
A client is diagnosed with metastatic adenocarcinoma of the stomach. The physician prescribes mitomycin (Mutamycin) with other chemotherapeutic agents for palliative treatment. How mitomycin does exert its cytotoxic effects?
- A. It inhibits deoxyribonucleic acid (DNA) synthesis
- B. It's cell cycle-phase specific
- C. It inhibits ribonucleic acid (RNA) synthesis
- D. It inhibits protein synthesis
Correct Answer: A
Rationale: Mitomycin exerts its cytotoxic effects by forming cross-links between adjacent guanine residues in DNA, leading to inhibition of DNA synthesis. This mechanism disrupts the replication of cancer cells, ultimately inducing cell death. Mitomycin is an alkylating agent that primarily targets DNA, making it an effective treatment for certain types of cancers, such as adenocarcinoma of the stomach.
A male client is prescribed medications that depress thrombocytes. The nurse should monitor for which of the ff signs and symptoms in the client?
- A. Sore throat and swollen glands
- B. Pernicious anemia with weakness
- C. Bleeding gums and dark tarry tools
- D. Thickening of blood and bruising
Correct Answer: C
Rationale: Thrombocytes, also known as platelets, play a crucial role in blood clotting. Medications that depress thrombocytes can lead to decreased clotting ability and an increased risk of bleeding. Therefore, monitoring for signs and symptoms of bleeding is essential. Bleeding gums and dark tarry stools are indicative of bleeding in the oral cavity and gastrointestinal tract, respectively, and are key indicators to watch for in a client taking medications that depress thrombocytes. Options A, B, and D are not directly related to the impact of thrombocyte depression on clotting function.
UTI 118 Practice Exam II The methotrexate drug used to treat :
- A. child with thalassemia
- B. child with hemophilia
- C. child with leukemia
- D. child with sickle anemia
Correct Answer: C
Rationale: Methotrexate is a chemotherapy medication that is commonly used in the treatment of various types of cancers, including leukemia. Leukemia is a cancer of the blood and bone marrow that affects the white blood cells. Methotrexate works by interfering with the growth and division of cancer cells, thereby helping to slow down or stop the progression of the disease. It is not typically used to treat thalassemia, hemophilia, or sickle cell anemia, as these conditions are not cancers and require different types of treatment approaches.