Nokea
A nurse has educated a client on an epinephrine autoinjector. What statement by the client indicates additional instruction is needed?
- A. I don't need to go to the hospital after using it.
- B. I must carry two autoinjectors with me at all times.
- C. I will write the expiration date on my calendar.
- D. This can be injected right through my clothes.
Correct Answer: A
Rationale: The correct answer is A. If the client states they don't need to go to the hospital after using the epinephrine autoinjector, additional instruction is needed. The rationale is that after using an epinephrine autoinjector, it is crucial to seek medical attention immediately due to the potential for severe allergic reactions. Choice B is incorrect because carrying two autoinjectors is recommended in case the first dose is not effective. Choice C is incorrect as it demonstrates good practice in tracking the expiration date. Choice D is incorrect as it is acceptable to inject through clothes in an emergency situation.
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Physical traits expressed by an individual is the definition for which term?
- A. Allele
- B. Genomics
- C. Phenotype
- D. Chromosomes
Correct Answer: C
Rationale: Phenotype refers to the observable physical or biochemical characteristics of an organism, as determined by both genetic makeup and environmental influences.
What is a primary reason that the normal immune response fails to contain the HIV infection?
- A. CD4+ T cells become infected with HIV and are destroyed.
- B. The virus inactivates B cells, preventing the production of HIV antibodies.
- C. Natural killer cells are destroyed by the virus before the immune system can be activated.
- D. Monocytes ingest infected cells, differentiate into macrophages, and shed viruses in body tissues.
Correct Answer: A
Rationale: HIV specifically targets CD4+ T cells, depleting the immune system's ability to mount an effective response against pathogens.
Cancer cells go through stages of development. What accurately describes the stage of promotion (select all that apply)?
- A. Obesity is an example of a promoting factor
- B. The stage is characterized by increased growth rate and metastasis
- C. Withdrawal of promoting factors will reduce the risk of cancer development
- D. Tobacco smoke is a complete carcinogen that is capable of both initiation and promotion
Correct Answer: C
Rationale: Promotion involves enhancing the growth of initiated cells. Obesity and tobacco smoke are examples of promoting factors, and withdrawal of such factors can reduce cancer risk.
Determine the following diseases that are not thought to be an autoimmune disease.
- A. Rheumatoid arthritis
- B. Multiple sclerosis
- C. Cancer of the bone marrow
- D. Insulin-dependent diabetes
Correct Answer: C
Rationale: The correct answer is C, Cancer of the bone marrow. Autoimmune diseases occur when the immune system mistakenly attacks healthy cells. Rheumatoid arthritis, multiple sclerosis, and insulin-dependent diabetes are autoimmune diseases where the immune system targets specific tissues or organs. Cancer of the bone marrow, on the other hand, is a result of uncontrolled cell growth and division, not a malfunction of the immune system attacking the body's own tissues. Therefore, it is not considered an autoimmune disease.
What triggers the activation of lymphocytes in adaptive immunity?
- A. Phagocytosis
- B. Recognition of their specific antigen
- C. Cytokine release by macrophages
- D. Opsonization of pathogens
Correct Answer: B
Rationale: The correct answer is B because lymphocytes are activated in adaptive immunity by recognizing their specific antigen. This recognition is crucial for initiating an immune response tailored to combat a specific pathogen. Phagocytosis (A) is the process of engulfing and destroying pathogens, but it does not directly activate lymphocytes. Cytokine release by macrophages (C) can help in activating other immune cells, but lymphocytes specifically require antigen recognition for activation. Opsonization of pathogens (D) enhances phagocytosis but is not the direct trigger for lymphocyte activation.