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A patient’s documentation indicates he has a stage III pressure ulcer on his right hip. What should the nurse expect to find on assessment of the patient’s right hip?
- A. Exposed bone, tendon, or muscle
- B. An abrasion, blister, or shallow crater
- C. Deep crater through subcutaneous tissue to fascia
- D. Persistent redness (or bluish color in darker skin tones)
Correct Answer: C
Rationale: Stage III pressure ulcers penetrate through all layers of the skin but do not expose underlying structures such as bone or muscle.
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Neurons are
- A. Cells specialized for carrying signals
- B. The functional units of the nervous system
- C. consists of A cell body, Dendrites and Axons
- D. all above
Correct Answer: D
Rationale: The correct answer is D because neurons are specialized cells that carry signals, making them the functional units of the nervous system. Neurons consist of a cell body, dendrites, and axons, fulfilling the criteria mentioned in options A, B, and C. Therefore, option D encompasses all the essential characteristics of neurons, making it the correct choice. Options A, B, and C individually do not fully capture the comprehensive nature of neurons, as they only cover specific aspects of what neurons are, whereas option D encompasses all the correct statements regarding neurons.
When a B-cell undergoes immunoglobulin class switching
- A. the variable region of the light chain changes, but its constant region remains the same
- B. the variable region of the light chain remains the same, but its constant region changes
- C. the variable region of the heavy chain remains the same but its constant region changes
- D. the variable region of the heavy chain changes but its constant region remains the same
Correct Answer: C
Rationale: When a B-cell undergoes immunoglobulin class switching, the variable region of the heavy chain remains the same but its constant region changes. This process allows the B-cell to produce antibodies with different effector functions while maintaining the same antigen specificity. By changing the constant region of the heavy chain, the B-cell can switch from producing IgM to IgG, IgA, or IgE antibodies. Choices A, B, and D are incorrect because they do not accurately describe the specific changes that occur during immunoglobulin class switching in B-cells.
In a patient with a positive Chvostek’s sign, the nurse would anticipate the IV administration of which medication?
- A. Calcitonin
- B. Vitamin D
- C. Loop diuretics
- D. Calcium gluconate
Correct Answer: D
Rationale: Chvostek’s sign indicates hypocalcemia, so calcium gluconate is administered to restore normal calcium levels.
Which of the following statements is incorrect?
- A. The gut microbiome composition in obese individuals is altered and shows overrepresentation of less beneficial species
- B. Fecal transplants have been used to treat Clostridium difficile infections
- C. Crohn's disease is considered a disease caused by loss of tolerance to the gut microbiota
- D. The bacterial type III secretion system is used by species of the gut microbiota to inject effector proteins into intestinal epithelial cells and invade them, as observed in Crohn's disease
Correct Answer: D
Rationale: The correct answer is D because the statement incorrectly implies that the bacterial type III secretion system is used by gut microbiota to invade intestinal epithelial cells in Crohn's disease. In reality, Crohn's disease is not directly caused by invasion of gut microbiota into intestinal cells; it is a complex autoimmune condition. The gut microbiota dysbiosis is associated with Crohn's disease, but invasion of epithelial cells is not the primary mechanism. Choices A, B, and C are correct: A highlights the altered microbiome in obesity, B discusses the use of fecal transplants for C. difficile infections, and C mentions Crohn's disease related to issues with gut microbiota tolerance.
What type of cells do natural killer (NK) cells target?
- A. Bacterial cells
- B. Virus-infected and cancerous cells
- C. Plasma cells
- D. Self-antigens
Correct Answer: B
Rationale: Natural killer (NK) cells target virus-infected and cancerous cells because they have the ability to recognize abnormal cells through activating receptors. These cells can identify changes in surface markers associated with viral infection or cancer, leading to their destruction. NK cells do not target bacterial cells (choice A), plasma cells (choice C), or self-antigens (choice D) as these are not typically recognized as threats by the immune system. NK cells play a crucial role in immune surveillance against abnormal cells, making choice B the correct answer.