Nokea
An older adult has fallen and sprained his ankle in a local park. Which action should the responder perform first?
- A. Elevate the foot.
- B. Apply ice.
- C. Administer aspirin.
- D. Assist the patient with ambulation.
Correct Answer: A
Rationale: The correct action is to elevate the foot first. Elevating the foot helps reduce swelling and pain by promoting better circulation. This step is crucial in the initial management of a sprained ankle. Applying ice and administering aspirin can come after elevating the foot. Assisting with ambulation should only be considered after the initial measures are taken to address the sprained ankle.
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Which of the following is a physical barrier provided by innate immunity?
- A. Antibodies
- B. T lymphocytes
- C. Tight junctions in epithelial cells
- D. Phagocytosis
Correct Answer: C
Rationale: The correct answer is C: Tight junctions in epithelial cells. These junctions physically prevent pathogens from entering the body. Antibodies (A) and T lymphocytes (B) are components of adaptive immunity, not physical barriers. Phagocytosis (D) is a cellular process, not a physical barrier.
You obtain these assessment data while completing an admission for a patient with a history of a liver transplant who is receiving cyclosporine (Sandimmune),prednisone (Deltasone) and mycophenolate (CellCept) to suppress immune function. Which one will be of most concern?
- A. The patient’s gums appear very pink and swollen.
- B. The patient’s blood glucose is increased to 162 mg/dL.
- C. The patient has a non-tender swelling above the clavicle.
- D. The patient has 1+ pitting edema in the feet and ankles.
Correct Answer: C
Rationale: A non-tender swelling above the clavicle could indicate lymphadenopathy which may be a sign of infection or malignancy. This is particularly concerning in an immunocompromised patient. The other findings while important are less urgent and can be managed with standard nursing interventions.
Which factor is primarily responsible for the division of bacterial populations into specific zones within sediments?
- A. predation by protozoans
- B. free oxygen availability
- C. competition for suitable electron acceptors
- D. cometabolism of organic compounds
Correct Answer: B
Rationale: The correct answer is B: free oxygen availability. In sediment environments, free oxygen availability plays a crucial role in determining bacterial population distribution due to oxygen gradients. Bacteria that require oxygen will be found in aerobic zones where oxygen is present, while anaerobic bacteria will thrive in zones with limited or no oxygen. This division is primarily responsible for the spatial organization of bacterial populations within sediments.
Choice A: Predation by protozoans is not primarily responsible for division of bacterial populations within sediments as it focuses on interactions between different organisms rather than the environmental factor of oxygen availability.
Choice C: While competition for suitable electron acceptors is important for microbial communities, it is not the primary factor responsible for the division of bacterial populations within sediments.
Choice D: Cometabolism of organic compounds refers to the metabolism of compounds alongside the primary substrate, and it is not directly related to the spatial distribution of bacterial populations within sediments based on oxygen availability.
The annotation B refers to which DNA component?
- A. Recombinant DNA
- B. Plasmid DNA
- C. Vector DNA
- D. Insert DNA
Correct Answer: C
Rationale: The correct answer is C: Vector DNA. In genetic engineering, a vector is a DNA molecule used to carry foreign genetic material into another cell. Plasmid DNA (choice B) is a type of vector, but not all vectors are plasmids. Recombinant DNA (choice A) refers to DNA that has been artificially created by combining DNA from different sources. Insert DNA (choice D) is the foreign genetic material that is inserted into a vector. Therefore, the most specific and accurate choice is C, Vector DNA, as it encompasses all types of vectors used in genetic engineering.
A 26-year-old man was adopted. What health information related to his biological parents and family will be most useful to him when he gets married (select all that apply)?
- A. Cholecystitis occurring in family members
- B. Occurrence of prostate cancer in one uncle
- C. Ages of family members diagnosed with diseases
- D. Kidney stones present in extended family members
Correct Answer: C
Rationale: Information about specific diseases like prostate cancer, ages of diagnosis, and causes of death provide critical insights into potential hereditary risks, making them highly relevant for future health planning.