Nokea
During data collection, the nurse learns the patient is allergic to shellfish. Which precautions should be implemented during the patient's hospitalization?
- A. The patient should be placed in a private room.
- B. The kitchen should use dedicated equipment for all of the patient's food preparation.
- C. Iodine-based skin preparations should be replaced with different bactericidal cleansers.
- D. The patient's allergy should be noted on the medical record and communicated clearly to all caretakers.
Correct Answer: D
Rationale: Rationale:
1. The correct answer is D because it addresses the essential action of noting the patient's allergy on the medical record and communicating it to all caretakers to prevent inadvertent exposure.
2. Choice A is not necessary unless the patient's allergy poses an infection control risk that warrants isolation.
3. Choice B is excessive and not required as long as cross-contamination is prevented during food preparation.
4. Choice C is unrelated to the patient's shellfish allergy and not a standard precaution in this scenario.
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Tropism is a phenomenon by which
- A. plants response to stimulation
- B. reducing lateral branching
- C. Affected by the length of the day and night
- D. All above
Correct Answer: A
Rationale: The correct answer is A: plants response to stimulation. Tropism refers to the growth or movement of an organism in response to a stimulus. Plants exhibit tropisms such as phototropism (response to light) and geotropism (response to gravity). This choice accurately defines the phenomenon.
Choice B is incorrect because reducing lateral branching is not a defining characteristic of tropism.
Choice C is incorrect because the length of day and night does not directly relate to tropism.
Choice D is incorrect because not all options listed are characteristics of tropism.
Which antibody isotype is most abundant in circulation?
- A. IgA
- B. IgG
- C. IgE
- D. IgM
Correct Answer: B
Rationale: The correct answer is B: IgG. IgG is the most abundant antibody isotype in circulation, constituting about 75% of total antibodies. This is because IgG is produced during secondary immune responses and has a longer half-life compared to other isotypes, allowing it to accumulate in circulation. IgA is mainly found in mucosal surfaces, IgE is associated with allergic reactions, and IgM is the first antibody produced in a primary immune response. Therefore, IgG is the most abundant in circulation due to its longevity and role in secondary immune responses.
Afferent lymphatic vessels do not
- A. Transport antigens from tissues to LN
- B. Enter LN at more than one site
- C. Transport antigens from blood to LN
- D. Connect tissues to secondary lymphoid organs
Correct Answer: C
Rationale: Rationale: Afferent lymphatic vessels transport lymph containing antigens from tissues to lymph nodes (LN). Option C is correct because afferent lymphatics do not transport antigens directly from the blood to LN. Other choices are incorrect because afferent lymphatics enter LN at multiple sites (B), transport antigens from tissues to LN (A), and connect tissues to secondary lymphoid organs (D).
Which of the following is an example of a live attenuated bacterial vaccine?
- A. Cholera
- B. Typhoid
- C. Anthrax
- D. Plague
Correct Answer: B
Rationale: The correct answer is B: Typhoid. Live attenuated vaccines contain weakened forms of the pathogen that can replicate in the host to stimulate a strong immune response without causing disease. Typhoid vaccine is an example of a live attenuated bacterial vaccine because it contains weakened Salmonella typhi bacteria. Cholera (A), Anthrax (C), and Plague (D) vaccines are not live attenuated bacterial vaccines; they are either killed/inactivated or subunit vaccines. Live attenuated vaccines provide longer-lasting immunity compared to other vaccine types.
Signal 2 for T cell activation is
- A. Necessary for re-activation of memory T cells
- B. Required to develop tolerance to self-antigens
- C. Mediated by CD3
- D. Essential for the activation of naïve T cells
Correct Answer: D
Rationale: The correct answer is D because Signal 2 is essential for the activation of naïve T cells. Signal 1 provides the antigen recognition, while Signal 2, typically provided by co-stimulatory molecules, is required for full T cell activation. A is incorrect because Signal 2 is not specifically for memory T cell re-activation. B is incorrect because Signal 2 is not related to self-tolerance, which is typically maintained by regulatory T cells. C is incorrect because CD3 is a component of the T cell receptor complex, not the primary mediator of Signal 2.