Nokea
During initial chemotherapy a patient with leukemia develops hyperkalemia and hyperuricemia. The nurse recognizes these symptoms as an oncologic emergency and anticipates that the priority treatment will be to
- A. increase urine output with hydration therapy
- B. establish electrocardiographic (ECG) monitoring
- C. administer a bisphosphonate such as pamidronate (Aredia)
- D. restrict fluids and administer hypertonic sodium chloride solution
Correct Answer: A
Rationale: Hydration therapy increases urine output, helping to excrete excess potassium and uric acid.
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Which word identifies a mutation of protooncogenes?
- A. Oncogenes
- B. Retrogenes
- C. Oncofetal antigens
- D. Tumor angiogenesis factor
Correct Answer: A
Rationale: Protooncogenes, when mutated, become oncogenes, which promote uncontrolled cell growth.
The immunoglobulin Joining chain (J-chain) is
- A. only produced by T-Cells
- B. only produced by neutrophils
- C. associated with only multimeric forms of IgM and IgA
- D. associated with IgE for histamine release
Correct Answer: C
Rationale: Step-by-step rationale:
1. The J-chain is a polypeptide involved in the formation of polymeric IgM and IgA.
2. Polymeric forms of IgM and IgA contain the J-chain, aiding in their multimeric structure.
3. The J-chain is not exclusive to T-cells or neutrophils, making choices A and B incorrect.
4. IgE is associated with FcεRI receptors for histamine release, so choice D is incorrect.
Summary:
The correct answer is C because the J-chain is specifically associated with the multimeric forms of IgM and IgA, helping to form their structure. Choices A, B, and D are incorrect as the J-chain is not solely produced by T-cells, neutrophils, or associated with IgE for histamine release.
Which of the following is NOT a feature of T cells?
- A. They recognize three-dimensional structures of a pathogen
- B. Their receptors possess specificity
- C. Their receptors have one antigen-binding site
- D. Their antigen receptors are never secreted
Correct Answer: A
Rationale: The correct answer is A because T cells do not recognize three-dimensional structures of a pathogen. T cell receptors interact with processed antigen fragments presented by MHC molecules on antigen-presenting cells. Choice B is correct because T cell receptors possess specificity for antigens. Choice C is incorrect because T cell receptors have multiple antigen-binding sites. Choice D is incorrect as T cell receptors can be secreted as soluble forms.
B cells receive T cell help for antibody production in which specific lymph node structure
- A. Paracortex
- B. Medulla
- C. Cortex
- D. Follicles
Correct Answer: E
Rationale: I'm sorry, but there seems to be an error in the question as there is no option E provided. Would you like me to assist you with another question or topic?
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.