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Priority Decision: Key interventions for treating soft tissue injury and resulting inflammation are remembered using the acronym RICE. What are the most important actions for the emergency department nurse to do for the patient with an ankle injury?
- A. Reduce swelling, shine light on wound, control mobility, and elicit the history of the injury
- B. Rub the wound clean, immobilize the area, cover the area protectively, and exercise that leg
- C. Rest with immobility, apply a cold compress, apply a compress bandage, and elevate the ankle
- D. Rinse the wounded ankle, image the ankle, carry the patient, and extend the ankle with imaging
Correct Answer: C
Rationale: RICE stands for Rest, Ice, Compression, and Elevation, which are critical steps in managing acute soft tissue injuries like sprains. These actions help reduce swelling, limit further damage, and promote healing.
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The nurse is reinforcing teaching to a person being tested for HIV in a clinic. Which test should the nurse explain is done first in HIV testing?
- A. ELISA test
- B. Western blot test
- C. Viral load studies
- D. Rheumatoid factor test
Correct Answer: A
Rationale: The correct answer is A: ELISA test. The ELISA test is typically the initial screening test for HIV due to its high sensitivity in detecting HIV antibodies. It is cost-effective and quick. Western blot test is a confirmatory test used if ELISA is positive. Viral load studies monitor the progression of the disease but are not typically done first. Rheumatoid factor test is unrelated to HIV testing. Therefore, the ELISA test is the most appropriate initial step in HIV testing.
What chemicals are responsible for the flavor and holes in Swiss cheese?
- A. lactate, oxygen
- B. propionic acid, carbon dioxide
- C. acetic acid, carbon dioxide
- D. ethanol, hydrogen
Correct Answer: B
Rationale: The correct answer is B: propionic acid, carbon dioxide. Propionic acid is produced by bacteria in Swiss cheese, contributing to its nutty flavor. The bacteria also produce carbon dioxide, which forms the characteristic holes. Lactate (A) is a byproduct of bacteria in cheese but not responsible for the flavor or holes. Acetic acid (C) is not commonly found in Swiss cheese. Ethanol (D) and hydrogen are not involved in the flavor or hole formation.
CD8+ T cells
- A. Have cytotoxic function
- B. Recognize antigen in the context of MHC I molecules
- C. Can kill virus-infected cells
- D. Can kill tumor cells
Correct Answer: E
Rationale: I apologize, but the question you provided does not have a correct answer option listed. Could you please provide the correct answer option for me to provide a detailed explanation of why it is correct and summarize why the other choices are incorrect?
What is the correct order of steps needed for 2nd generation sequencing?
- A. DNA fragmentation, DNA isolation, amplification, primer ligation, sequencing
- B. Amplification, primer ligation, sequencing, DNA fragmentation, DNA isolation
- C. DNA isolation, DNA fragmentation, primer ligation, amplification, sequencing
- D. Sequencing, DNA isolation, DNA fragmentation, primer ligation, amplification
Correct Answer: C
Rationale: The correct order of steps for 2nd generation sequencing is C: DNA isolation, DNA fragmentation, primer ligation, amplification, sequencing. Firstly, DNA isolation is crucial to extract the DNA from the sample. Next, DNA fragmentation breaks the DNA into smaller fragments for sequencing. Primer ligation involves attaching primers to the DNA fragments. Amplification is necessary to make multiple copies of the DNA fragments for sequencing. Finally, sequencing is the process of determining the nucleotide sequence of the DNA fragments. This order ensures that the DNA is properly prepared and amplified before sequencing, leading to accurate results.
Choices A, B, and D are incorrect because they do not follow the correct sequence of steps required for 2nd generation sequencing. Incorrect sequences may lead to errors in the sequencing process and inaccurate results.
Which of the following characteristics do not occur in prokaryotic cells?
- A. cellular organization
- B. thylakoid membranes within chloroplasts
- C. oxygenic photosynthesis
- D. anaerobic respiration
Correct Answer: B
Rationale: The correct answer is B: thylakoid membranes within chloroplasts. Prokaryotic cells lack membrane-bound organelles like chloroplasts, where thylakoid membranes are found. This is a key feature of prokaryotic cells. Choices A, C, and D are characteristics that can occur in prokaryotic cells. Cellular organization is present in prokaryotic cells, oxygenic photosynthesis can be carried out by some prokaryotic organisms, and prokaryotic cells can perform anaerobic respiration.