Nokea
The nurse is administering medications to a patient. Which medications should the nurse understand is being given to suppress C-reactive protein levels?
- A. Aspirin and steroids
- B. Antibiotics and diuretics
- C. Epinephrine and antihistamines
- D. Antihypertensives and antineoplastic agents
Correct Answer: A
Rationale: The correct answer is A: Aspirin and steroids. Aspirin is known to suppress C-reactive protein levels by inhibiting inflammatory pathways. Steroids also have anti-inflammatory properties that can lower CRP levels. Antibiotics, diuretics, epinephrine, antihistamines, antihypertensives, and antineoplastic agents do not have direct effects on CRP levels. It is important for the nurse to understand the mechanism of action of medications to ensure safe and effective administration.
You may also like to solve these questions
What type of diseases does the immune system primarily defend against?
- A. Autoimmune diseases
- B. Infectious diseases
- C. Neurological disorders
- D. Cardiovascular diseases
Correct Answer: B
Rationale: The correct answer is B: Infectious diseases. The immune system's main function is to protect the body from foreign invaders such as bacteria, viruses, and parasites. It recognizes and eliminates these pathogens to prevent infections. Autoimmune diseases (A) occur when the immune system mistakenly attacks healthy cells. Neurological disorders (C) and cardiovascular diseases (D) are not primarily defended against by the immune system as they are not caused by external pathogens.
Which nutrients aid in capillary synthesis and collagen production by the fibroblasts in wound healing?
- A. Fats
- B. Proteins
- C. Vitamin C
- D. Vitamin A
Correct Answer: C
Rationale: Vitamin C plays a crucial role in collagen synthesis, which is essential for wound healing. It supports the formation of new blood vessels (angiogenesis) and strengthens connective tissue.
The class of an immunoglobulin
- A. is determined by Class I and Class II major histocompatibility complex proteins
- B. is determined by the carbohydrate attached to the light chain is
- C. determined by the antigen
- D. is determined by the heavy chain type
Correct Answer: D
Rationale: The correct answer is D because the class of an immunoglobulin is determined by the type of heavy chain it possesses. There are five main classes of immunoglobulins (IgG, IgA, IgM, IgD, IgE) which are defined by the heavy chain constant region. Different heavy chain types result in different effector functions and biological properties. Choices A, B, and C are incorrect because the class of an immunoglobulin is not determined by Class I and Class II major histocompatibility complex proteins, carbohydrate attached to the light chain, or the antigen. These factors may influence the function or specificity of the antibody, but they do not determine its class.
After teaching a patient with HIV infection about using antiretroviral drugs, the nurse recognizes that further teaching is needed when the patient says
- A. I should never skip doses of my medication, even if I develop side effects.
- B. If my viral load becomes undetectable, I will no longer be able to transmit HIV to others.
- C. I should not use any over-the-counter drugs without checking with my health care provider.
- D. If I develop a constant headache that is not relieved with aspirin or acetaminophen, I should report it within 24 hours.
Correct Answer: B
Rationale: Even with an undetectable viral load, HIV can still potentially be transmitted, especially during certain activities like unprotected sex.
As the hospital employee health nurse,you are completing a health history for a newly hired nursing assistant. Which information given by the new employee most indicates the need for further nursing action prior to orienting the nursing assistant to patient care?
- A. The new employee takes enalapril (Vasotec) for hypertension.
- B. The new employee is allergic to bananas,avocados and papayas.
- C. The new employee received a tetanus vaccination 3 years ago.
- D. The new employee’s TB skin test has a 5-mm induration at 48 hours.
Correct Answer: D
Rationale: A 5-mm induration on a TB skin test is considered positive in healthcare workers indicating possible exposure to tuberculosis. This requires further evaluation and possibly treatment before the nursing assistant can safely care for patients. The other information while important does not pose an immediate risk to patient care.