Nokea
The nurse is reinforcing teaching to a person who has tested positive for HIV. Which test should the nurse explain is done to confirm the diagnosis of HIV?
- A. Western blot
- B. Rheumatoid factor
- C. Antinuclear antibodies
- D. Immunoglobulin assay
Correct Answer: A
Rationale: The correct answer is A: Western blot. This test is used to confirm the diagnosis of HIV by detecting specific antibodies produced in response to the virus. It is considered the gold standard for confirming HIV infection due to its high specificity and sensitivity. The other choices (B, C, D) are not used to diagnose HIV. Rheumatoid factor and antinuclear antibodies are tests for autoimmune conditions, while immunoglobulin assay measures levels of antibodies in the blood, not specific to HIV.
You may also like to solve these questions
The National Marrow Donor Program obtains hematopoietic stem cells from donors for recipients in need. When discussing this donation with the donor, what should the nurse know about these stem cells?
- A. They must come from an embryo or umbilical cord.
- B. These cells will form new blood cells for the recipient.
- C. Taking these cells will cause the donor to become anemic.
- D. These cells must be removed with a bone marrow aspiration.
Correct Answer: B
Rationale: Hematopoietic stem cells donated through programs like the National Marrow Donor Program help generate new blood cells for recipients, aiding in treating various blood disorders.
When the clinic nurse starts to take the "air cast" off the grade 2 sprain, the patient asks why it is being removed since he still has pain. Which explanation is best?
- A. "Long-term immobilization can interfere with adequate circulation."
- B. "Long-term immobilization may increase long-term edema."
- C. "Long-term immobilization can cause permanent disability."
- D. "This cast will be replaced with a heavier cast."
Correct Answer: C
Rationale: The correct answer is C because long-term immobilization can indeed cause permanent disability in the case of a grade 2 sprain. Prolonged immobilization can lead to muscle atrophy, joint stiffness, and decreased range of motion, which can result in long-term disability. Choice A is incorrect because adequate circulation is more related to prolonged immobilization, not short-term removal for evaluation. Choice B is incorrect as edema is a short-term concern and not a direct result of long-term immobilization. Choice D is incorrect as there is no indication that a heavier cast will be used.
The clonal selection theory explains:
- A. That one given lymphocyte expresses multiple antigen receptors with different specificity
- B. That antigens influence the generation of antigen receptors during lymphocyte development
- C. How the immune response to an antigen increases the number of lymphocytes specific for that antigen
- D. The increase in blood neutrophils observed during bacterial infections
Correct Answer: C
Rationale: Rationale:
1. Clonal selection theory states that specific lymphocytes are activated by antigens.
2. Upon activation, these lymphocytes proliferate to form a clone of cells specific to the antigen.
3. This increases the number of lymphocytes specific for the antigen.
4. Choice C correctly aligns with the essence of clonal selection theory.
Summary:
A: Incorrect - Clonal selection theory does not involve a single lymphocyte expressing multiple antigen receptors.
B: Incorrect - Antigens do not influence the generation of antigen receptors, but rather activate specific lymphocytes.
D: Incorrect - Clonal selection theory focuses on lymphocyte response to antigens, not neutrophil increase during infections.
Select the property that applies only to pathogens:
- A. Replicate in (or on) a host
- B. Infect host cells
- C. Cause disease in a host with normal immune functions
- D. Are transmitted between individuals of a given species
Correct Answer: C
Rationale: The correct answer is C because pathogens are microorganisms that specifically cause disease in a host with normal immune functions. Pathogens have mechanisms to evade or overcome the host's immune system, leading to the development of diseases. Choices A and B are characteristics of both pathogens and non-pathogenic organisms. Choice D is incorrect because not all pathogens are transmitted between individuals of the same species; some pathogens can be transmitted from animals to humans or through environmental sources.
Colostrum, the yellowish fluid, secreted by mother during the initial days of lactation is very essential to impart immunity to the newborn infants because it contains:
- A. Natural killer cells
- B. Monocytes
- C. Macrophages
- D. Immunoglobulin A
Correct Answer: D
Rationale: The correct answer is D: Immunoglobulin A. Colostrum contains high levels of Immunoglobulin A (IgA), which is crucial for imparting passive immunity to the newborn. IgA helps protect the infant's mucosal surfaces from infections. Natural killer cells, monocytes, and macrophages are not typically found in colostrum and are not responsible for conferring immunity to the newborn.