Nokea
The patient is learning about skin care related to the external radiation that he is receiving. Which instructions should the nurse include in this teaching?
- A. Moisturize skin with lotion
- B. Keep the area covered if it is sore
- C. Dry the skin thoroughly after cleansing it
- D. Avoid extreme temperatures to the area
Correct Answer: D
Rationale: Avoiding extreme temperatures protects the radiated skin from further irritation.
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Vertebrate eyes are Single-lens eyes with
- A. Light is focused by the curved cornea and lens
- B. Changing the shape of the lens focuses near and far
- C. Photoreceptor cells in the retina detect light
- D. All above
Correct Answer: D
Rationale: The correct answer is D because vertebrate eyes have single-lens eyes where light is focused by the curved cornea and lens (A), and changing the shape of the lens allows for focusing at different distances (B). Additionally, photoreceptor cells in the retina detect light (C). Therefore, all of the above statements are true, making D the correct choice. Choice A is incorrect because it does not encompass the entire process of vision in vertebrate eyes, missing the role of changing the lens shape. Choice B is incorrect as it only addresses the lens shape without mentioning the role of the cornea in focusing light. Choice C is incorrect as it only focuses on the function of photoreceptor cells in the retina without considering the lens and cornea's role in focusing light.
A client is being administered the first dose of belimumab for a systemic lupus erythematosus flare. What actions by the nurse are most appropriate? (Select one that does not apply.)
- A. Observe the client for at least 2 hours afterward.
- B. Instruct the client about the monthly infusion schedule.
- C. Inform the client not to drive or sign legal papers for 24 hours.
- D. Ensure emergency equipment is working and nearby.
Correct Answer: C
Rationale: The correct answer is C: Inform the client not to drive or sign legal papers for 24 hours. This is because belimumab can cause dizziness and fatigue as side effects, which may impair the client's ability to drive or make important decisions. It is crucial for the nurse to ensure the safety of the client and others by advising against these activities for 24 hours post-administration.
Choice A: Observing the client for at least 2 hours is important for monitoring immediate adverse reactions, but it is not the most appropriate action in this scenario.
Choice B: Instructing the client about the monthly infusion schedule is important for treatment adherence, but it is not the most immediate concern after the first dose administration.
Choice D: Ensuring emergency equipment is working and nearby is important for safety precautions, but advising the client not to drive or sign legal papers is more directly related to the potential side effects of belimumab.
Avian Influenza has not so far caused a human pandemic because
- A. Avian flu causes only mild infection in humans compared to birds
- B. Avian flu recognize a variant of sialic acid found only on avian cells
- C. Avian flu recognizes a variant of sialic acid only found in deep tissues of humans
- D. Of cross-protection obtained from the annual vaccine
Correct Answer: C
Rationale: The correct answer is C because avian influenza has not caused a human pandemic due to the fact that it recognizes a variant of sialic acid only found in deep tissues of humans. This unique binding preference prevents efficient human-to-human transmission, which is crucial for a pandemic to occur. Choice A is incorrect as avian flu can cause severe illness in humans. Choice B is incorrect because avian flu recognizing a variant of sialic acid found only on avian cells would not prevent a pandemic in humans. Choice D is incorrect as there is no specific annual vaccine for avian influenza.
A 69-year-old woman asks the nurse whether it is possible to 'catch' cancer because many of her friends of the same age have been diagnosed with different kinds of cancer. In responding to the woman, the nurse understands that what factor increases the incidence of tumors in older adults?
- A. An increase in autoantibodies
- B. Decreased activity of the bone marrow
- C. Decreased differentiation of T lymphocytes
- D. Decreased size and activity of the thymus gland
Correct Answer: D
Rationale: The thymus gland shrinks with age, reducing the production of new T cells, which impairs immune surveillance and increases cancer risk.
Which of the following is NOT an example of a pathogen-associated molecular pattern (PAMP)?
- A. Lipopolysaccharide (LPS)
- B. Peptidoglycan
- C. Viral RNA
- D. MHC molecules
Correct Answer: D
Rationale: The correct answer is D, MHC molecules. PAMPs are conserved molecules found on pathogens that can trigger an immune response. MHC molecules are not PAMPs; they are part of the host's immune system used to present antigens to T cells. LPS, peptidoglycan, and viral RNA are examples of PAMPs as they are specific molecules found on pathogens that can be recognized by pattern recognition receptors on immune cells to initiate an immune response.