Nokea
To what is the increase in emerging and untreatable infections attributed (select all that apply)?
- A. The evolution of new infectious agents
- B. Use of antibiotics to treat viral infections
- C. Human population encroachment into wilderness areas
- D. Transmission of infectious agents from humans to animals
Correct Answer: A
Rationale: The correct answer includes options A, B, C, and E. The evolution of new infectious agents, inappropriate use of antibiotics, human encroachment into wilderness areas, and an increased number of immunosuppressed individuals contribute significantly to the rise in untreatable infections. Transmission from humans to animals is less relevant compared to zoonotic transmission from animals to humans.
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A male client is suspected of an immune system disorder. Which of the following important factors will the nurse document while assessing the client?
- A. The client’s diet
- B. The client’s drug history
- C. The client’s ability to produce antibodies
- D. The client’s family members’ history of chronic diseases
Correct Answer: B
Rationale: The client’s drug history is crucial as certain medications can affect immune function or mimic immune disorders.
Peyer's patches are found in the:
- A. Intestine
- B. Spleen
- C. Lungs
- D. Skin
Correct Answer: A
Rationale: Peyer's patches are lymphoid nodules located in the small intestine, specifically in the ileum. They play a crucial role in the immune response of the gut. The correct answer is A: Intestine because Peyer's patches are specifically found in the intestine. The other choices are incorrect because the spleen is a different organ involved in filtering blood, the lungs are primarily involved in respiration, and the skin is the body's largest organ responsible for protection and thermoregulation.
Which of the following statements is NOT true
- A. T cells expressing CD4 exert their function mainly through secretion of cytokines
- B. CD8 T cells interact with MHC class I molecules on antigen presenting cells
- C. CD4 T cells can help B cells because B cells express MHC class II molecules and can present antigen to T cells
- D. CD3 is not necessary for TCR signaling in cytotoxic T cells
Correct Answer: D
Rationale: The correct answer is D because CD3 is indeed necessary for TCR signaling in cytotoxic T cells. CD3 is a crucial component of the T cell receptor (TCR) complex, which is responsible for initiating intracellular signaling upon recognition of antigen-MHC complexes. Without CD3, TCR signaling cannot occur, leading to impaired T cell activation and cytotoxic function. Choices A, B, and C are incorrect because they accurately describe the functions and interactions of T cells expressing CD4 and CD8 with antigen presenting cells, as well as the role of CD4 T cells in helping B cells through antigen presentation.
Which of the following is NOT an organ-specific autoimmune disease
- A. Multiple sclerosis
- B. Lupus
- C. Diabetes
- D. Hashimoto's thyroiditis
Correct Answer: B
Rationale: The correct answer is B: Lupus. Lupus is a systemic autoimmune disease that can affect multiple organs and tissues throughout the body, rather than being specific to a single organ. Multiple sclerosis (A) is a neurological autoimmune disease affecting the central nervous system. Diabetes (C) is an autoimmune disease that affects the pancreas. Hashimoto's thyroiditis (D) is an autoimmune disease targeting the thyroid gland. Lupus does not specifically target a single organ, making it the correct choice.
As the nurse manager in a public health department,you are responsible for developing a plan to reduce the incidence of infection with the human immunodeficiency virus (HIV) in the community. Which nursing action is best delegated to health assistants working for the agency?
- A. Supply injection drug users with bleach solution for cleaning needles and syringes.
- B. Provide pretest and post-test counseling to those patients who are seeking HIV testing.
- C. Educate high-risk community members about the use of condoms in HIV prevention.
- D. Determine which population groups to target for education based on community assessment.
Correct Answer: A
Rationale: Health assistants can effectively distribute bleach solutions to injection drug users as part of harm reduction strategies. Pretest and post-test counseling education on condom use and community assessment require more advanced training and are typically responsibilities of registered nurses or other healthcare professionals.