What effect does the action of the complement system have on inflammation?
- A. Modifies the inflammatory response to prevent stimulation of pain
- B. Increases body temperature, resulting in destruction of microorganisms
- C. Produces prostaglandins and leukotrienes that increase blood flow, edema, and pain
- D. Increases inflammatory responses of vascular permeability, chemotaxis, and phagocytosis
Correct Answer: D
Rationale: The complement system enhances inflammation by increasing vascular permeability, attracting immune cells (chemotaxis), and promoting phagocytosis of pathogens or debris.
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The best treatment for mononucleosis is:
- A. Antibiotics.
- B. Physical therapy.
- C. NSAIDs.
- D. Rest and fluids.
Correct Answer: D
Rationale: Mononucleosis is caused by a viral infection, so antibiotics are ineffective. Rest and fluids are the most effective treatments as they support the body's immune response and help manage symptoms like fatigue and dehydration.
Which of the following is a clinical feature of Grave's disease?
- A. Pulmonary fibrosis
- B. Exophthalmos and goiter
- C. Skin vasculitis
- D. Eczematous reaction
Correct Answer: B
Rationale: The correct answer is B: Exophthalmos and goiter. In Grave's disease, there is an overproduction of thyroid hormones leading to hyperthyroidism. Exophthalmos (bulging eyes) and goiter (enlarged thyroid gland) are classic clinical features due to autoimmune stimulation of thyroid-stimulating hormone receptors. Pulmonary fibrosis (A) is not typically associated with Grave's disease. Skin vasculitis (C) and eczematous reaction (D) are also not commonly seen in Grave's disease.
Which of the following precautions must a nurse take while caring for clients with HIV/AIDS to reduce occupational risks?
- A. Transport specimens of body fluids in leak proof containers.
- B. Seek prescription for a fusion inhibitor to reduce risk of infection.
- C. Avoid administering IV drugs.
- D. Avoid cleaning the client’s room,especially cleaning urine,stoolor vomit.
Correct Answer: A
Rationale: Transporting specimens in leak-proof containers minimizes the risk of exposure to infectious body fluids.
The way in which some organism supplies some other organism with food and energy known as
- A. Food chains
- B. Food Network
- C. Pyramid of power
- D. levels of nutrition
Correct Answer: A
Rationale: The correct answer is A: Food chains. A food chain depicts the flow of energy and nutrients from one organism to another in an ecosystem. It shows how energy is transferred from producers to consumers. Food network (B) is a more complex and interconnected system than a simple linear chain. Pyramid of power (C) represents the energy flow in an ecosystem, not the transfer of food. Levels of nutrition (D) is not a term commonly used to describe how organisms transfer food and energy.
The nurse is studying hypersensitivity reactions. Which reactions are correctly matched with their hypersensitivity types? (Select one that does not apply.)
- A. Type I—examples include hay fever and anaphylaxis.
- B. Type II—mediated by action of immunoglobulin M (IgM).
- C. Type III—immune complex deposits in blood vessel walls.
- D. Type IV—examples are poison ivy and transplant rejection.
Correct Answer: B
Rationale: The correct answer is B because Type II hypersensitivity reactions are mediated by the action of immunoglobulin G (IgG) or immunoglobulin M (IgM), not just IgM alone. IgG or IgM antibodies target specific antigens on the surface of cells or tissues, leading to cell destruction. In contrast, Type I hypersensitivity reactions (choice A) involve immediate IgE-mediated responses to allergens like hay fever and anaphylaxis. Type III reactions (choice C) are characterized by immune complex deposition in tissues, not blood vessel walls. Type IV reactions (choice D) are delayed hypersensitivity reactions involving T cell-mediated responses, such as poison ivy contact dermatitis and transplant rejection.