Nokea
What type of dressing will the nurse most likely use for the patient in Question 14?
- A. Dry, sterile dressing
- B. Absorptive dressing
- C. Negative pressure wound therapy
- D. Telfa dressing with antibiotic ointment
Correct Answer: B
Rationale: Absorptive dressings are ideal for wounds with moderate exudate, helping maintain a moist environment conducive to healing while preventing maceration.
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Which organ is most commonly affected in sarcoidosis?
- A. Kidney
- B. Lungs
- C. Liver
- D. Thyroid
Correct Answer: B
Rationale: The correct answer is B: Lungs. Sarcoidosis is a systemic inflammatory disease that primarily affects the lungs in about 90% of cases. This is due to the formation of granulomas, inflammatory nodules, in the lung tissue. Kidney (A), Liver (C), and Thyroid (D) are less commonly affected organs in sarcoidosis. Kidney involvement occurs in about 20-30% of cases, liver involvement in about 10-30% of cases, and thyroid involvement is relatively rare. Therefore, based on the prevalence of organ involvement in sarcoidosis, the lungs are the most commonly affected organ.
One principal function of the Class I and Class II major histocompatibility complex S proteins is to
- A. transduce the signal to the T-cell interior following antigen binding
- B. mediate immunoglobulin class switching
- C. present antigen for recognition by the T-cell antigen receptor
- D. stimulate production of interleukins
Correct Answer: C
Rationale: The correct answer is C because Class I and Class II MHC proteins present antigens to T-cell receptors for immune response activation. Class I MHC presents endogenous antigens to CD8+ T cells, while Class II MHC presents exogenous antigens to CD4+ T cells. Choice A is incorrect because MHC proteins do not transduce signals. Choice B is incorrect because MHC proteins do not mediate immunoglobulin class switching. Choice D is incorrect because MHC proteins do not directly stimulate interleukin production.
You are working with a student nurse who is assigned to care for an HIV-positive patient with severe esophagitis caused by Candida albicans. Which action by the student indicates that you need to intervene most quickly?
- A. The student puts on a mask and gown before entering the patient room.
- B. The student gives the patient a glass of water after the oral nystatin (Mycostatin) suspension.
- C. The student offers the patient a choice of chicken soup or chile con carne for lunch.
- D. The student places a “No Visitors” sign on the door of the patient’s room.
Correct Answer: B
Rationale: The student should not give the patient water immediately after administering oral nystatin as it can wash away the medication before it has a chance to coat the esophagus and treat the infection. The other actions are appropriate: wearing protective gear offering food choices and limiting visitors to reduce infection risk.
Why do we constantly need new flu vaccines?
- A. Because flu viruses mutate frequently due to their error-prone RNA polymerase
- B. Because completely new variants can be created from an assortment of previously circulating strains due the segmented nature of the viral genome
- C. Because antibodies generated in vaccinated people are short-lived and need to be generated again with a new vaccine injection
- D. Both A and B are correct
Correct Answer: D
Rationale: The correct answer is D. Choice A is correct because flu viruses mutate frequently due to their error-prone RNA polymerase, leading to new strains. Choice B is correct because the segmented nature of the viral genome allows for reassortment of different strains, creating completely new variants. Therefore, new vaccines are needed to target these evolving strains. Choice C is incorrect as the need for new vaccines is primarily driven by the genetic variability of the virus, not solely by the short-lived nature of antibodies. Thus, choices A and B together provide a comprehensive explanation for the constant need for new flu vaccines.
The three antibiotic-resistant bacteria that are of most current concern in North America are ____________________, ____________________, and ____________________.
- A. Methicillin-resistant Staphylococcus aureus (MRSA)
- B. Carbapenem-resistant Enterobacteriaceae (CRE)
- C. Vancomycin-resistant Enterococcus (VRE)
- D. All of the above
Correct Answer: D
Rationale: The correct answer is all of the above. MRSA, CRE, and VRE are among the most concerning antibiotic-resistant bacteria in North America due to their prevalence and difficulty in treatment.