A nurse is reinforcing teaching about the role of the immune system to a client who has psoriasis. Which of the following explains the immune system dysfunction associated with psoriasis?

Suppression of pro-inflammatory cytokines

Increased production of sebum

Overactivation of T-cells

Decreased number of Langerhans cells in the dermis

Answer and Explanation

The Correct Answer is C

A. Suppression of pro-inflammatory cytokines. Psoriasis is driven by an increase, not suppression, of pro-inflammatory cytokines like TNF-α, IL-17, and IL-23. These cytokines trigger excessive skin cell proliferation and inflammation.

B. Increased production of sebum. Sebum production is linked to conditions like seborrheic dermatitis and acne, not psoriasis. Psoriasis is an autoimmune disorder rather than a condition caused by oil overproduction.

C. Overactivation of T-cells. Psoriasis is an immune-mediated disorder where overactive T-cells attack healthy skin cells, leading to increased inflammation and rapid skin cell turnover. This results in the formation of thick, scaly plaques seen in psoriasis.

D. Decreased number of Langerhans cells in the dermis. Langerhans cells are antigen-presenting cells involved in immune defense. While they may play a role in immune regulation, psoriasis is primarily caused by T-cell hyperactivity rather than a reduction in Langerhans cells.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Cardiac enzymes. Cardiac enzyme tests are used to assess heart damage, such as in myocardial infarction, and are not typically relevant in evaluating a child's nutritional status.

B. Complete blood count. A CBC is a key diagnostic test for assessing nutritional status, as it can reveal anemia (low hemoglobin and hematocrit), infection (elevated white blood cells), and overall health status. It helps identify deficiencies in iron, folate, and vitamin B12, which are common nutritional concerns in children.

C. Blood coagulation tests. Coagulation tests (e.g., PT, INR, aPTT) are used to assess blood clotting disorders and monitor anticoagulant therapy, but they are not standard tests for nutritional assessment unless there is suspicion of a vitamin K deficiency.

D. Arterial blood gases. ABG tests assess respiratory function and acid-base balance, which are more relevant in critically ill patients. They are not routinely used to evaluate a child's nutritional status.

A. Prophylactic treatment is offered to those who have been in close contact with an infected child in the past 60 days. B. Severe, prolonged episodes of coughing is a characteristic manifestation of this infection. C. A painful, stiff neck is a common manifestation of this infection. D. An antiviral medication is administered to treat this infection.

Correct Answer is B

Explanation

A. Prophylactic treatment is offered to those who have been in close contact with an infected child in the past 60 days. While prophylactic antibiotics (such as azithromycin) are recommended for close contacts of an infected person, the timeframe for exposure is within the past 21 days, not 60 days.

B. Severe, prolonged episodes of coughing is a characteristic manifestation of this infection. Pertussis (whooping cough) is marked by severe coughing fits followed by a "whooping" sound during inhalation. The cough is paroxysmal (sudden and violent), prolonged, and can lead to vomiting, exhaustion, or respiratory distress.

C. A painful, stiff neck is a common manifestation of this infection. A stiff neck (nuchal rigidity) is more commonly associated with meningitis, not pertussis. Pertussis primarily affects the respiratory system, causing a severe cough.

D. An antiviral medication is administered to treat this infection. Pertussis is caused by the bacterium Bordetella pertussis, so it is treated with antibiotics (e.g., azithromycin, clarithromycin, or erythromycin), not antivirals.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching about the role of the immune system to a client who has psoriasis. Which of the following explains the immune system dysfunction associated with psoriasis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing a nutritional plan of care for a child. Which of the following diagnostic tests should the nurse recommend for the child?

Correct Answer is B

Explanation

A nurse is discussing pertussis with a newly licensed nurse. Which of the following statements should the nurse include?

Correct Answer is B

Explanation

A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

A nurse is assisting with planning care for a 17-year-old client who may have anorexia nervosa (AN). Which of the following should the nurse recognize as a common reproductive health concern for this client?

A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

A nurse is reinforcing education with a caregiver of a pediatric client about diaper dermatitis. Which of the following statements should the nurse make?

A hospice nurse is reinforcing teaching to a parent about how age affects how their child experiences a terminal illness. Which of the following statements should the nurse include?