The nurse is caring for a patient who has had a total hip replacement and is using an abductor wedge. For which finding should the nurse assess?

Correct Answer: B

Rationale: The correct answer is B: Alteration in peripheral circulation. The abductor wedge can affect blood flow to the legs, leading to potential complications like deep vein thrombosis. The nurse should assess for signs of impaired circulation such as color changes, temperature differences, and peripheral pulses. Muscle spasms (A) may occur due to the surgery but are not directly related to the wedge. Compression fracture (C) is not typically a concern with an abductor wedge. Assessing the appropriateness of the wedge size (D) is important but not as critical as monitoring for alterations in peripheral circulation.

Correct Answer: C

Rationale: The correct answer is C because memory T cells have a lower threshold of activation than naïve T cells. This is because memory T cells have already been primed by previous exposure to antigens, making them more responsive upon re-exposure. This heightened sensitivity allows memory T cells to mount a faster and stronger immune response upon encountering the same antigen again. Choice A is incorrect because memory T cells primarily reside in peripheral tissues and not in secondary lymphoid tissues. Choice B is incorrect because memory T cells have encountered antigens before. Choice D is incorrect because memory T cells exist in a lower frequency compared to naïve T cells due to clonal expansion during the primary immune response.

Correct Answer: B

Rationale: The correct answer is B. Individuals over 60 were not especially affected by the 2009 H1N1 pandemic. This is because older individuals had some level of immunity due to previous exposure to similar strains. The other choices are incorrect because: A: The 2009 H1N1 virus originated from a combination of 2 different strains, not 4. C: WHO declared a level 6 pandemic phase in June 2009. D: The 2009 H1N1 virus was considered less virulent compared to other strains.

Correct Answer: D

Rationale: The correct answer is D: Activation of TLRs. The earliest event in an inflammatory response is the activation of Toll-like receptors (TLRs) by recognizing pathogen-associated molecular patterns (PAMPs). This triggers a signaling cascade leading to the release of pro-inflammatory cytokines and chemokines, which then recruit neutrophils to the site of infection. Activation of adaptive immunity (choice C) occurs later in the immune response, as it involves the activation of T and B cells. While chemokines (choice A) are involved in recruiting immune cells, their release is a consequence of TLR activation. Neutrophils (choice B) are recruited after the release of chemokines.

Correct Answer: B

Rationale: The Black Death caused by Yersinia pestis is the correct answer because it led to immune adaptation in survivors. Yersinia pestis triggered the body to develop immunity. The Spanish flu pandemic, HIV/AIDS epidemic, and eradication of smallpox did not directly result in immune adaptation like the Black Death. The Spanish flu and HIV/AIDS were caused by viruses that did not lead to long-term immunity, and smallpox eradication was achieved through vaccinations, not natural immune adaptation.