The nurse is doing health teaching with a patient with psoriasis. Which nursing implication is a priority for a patient on infliximab to treat psoriasis?

Correct Answer: D

Rationale: Infliximab, a biologic agent used to treat psoriasis, can suppress the immune system and increase the risk of infections and blood disorders. Monitoring the complete blood count (D) is a priority to detect neutropenia, anemia, or thrombocytopenia. Monitoring weight (A), electrolytes (B), or urine output (C) is not typically associated with infliximab therapy.

Correct Answer: C

Rationale: Apheresis is the process of selectively collecting specific blood components, such as platelets, while returning the remaining components to the donor. This method allows for the efficient collection of platelets without depleting the donor's red blood cells or plasma. Directed donation refers to donating blood for a specific recipient, autologous donation involves donating one's own blood for future use, and allogeneic donation is the standard donation for the general blood supply. Therefore, apheresis is the correct term for platelet-only donation.

Correct Answer: C

Rationale: Acute schizophrenia requires antipsychotics for positive symptoms (e.g., hallucinations). IV haloperidol is for acute agitation, not first-line outpatient treatment. IM flupentixol, a long-acting typical antipsychotic, suits maintenance, not initial therapy. Oral olanzapine, an atypical antipsychotic, is first-line, balancing efficacy (D2/5-HT2 blockade) and lower extrapyramidal risk, suitable for a young patient. Procyclidine treats parkinsonism, not schizophrenia. Fluoxetine is for depression. Olanzapine's oral route and profile make it ideal for initial management, promoting adherence and tolerability.

Correct Answer: B

Rationale: Penicillins cross the blood-brain barrier mainly when meninges are inflamed (e.g., meningitis), a true statement due to increased permeability. They do require dose adjustment in renal failure, as they're renally excreted, making the lack of adjustment false and the exception. They inhibit bacterial cell wall synthesis by blocking peptidoglycan cross-linkage, a true mechanism. Piperacillin is effective against Pseudomonas, especially with tazobactam, which is true. Only 5-10% of those with prior penicillin allergy react again, also true. The renal adjustment need is critical, as accumulation risks toxicity like seizures, guiding safe prescribing in kidney dysfunction.

Correct Answer: C

Rationale: Androgens, primarily testosterone, are secreted by the testes' Leydig cells, stimulated by luteinizing hormone (LH) from the pituitary, making the testes the direct source. Follicle-stimulating hormone (FSH) from the pituitary regulates sperm production, not androgen secretion. Gonadotropin-releasing hormone (GnRH) from the hypothalamus triggers pituitary LH and FSH release, indirectly influencing androgen production, not secreting it. The pituitary releases LH and FSH, not androgens itself. The testes' role as the endocrine organ producing androgens is clear, driven by LH, and is fundamental to male reproductive and secondary sexual characteristics, setting it apart from regulatory hormones in the hypothalamic-pituitary-gonadal axis.