The nurse is performing morning care for a patient who sustained a fractured pelvis and bilateral femur fractures yesterday in a motorcycle collision. The patient complains of shortness of breath. Assessment reveals audible wheezes and oxygen saturation of 76%. What action should the nurse take first?

Correct Answer: D

Rationale: Step 1: The patient complains of shortness of breath and has audible wheezes, indicating potential respiratory distress. Step 2: Oxygen saturation of 76% is critically low and requires immediate intervention. Step 3: Raising the patient to a high Fowler position helps improve lung expansion and oxygenation. Step 4: This action takes priority to improve the patient's breathing and oxygen saturation levels. Summary: A is incorrect as establishing an IV line is not the immediate priority. B is incorrect as informing the charge nurse delays direct patient care. C is incorrect as addressing the family is secondary to addressing the patient's urgent needs.

Correct Answer: C

Rationale: The correct answer is C: Paracortex. Naïve T cells circulate through the blood and lymphatic system until they encounter antigens presented by activated dendritic cells in the paracortex of lymph nodes. The paracortex is the region where T cell activation and proliferation occur, leading to an immune response. The subcapsular sinus (A) is primarily involved in filtering lymph fluid, the cortex (B) contains B cell follicles, and the medulla (D) contains plasma cells and macrophages. Thus, the paracortex is the specific site of interaction between naïve T cells and activated dendritic cells in lymph nodes.

Correct Answer: D

Rationale: The correct answer is D. Tamiflu interferes with the function of Neuraminidase (N), not Hemagglutinin (HA). HA binds to sialic acid on cell surface molecules, not N. N's function is to release new viral particles. Both HA and N undergo antigenic drift. Therefore, choice D is incorrect as it misrepresents the mechanism of action of Tamiflu.

Correct Answer: D

Rationale: Firstly, Lysozyme is a Microbe-Associated Molecular Pattern (MAMP), not a protein. MAMPs are molecules recognized by the innate immune system to trigger immune responses. Lysozyme is not specific to protecting the eye (A), binding membranes (B), or digesting cell walls (C). Therefore, the correct answer is D.

Correct Answer: C

Rationale: The correct answer is C: Elie Metchnikoff. He is credited with the discovery of phagocytosis, the process in which certain cells engulf and digest foreign particles. Metchnikoff's research in the late 19th century laid the foundation for our understanding of the immune system. A: Edward Jenner is known for developing the smallpox vaccine. B: Louis Pasteur is famous for his work on germ theory and pasteurization. D: Paul Ehrlich is known for his contributions to immunology, such as developing the concept of antibodies and chemotherapy.