A nurse is caring for a client who has contact dermatitis after exposure to poison ivy. The nurse recognizes that this condition is mediated by what type of cells?
B cells
T cells
T cells
Mast cells
The Correct Answer is B
Choice A reason:
B cells are not involved in contact dermatitis, as they do not produce antibodies or form immune complexes.
Choice B reason:
T cells are the type of cells that mediate contact dermatitis, which is a type of type IV hypersensitivity. T cells recognize the poison ivy antigens that bind to the skin proteins and release cytokines that recruit macrophages and other inflammatory cells. This leads to a delayed and localized reaction that manifests as erythema, edema, vesicles, and pruritus.
Choice C reason:
T cells are not the same as B cells, as they have different receptors and functions in the immune system.
Choice D reason:
Mast cells are not involved in contact dermatitis, as they do not express IgE antibodies or release histamine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A reason:
Type I hypersensitivity is not involved in Graves' disease, as it does not involve IgE antibodies or mast cells.
Choice B reason:
Type II hypersensitivity is involved in Graves' disease, as it involves IgG antibodies that bind to the thyroid-stimulating hormone (TSH) receptors on the thyroid gland and stimulate the production of thyroid hormones. This leads to hyperthyroidism and manifestations such as goiter, exophthalmos, tachycardia, weight loss, or tremors.
Choice C reason:
Type III hypersensitivity is not involved in Graves' disease, as it does not involve immune complexes or complement activation.
Choice D reason:
Type IV hypersensitivity is not involved in Graves' disease, as it does not involve cytotoxic T cells or helper T cells.
Choice E reason:
Type V hypersensitivity is also involved in Graves' disease, as it involves the stimulation of target cells by antibodies that act as agonists for cell surface receptors. This leads to an increased function of the target organ or tissue.
Correct Answer is A
Explanation
Choice A reason:
Gram-positive cocci are bacteria that have a spherical shape and stain purple with Gram stain due to their thick peptidoglycan cell wall. Streptococcus pyogenes is an example of gram-positive cocci that can cause infections such as pharyngitis, impetigo, cellulitis, necrotizing fasciitis, or rheumatic fever.
Choice B reason:
Gram-negative cocci are bacteria that have a spherical shape and stain pink with Gram stain due to their thin peptidoglycan cell wall and outer membrane. Neisseria gonorrhoeae and Neisseria meningitidis are examples of gram-negative cocci that can cause infections such as gonorrhea, meningitis, or septicemia.
Choice C reason:
Gram-positive bacilli are bacteria that have a rod-shaped shape and stain purple with Gram stain due to their thick peptidoglycan cell wall. Bacillus anthracis and Clostridium botulinum are examples of gram-positive bacilli that can cause infections such as anthrax, botulism, or tetanus.
Choice D reason:
Gram-negative bacilli are bacteria that have a rod-shaped shape and stain pink with Gram stain due to their thin peptidoglycan cell wall and outer membrane. Escherichia coli and Pseudomonas aeruginosa are examples of gram-negative bacilli that can cause infections such as urinary tract infection, wound infection, or sepsis.
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