Nokea
When assessing a client with autoimmune disorder,what signs should the nurse look for in the client?
- A. Hypotension
- B. Localized inflammation
- C. Hives or rashes
- D. Cramping and vomiting
Correct Answer: B
Rationale: Localized inflammation is a common sign of autoimmune disorders,as the immune system mistakenly attacks healthy tissues.
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A patient is taking diuretic drugs that cause sodium loss from the kidney. Which fluid or electrolyte imbalance is most likely to occur in this patient?
- A. Hyperkalemia
- B. Hyponatremia
- C. Hypocalcemia
- D. Hypotonic fluid loss
Correct Answer: B
Rationale: Diuretics promote sodium excretion, leading to hyponatremia as more water follows sodium out of the body.
A couple lost a second baby to miscarriage. They are both considering having genetic testing done before trying to get pregnant again. What should the nurse include when teaching about genetic testing?
- A. A particular genetic test will tell them if there is a specific genetic change.
- B. The test results will identify the diseases their children will inherit from them.
- C. Genetic testing will determine if they are predisposed to developing a genetic disease.
- D. Genetic testing kits that are available on the Internet are just as good and less costly than going to a genetic counselor.
Correct Answer: A
Rationale: Genetic testing can identify specific genetic changes responsible for miscarriages but cannot predict all diseases or replace professional counseling.
The nurse is instructing a patient with rheumatoid arthritis about a prescribed exercise program. Which information should the nurse include?
- A. Perform exercises every day, 3 to 10 times for every joint.
- B. Perform exercises even if inflammation is present.
- C. Perform exercises past the point of pain.
- D. Perform twice the number of exercises the next day if one day is missed.
Correct Answer: A
Rationale: The correct answer is A because a consistent exercise routine is important for managing rheumatoid arthritis. Performing exercises every day helps improve joint mobility and strength without causing excessive strain. Option B is incorrect as exercising during inflammation can worsen symptoms. Option C is incorrect as exercising past the point of pain can lead to injury. Option D is incorrect as overcompensating the following day can also lead to injury and disrupt the exercise program's consistency.
Which of the following is NOT an outcome of complement activation:
- A. Increased recruitment of inflammatory cells
- B. Opsonization of pathogens
- C. Lysis of pathogens
- D. Increased migration of dendritic cells from tissues to lymph nodes
Correct Answer: D
Rationale: The correct answer is D: Increased migration of dendritic cells from tissues to lymph nodes. Complement activation does not directly lead to the migration of dendritic cells. Complement activation can lead to increased recruitment of inflammatory cells (A), opsonization of pathogens (B), and lysis of pathogens (C). Dendritic cells typically migrate to lymph nodes to present antigens to T cells, but this process is not directly mediated by complement activation.
A nurse caring for clients with systemic lupus erythematosus (SLE) plans care understanding the most common causes of death for these clients is which of the following? (Select one that does not apply.)
- A. Infection
- B. Cardiovascular impairment
- C. Vasculitis
- D. Chronic kidney disease
Correct Answer: C
Rationale: The correct answer is C: Vasculitis. Vasculitis is a common complication of systemic lupus erythematosus (SLE) and can lead to serious organ damage and even death. In SLE, inflammation affects blood vessels, leading to vasculitis which can cause tissue damage and impaired blood flow. While infections, cardiovascular impairment, and chronic kidney disease are also common causes of mortality in SLE patients, vasculitis is specifically associated with the disease and its complications. Infections can occur due to the immune system's weakened response, cardiovascular issues can arise from inflammation and damage to the heart and blood vessels, and chronic kidney disease can develop due to immune complex deposition in the kidneys. However, vasculitis is the most directly linked cause of death in SLE patients due to its impact on multiple organ systems.