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A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

A.

Iritis

B.

Spinal deformity

C.

Facial rash

D.

Thickened skin

Answer and Explanation

The Correct Answer is C

  1. Iritis: This is associated more with autoimmune conditions like ankylosing spondylitis rather than SLE.
  2. Spinal deformity is not a typical feature of SLE. Spinal deformities are more commonly seen in conditions like rheumatoid arthritis.
  3. Facial rash: The characteristic "butterfly" rash over the cheeks and nose is a hallmark finding in SLE.
  4. Thickened skin: SLE typically presents with skin lesions or rashes rather than skin thickening.


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Related Questions

Correct Answer is B

Explanation

A. Damage to kidneys, which cause a decrease in erythropoietin production: This describes anemia of chronic disease or kidney-related anemia, not pernicious anemia.
B. Destruction of gastric parietal cells, which decrease intrinsic factor production: Pernicious anemia results from the loss of intrinsic factor, essential for vitamin B12 absorption in the intestine.
C. Decrease in RBC in the bone marrow: This is more characteristic of aplastic anemia or bone marrow suppression rather than pernicious anemia.
D. Hemolysis of RBC: This describes hemolytic anemia rather than pernicious anemia.

Correct Answer is D

Explanation

A. Release of memory T-cells: Memory T-cells are involved in Type IV delayed hypersensitivity, not Type I reactions.
B. Organ rejection: Organ rejection is associated with Type IV hypersensitivity reactions, not Type I.
C. Damage to blood vessels: This is more characteristic of Type III hypersensitivity reactions.
D. Release of histamine: Type I hypersensitivity reactions, such as anaphylaxis and allergic rhinitis, are triggered by the release of histamine from mast cells after IgE-mediated sensitization.

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