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

Iritis

Spinal deformity

Facial rash

Thickened skin

Answer and Explanation

The Correct Answer is C

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

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Correct Answer is A

Explanation

Request that the surgeon prescribe a different antibiotic: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.

Ask the provider to prescribe diphenhydramine as a precaution: While antihistamines may alleviate mild allergic reactions, they are not a substitute for avoiding high-risk medications in clients with anaphylaxis history.

Confirm with the client that the reaction he had was truly anaphylaxis: The client's medical record already documents anaphylaxis, which should be taken seriously without further questioning.

Administer the medication: This action disregards the client's history of anaphylaxis to a related drug class.

A. Release of memory T-cells B. Organ rejection C. Damage to blood vessels D. Release of histamine

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

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse knows that Type 1 Hypersensitivity reactions are caused by which of the following?

Correct Answer is D

Explanation

The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?

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The nurse knows the following are symptoms of anaphylaxis and they need to intervene quickly. (Select All that Apply.)

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A nurse is reinforcing teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following information should the nurse include in the teaching?

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