"My doctor said I have an autoimmune disease. What does that mean?" asks a client. How should the nurse respond?
"You have developed urticaria in response to something in your environment."
"Your immune system is creating antibodies that are destroying your own cells."
"Your immune system is not able to create antibodies to help you fight infection."
"You have developed an infection that is destroying your immune cells."
The Correct Answer is B
A. "You have developed urticaria in response to something in your environment."
This statement is incorrect. Urticaria refers to hives, a skin rash usually caused by an allergic reaction, infection, or stress. It's not necessarily indicative of an autoimmune disease.
B. "Your immune system is creating antibodies that are destroying your own cells."
This statement is correct. Autoimmune diseases involve the immune system mistakenly attacking the body's own cells and tissues, leading to various health issues.
C. "Your immune system is not able to create antibodies to help you fight infection."
This statement is incorrect. In autoimmune diseases, the immune system is overactive, producing antibodies that target the body's own cells, not that it can't create antibodies.
D. "You have developed an infection that is destroying your immune cells."
This statement is incorrect. Infections don't typically destroy immune cells; instead, infections often stimulate the immune system to respond and fight against invading pathogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtaining all cultures before the antibiotic is administered: While obtaining cultures is important for identifying the specific pathogen causing the infection and guiding targeted antibiotic therapy, waiting for culture results can take time. During this time, the infection can progress. Therefore, it's generally recommended to initiate broad-spectrum antibiotics first and then adjust the treatment based on culture results.
B. Delaying administration of the antibiotic until the culture results are available: Delaying antibiotics until culture results are available can be risky, as it allows the infection to progress, potentially leading to sepsis or other severe complications.
C. Administering antipyretics as soon as possible: Administering antipyretics like acetaminophen or ibuprofen can help reduce fever and make the patient more comfortable. However, the primary intervention for a suspected infection is antibiotic therapy, as it targets the underlying cause of the fever.
D. Administering the antibiotic immediately: When dealing with a patient with a fever of unknown origin and a suspected infection, the priority is to start appropriate antibiotic therapy promptly. Delaying antibiotic administration can allow the infection to worsen, leading to serious complications.
Correct Answer is B
Explanation
A. Gut-associated lymphoid tissue (GALT): GALT is a component of the mucosa-associated lymphoid tissue (MALT) and refers to the immune cells found in the gastrointestinal tract. These cells play a significant role in local immune responses in the gut.
B. Bone marrow: The bone marrow is the primary site of blood cell production in the body. It contains stem cells that can differentiate into various blood cells, including B cells. B cells mature in the bone marrow.
C. Thymus: The thymus is an organ located near the heart and is crucial for the development of T cells. T cells mature in the thymus, where they learn to recognize self from non-self antigens.
D. Lymph nodes: Lymph nodes are small, bean-shaped structures that produce and store cells that help fight infection. While they are essential parts of the immune system, B and T cells are not originally derived from lymph nodes.
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