Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?

Cephalosporin

Epinephrine

Diphenhydramine

Penicillin or Sulfonamide

Answer and Explanation

The Correct Answer is D

A.   Cephalosporin: Though cephalosporins can cause allergic reactions, they are less commonly associated with serum sickness compared to penicillins.
B.   Epinephrine: Epinephrine treats allergic reactions and does not cause serum sickness.
C.   Diphenhydramine: Diphenhydramine is an antihistamine used to alleviate hypersensitivity reactions.
D.   Penicillin or Sulfonamide: These medications are classic triggers for serum sickness, a delayed hypersensitivity reaction involving immune complex deposition.

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Correct Answer is C

Explanation

A. An infectious disease: Autoimmune diseases are not caused by pathogens.
B. A disease that only affects the elderly: Autoimmune diseases can affect people of any age.
C. A disease in which the body attacks itself: Autoimmune diseases occur when the immune system mistakenly targets its own tissues.
D. A hereditary disease: While some autoimmune diseases may have genetic components, this is not the defining characteristic.

A. "I need to carry the Epi-pen with me at all times." B. "When my Epi-pen reaches it's expiration date. I need to get a new one." C. "Once I inject myself with my Epi-pen. I won't have to go to the hospital." D. "I need to avoid all foods that may have been exposed to peanuts."

Correct Answer is C

Explanation

"I need to carry the Epi-pen with me at all times": Individuals with severe allergies should always have an Epi-pen in case of exposure to allergens. No reinforcement needed.

"When my Epi-pen reaches its expiration date, I need to get a new one": Epi-pens have a limited shelf life, and using an expired pen may be ineffective. No reinforcement needed.

"Once I inject myself with my Epi-pen, I won't have to go to the hospital": Epinephrine provides temporary relief, but further medical evaluation is essential due to the risk of a biphasic reaction or persistent symptoms. Reinforcement needed.

"I need to avoid all foods that may have been exposed to peanuts": Strict avoidance of allergens is essential to prevent severe reactions. No reinforcement needed.

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Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that an autoimmune disease is defined as which of the following?

Correct Answer is C

Explanation

The nurse is educating a patient concerning use of an Epi-pen for a severe allergic reaction to peanuts. Which of the following statements, made by the patient, allows the nurse to know that the education must be reinforced?

Correct Answer is C

Explanation

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