The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?
There is formation of antigen- antibody complexes leading to inflammation
Production of immunoglobulin E antibodies occurs
It is a chronic progressive inflammatory disease of the spine and large limb joints
Autoantibodies lyse red blood cells
The Correct Answer is C
A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You will need to continue on dialysis": A successful kidney transplant should eliminate the need for dialysis, though dialysis may be required temporarily if the transplanted kidney takes time to function.
B. "You will need to be on antibiotics for the rest of your life": Routine long-term antibiotic therapy is not required, although prophylactic antibiotics may be prescribed initially.
C. "You don't need to worry about organ rejection, it never happens": Organ rejection is always a concern, and immunosuppressive therapy is necessary to prevent it.
D. "You will need to be on immunosuppression drugs for the rest of your life": Lifelong immunosuppressive therapy is essential to prevent the immune system from rejecting the transplanted organ.
Correct Answer is B
Explanation
Histamine release: Histamine release is characteristic of Type I hypersensitivity reactions (immediate hypersensitivity) rather than Type IV.
T-lymphocyte memory cells: Type IV hypersensitivity is a delayed response mediated by T-lymphocytes, not antibodies.
Immunosuppression: Immunosuppression is not directly related to hypersensitivity reactions.
Antigen/antibody interaction: This is characteristic of Types I, II, and III hypersensitivity reactions, not Type IV.
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