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 {"dropdown-group-1":"B","dropdown-group-2":"A"}
Explanation
The client is at highest risk for developing Pneumocystis pneumonia due to their CD4 cell count.
Infection: Partially correct; while the client is at risk for various infections due to AIDS, specifying Pneumocystis pneumonia (PCP) provides a more accurate and common complication in clients with a CD4 count below 200/mm³.
Pneumocystis pneumonia: PCP is a life-threatening opportunistic infection commonly seen in clients with AIDS and a CD4 count below 200/mm³.
Hypokalemia: Potassium levels are within the normal range, making hypokalemia unlikely.
Cardiac dysrhythmias: There are no significant electrolyte imbalances or clinical findings suggesting this condition.
Impaired gas exchange: Although this may be a complication of PCP, there are currently no respiratory symptoms to support this choice.
Correct Answer is B
Explanation
A. A CD4 count 300/μL: Although this may indicate immunosuppression, it is not consistent with AIDS, which requires a CD4 count below 200/μL.
B. A CD4 count 100/μL: This count is indicative of advanced AIDS, where patients are highly susceptible to opportunistic infections.
C. A CD4 count of 800/μL: This is within the normal range for a healthy individual.
D. A CD4 count of 600/μL: This is still within the normal range and does not indicate AIDS.
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