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

An infectious disease

A disease that only affects the elderly

A disease in which the body attacks itself

A hereditary disease

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is C

Explanation

A. Obtain the client's vital signs: Although vital signs are essential, stopping the transfusion is the first priority to prevent further reaction.
B. Notify the charge nurse: Communication is important but not the immediate action.
C. Stop the transfusion: The first action is to stop the infusion to halt exposure to the potential allergen.
D. Administer prescribed diphenhydramine: Medication administration is secondary to stopping the transfusion.

A. Iritis B. Spinal deformity C. Facial rash D. Thickened skin

Correct Answer is C

Explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, 'My heart is racing. The nurse notes that the client's face has become flushed. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

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