Which of the following treatments for lupus would aid in fighting infections and boosting the client's platelet and red blood cell counts?
Gamma globulins
Prednisone
Methotrexate
Hydroxychloroquine
The Correct Answer is A
Choice A reason: Gamma globulins (IVIG) provide antibodies to fight infections and stabilize platelet and RBC counts in lupus by modulating immunity, addressing cytopenias effectively.
Choice B reason: Prednisone suppresses immunity, reducing lupus inflammation but lowering infection resistance and not directly boosting platelets or RBCs, risking suppression.
Choice C reason: Methotrexate inhibits folate, suppressing lupus immune activity, but it can reduce blood cell production, not increase platelets or RBCs, worsening counts.
Choice D reason: Hydroxychloroquine prevents lupus flares by stabilizing lysosomes, not boosting blood counts or immunity, focusing on symptom control, not cytopenias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Total output is hemodialysis (4000 mL) + Jackson Pratt (20 mL) + urine (100 mL) + nasogastric (325 mL) = 4445 mL, accurately summing all fluid losses recorded.
Choice B reason: 4000 mL only accounts for hemodialysis, ignoring Jackson Pratt (20 mL), urine (100 mL), and nasogastric (325 mL), underestimating total output significantly.
Choice C reason: 4250 mL likely omits nasogastric (325 mL) or miscalculates, as 4000 + 20 + 100 + 325 = 4445 mL, missing part of the recorded fluid loss.
Choice D reason: 4500 mL overestimates; 4000 + 20 + 100 + 325 = 4445 mL, suggesting an error in adding an extra 55 mL not documented in outputs.
Correct Answer is A
Explanation
Choice A reason: Hypoparathyroidism lowers PTH, reducing phosphorus excretion, raising serum levels as kidneys reabsorb more, while calcium drops, a classic imbalance.
Choice B reason: Calcium decreases in hypoparathyroidism due to low PTH, impairing bone resorption and gut absorption, opposite to being high, so this is incorrect.
Choice C reason: Magnesium isn’t directly regulated by PTH; hypoparathyroidism doesn’t consistently elevate it, staying normal unless other factors intervene.
Choice D reason: Potassium is unaffected by hypoparathyroidism, controlled by aldosterone and kidneys, not PTH, so it doesn’t rise with this condition.
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