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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Pain control and lower amylase help, but resuming eating depends on gut function (bowel sounds, flatus), not just lab or pain status.

Choice B reason: Active bowel sounds and flatus indicate gut recovery post-pancreatitis, signaling readiness for oral intake, the most accurate marker for feeding resumption.

Choice C reason: Hunger isn’t a reliable indicator; eating too soon risks pancreatitis worsening if the gut isn’t ready, despite pain or amylase levels.

Choice D reason: Activity level doesn’t assess gut function; eating hinges on bowel recovery (sounds, flatus), not mobility, making this less precise.

A. Sun decreases the risk of developing a rash B. I can take ibuprofen for my joint pain C. Fever is an initial sign of a flare-up D. I should rest in between periods of activity

Correct Answer is A

Explanation

Choice A reason: Sun exposure triggers lupus rashes by inducing photosensitivity, increasing inflammation via UV damage, so stating it decreases risk is incorrect and needs correction.

Choice B reason: Ibuprofen, an NSAID, reduces lupus joint pain by inhibiting prostaglandin synthesis, a common and appropriate management strategy, so this is accurate.

Choice C reason: Fever signals lupus flare-ups from systemic inflammation, an early immune response marker, making this statement correct and aligned with disease patterns.

Choice D reason: Resting between activities conserves energy and reduces lupus fatigue and inflammation, a recommended self-management technique, so this is appropriate advice.

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Which of the following treatments for lupus would aid in fighting infections and boosting the client's platelet and red blood cell counts?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who is recovering from acute pancreatitis. The client asks the nurse when they can begin eating again. Which response by the nurse is most accurate?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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