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: Hypothyroidism slows metabolism due to low thyroid hormone, reducing calorie burning and causing weight gain from fat accumulation and fluid retention in tissues.
Choice B reason: Diaphoresis (sweating) occurs in hyperthyroidism from excess metabolism raising body heat. Hypothyroidism causes dry skin and cold intolerance, not sweating.
Choice C reason: Exophthalmos, bulging eyes, results from Graves’ disease in hyperthyroidism due to orbital inflammation. Hypothyroidism doesn’t affect eye protrusion, making this unlikely.
Choice D reason: Palpitations stem from hyperthyroidism’s increased heart rate via excess thyroid hormone. Hypothyroidism slows heart rate, leading to bradycardia, not palpitations.
Correct Answer is A
Explanation
Choice A reason: Nasogastric suction removes gastric acid (HCl), reducing hydrogen ions, raising pH, and causing metabolic alkalosis, a common post-surgical complication here.
Choice B reason: Panic attacks cause respiratory alkalosis from hyperventilation, lowering CO2, not metabolic alkalosis, which involves base excess, unrelated to this ABG.
Choice C reason: ESRD typically causes metabolic acidosis from acid retention, not alkalosis, as kidneys fail to excrete hydrogen, opposing this patient’s ABG findings.
Choice D reason: Epidural catheters manage pain with analgesics, not affecting acid-base balance or causing metabolic alkalosis, irrelevant to the ABG shift observed.
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