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concept of nursing 2
Autoimmune Disorders
| Question | Answer |
|---|---|
| Which theories characterize the mechanisms involved in autoimmunity? | -Leakage of protected self-antigens -Epitope immune system evasion -Loss of T suppressor function -Failure of T cell programming |
| Which classic characteristic is most often noted in patients with the autoimmune disorder systemic lupus erythematosus? | Reddish facial rash |
| Which diagnostic test differentiates the level of autoimmune disease activity from the presence of disease? | Serum complement |
| The nurse determines that collaborative goals for a patient with an autoimmune disorder are met when which findings are present? | -Decreased patient symptoms -Patient enters remission -Exacerbation prevented |
| The nurse determines the patient’s prescribed Basilximab (monoclonal antibody) is acting to prevent T cell activation based on which finding? | Decreased lymphocyte count |
| The nurse determines the effectiveness of placing cold on the autoimmune patient’s acutely inflamed knee after noting which finding? | reduced swelling |
| Which action will the nurse take after noting the newly elevated blood urea nitrogen (BUN) and serum creatinine on the laboratory report of a patient who has an autoimmune disorder, fever, and chills? | Consult with the health care provider. |
| Which step does the nurse determine is first when caring for a patient with an autoimmune disorder? | Determining patient needs |
| Which nursing intervention does the nurse determine addresses the goal of “verbalizing strategies for effective self-care”? | Continue activities and being productive, seeking assistance if needed. |
| What does the nurse determine is the most important reason for teaching patients on immune suppressive therapy to weigh weekly? | monitor for weight change |
| The nurse determines that which action takes priority for a newly admitted patient with an autoimmune disorder who is acutely ill with fever and pain? | Facilitating periods of uninterrupted rest |
Created by:
Lightnning54
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