The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?
There is formation of antigen- antibody complexes leading to inflammation
Production of immunoglobulin E antibodies occurs
It is a chronic progressive inflammatory disease of the spine and large limb joints
Autoantibodies lyse red blood cells
The Correct Answer is C
A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Standard precautions: HIV is transmitted through blood and body fluids, so standard precautions are sufficient for routine care.
B. Airborne precautions: HIV is not an airborne disease.
C. Droplet precautions: HIV is not transmitted through respiratory droplets.
D. Contact precautions: HIV is not transmitted through casual contact but through specific bodily fluids.
Correct Answer is B
Explanation
A. Education on Epi-pen: While education is important, it is not a priority during a severe allergic reaction.
B. Maintaining airway: Airway compromise is the primary concern during a severe allergic reaction due to potential bronchospasm and swelling.
C. Emotional support: Providing emotional support is important but secondary to maintaining the airway.
D. Treat urticaria: Managing skin symptoms like hives (urticaria) is not the top priority when airway obstruction is a risk.
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