A faculty member is discussing systemic lupus erythematosus (SLE) ...

[KWilfred]

A faculty member is discussing systemic lupus erythematosus (SLE) with a group of nursing students. Which pathophysiological process does the nurse describe as the major problem in this disorder?
 
  A.
  Autoimmune process creates antigen-antibody complexes that damage tissues
  B.
  Genetic defect linked strictly to male offspring leading to organ damage
  C.
  Limited autoimmune process destroys tissues in specific target organs
  D.
  Rapidly progressive disease triggered by hormonal changes such as pregnancy.

Question 2

An HIV-positive child has low titers after a measles vaccination. She has now been exposed to the disease. Which action by the nurse is most appropriate?
 
  A.
  Administer prophylactic antibiotics.
  B.
  Place the child in protective isolation.
  C.
  Prepare to administer immunoglobulin.
  D.
  Repeat the vaccination as soon as possible.

[samiel-sayed]

Answer to Question 1

ANS: A
SLE is an autoimmune disorder in which antigen-antibody complexes are formed and deposited widely throughout the body, damaging many organs and tissues. It is tied to a genetic disposition but is not solely genetic in origin; it affects females more than males. The destruction is widespread, not limited to a few target organs. The disease is characterized by exacerbations and remissions.

Answer to Question 2

ANS: C
When the immune-compromised child does not show an appropriate response to a vaccination, she should be treated with immunoglobulin if exposed. Repeating the vaccination will not help if the child's immune system cannot mount a response. Antibiotics are not used to treat measles. Protective isolation is not warranted.

[KWilfred]

Thank you

[samiel-sayed]

No problemo