A patient is admitted with an autoimmune disorder. The nurse plans care for this patient based on which characteristics of autoimmune disorders?
1. The patient's body does not recognize non-self antigens.
2. The patient's body does not recognize its own tissues.
3. The patient's body does not have enough white blood cells to combat infections.
4. The patient's body overproduces histamine.
2
Rationale 1: The normal body response is to recognize non-self antigens. An intact immune system acts to eliminate non-self proteins and antigens from the body.
Rationale 2: When the body does not recognize its own tissues and works to eliminate self proteins and antigens, an autoimmune disorder exists.
Rationale 3: The number of white blood cells is not a factor in the development of an autoimmune disorder.
Rationale 4: The amount of histamine produced is not pertinent to the development of an autoimmune disorder.
You might also like to view...
The nurse is providing care for a 14-year-old girl with severe acne. The girl expresses sadness and distress about her appearance. Which response by the nurse would be most appropriate?
A) "Are you using your medicine every day?" B) "Your condition will most likely improve in a year or two.". C) "Many people feel this way; I know someone who can help.". D) "If you have any scarring you can undergo dermabrasion.".
The long-term care facility nurse takes into consideration that most residents go to sleep early and awaken early because of ________________________________. (Select all that apply.)
a. increased blood pressure. b. drop in core temperature. c. diminished food intake. d. diminished hormone production. e. decreased exposure to light.
A woman in her second trimester wants to continue her weight-lifting and exercise plan. Which exercise would the nurse advise against participating in?
A. Calf stretches B. Weight lifting C. Pelvic tilts D. Walking lunges
Which findings would the nurse expect in a patient with secondary syphilis?
A) Genital chancres B) Lymphadenopathy, fever, and rash on the soles of the feet C) Asymptomatic D) Stroke meningitis, hearing loss