NUR.,2520.,-.,Unit.,V.,-.,Musculoskeletal
A.,34-year-
old.,female.,patient.,who.,has.,systemic.,lupus.,erythematosus.,is.,receiving.,pla
smapheresis.,to.,treat.,an.,acute.,attack..,What.,symptoms.,will.,the.,nurse.,monit
or.,to.,determine.,if.,the.,patient.,develops.,complications.,related.,to.,the.,proced
ure?
a..,Hypotension,.,paresthesias,.,and.,dizziness.,
b..,Polyuria,.,decreased.,reflexes,.,and.,lethargy
c..,Intense.,thirst,.,flushed.,skin,.,and.,weight.,gain
d..,Abdominal.,cramping,.,diarrhea,.,and.,leg.,weakness.,-.,correct.,answer.,✔
✔ a..,Hypotension,.,paresthesias,.,and.,dizziness.,
Common.,complications.,associated.,with.,plasmapheresis.,are.,hypotension.,
and.,citrate.,toxicity..,Citrate.,is.,used.,as.,an.,anticoagulant.,and.,may.,cause.,hyp
ocalcemia,.,which.,may.,manifest.,as.,headache,.,paresthesias,.,and.,dizziness..,
Polyuria,.,decreased.,reflexes,.,and.,lethargy.,are.,symptoms.,of.,hypercalcemi
a..,Abdominal.,cramping,.,diarrhea,.,and.,leg.,weakness.,indicate.,hyperkalemi
a..,Intense.,thirst,.,flushed.,skin,.,and.,weight.,gain.,indicate.,hypernatremia.,wit
h.,normal.,or.,increased.,extracellular.,fluid.,volume.
The.,patient.,with.,an.,autoimmune.,disease.,will.,be.,treated.,with.,plasmaphere
sis..,What.,should.,the.,nurse.,teach.,the.,patient.,about.,this.,treatment?
,a..,It.,will.,gather.,platelets.,for.,use.,later.,when.,needed.
b..,It.,will.,cause.,anemia.,because.,it.,removes.,whole.,blood.,and.,RBCs.,are.,da
maged.
c..,It.,will.,remove.,the.,IgG.,autoantibodies.,and.,antigen.,complexes.,from.,the.,
plasma.
d..,It.,will.,remove.,the.,peripheral.,stem.,cells.,in.,order.,to.,cure.,the.,autoimmun
e.,disease..,-.,correct.,answer.,✔ ✔
c..,It.,will.,remove.,the.,IgG.,autoantibodies.,and.,antigen.,complexes.,from.,th
e.,plasma.
Plasmapheresis.,removes.,plasma.,that.,contains.,autoantibodies.,(usually.,Ig
G.,class).,and.,antigen-
antibody.,complexes.,to.,remove.,the.,pathologic.,substances.,in.,the.,plasma.,w
ithout.,causing.,anemia..,Plateletpheresis.,removes.,platelets.,from.,normal.,in
dividuals.,for.,use.,by.,patients.,with.,low.,platelet.,counts..,Apheresis.,is.,used.,t
o.,collect.,stem.,cells.,from.,peripheral.,blood.,that.,does.,not.,cure.,autoimmune.,
disease.
A.,patient.,is.,undergoing.,plasmapharesis.,for.,treatment.,of.,systemic.,lupus.,er
ythematosus..,The.,nurse.,explains.,that.,plasmpharesis.,is.,used.,in.,her.,treatme
nt.,to
a..,remove.,T.,lymphocytes.,in.,her.,blood.,that.,are.,producing.,antinuclear.,anti
bodies
, b..,remove.,normal.,particles.,in.,her.,blood.,that.,are.,being.,damaged.,by.,autoan
tibodies
c..,exchange.,her.,plasma.,that.,contains.,antinuclear.,antibodies.,with.,a.,substit
ute.,fluid
d..,replace.,viral-
damaged.,cellular.,components.,of.,her.,blood.,with.,replacement.,whole.,blood
.,-.,correct.,answer.,✔ ✔
c..,exchange.,her.,plasma.,that.,contains.,antinuclear.,antibodies.,with.,a.,subst
itute.,fluid
Rationale:.,The.,rationale.,for.,performing.,therapeutic.,plasmapheresis.,in.,pat
ients.,with.,autoimmune.,disorders.,such.,as.,SLE.,is.,to.,remove.,pathologic.,sub
stances.,(i.e.,.,antinuclear.,antibodies).,from.,plasma.
A.,57-year-old.,postmenopausal.,woman.,is.,scheduled.,for.,dual-energy.,x-
ray.,absorptiometry.,(DXA)..,Which.,statement,.,if.,made.,by.,the.,patient.,to.,th
e.,nurse,.,indicates.,understanding.,of.,the.,procedure?
a..,"The.,bone.,density.,in.,my.,heel.,will.,be.,measured."
b..,"This.,procedure.,will.,not.,cause.,any.,pain.,or.,discomfort.".,
c..,"I.,will.,not.,be.,exposed.,to.,any.,radiation.,during.,the.,procedure."
d..,"I.,will.,need.,to.,remove.,my.,hearing.,aids.,before.,the.,procedure.".,-
.,correct.,answer.,✔ ✔
b..,"This.,procedure.,will.,not.,cause.,any.,pain.,or.,discomfort.".,
A.,34-year-
old.,female.,patient.,who.,has.,systemic.,lupus.,erythematosus.,is.,receiving.,pla
smapheresis.,to.,treat.,an.,acute.,attack..,What.,symptoms.,will.,the.,nurse.,monit
or.,to.,determine.,if.,the.,patient.,develops.,complications.,related.,to.,the.,proced
ure?
a..,Hypotension,.,paresthesias,.,and.,dizziness.,
b..,Polyuria,.,decreased.,reflexes,.,and.,lethargy
c..,Intense.,thirst,.,flushed.,skin,.,and.,weight.,gain
d..,Abdominal.,cramping,.,diarrhea,.,and.,leg.,weakness.,-.,correct.,answer.,✔
✔ a..,Hypotension,.,paresthesias,.,and.,dizziness.,
Common.,complications.,associated.,with.,plasmapheresis.,are.,hypotension.,
and.,citrate.,toxicity..,Citrate.,is.,used.,as.,an.,anticoagulant.,and.,may.,cause.,hyp
ocalcemia,.,which.,may.,manifest.,as.,headache,.,paresthesias,.,and.,dizziness..,
Polyuria,.,decreased.,reflexes,.,and.,lethargy.,are.,symptoms.,of.,hypercalcemi
a..,Abdominal.,cramping,.,diarrhea,.,and.,leg.,weakness.,indicate.,hyperkalemi
a..,Intense.,thirst,.,flushed.,skin,.,and.,weight.,gain.,indicate.,hypernatremia.,wit
h.,normal.,or.,increased.,extracellular.,fluid.,volume.
The.,patient.,with.,an.,autoimmune.,disease.,will.,be.,treated.,with.,plasmaphere
sis..,What.,should.,the.,nurse.,teach.,the.,patient.,about.,this.,treatment?
,a..,It.,will.,gather.,platelets.,for.,use.,later.,when.,needed.
b..,It.,will.,cause.,anemia.,because.,it.,removes.,whole.,blood.,and.,RBCs.,are.,da
maged.
c..,It.,will.,remove.,the.,IgG.,autoantibodies.,and.,antigen.,complexes.,from.,the.,
plasma.
d..,It.,will.,remove.,the.,peripheral.,stem.,cells.,in.,order.,to.,cure.,the.,autoimmun
e.,disease..,-.,correct.,answer.,✔ ✔
c..,It.,will.,remove.,the.,IgG.,autoantibodies.,and.,antigen.,complexes.,from.,th
e.,plasma.
Plasmapheresis.,removes.,plasma.,that.,contains.,autoantibodies.,(usually.,Ig
G.,class).,and.,antigen-
antibody.,complexes.,to.,remove.,the.,pathologic.,substances.,in.,the.,plasma.,w
ithout.,causing.,anemia..,Plateletpheresis.,removes.,platelets.,from.,normal.,in
dividuals.,for.,use.,by.,patients.,with.,low.,platelet.,counts..,Apheresis.,is.,used.,t
o.,collect.,stem.,cells.,from.,peripheral.,blood.,that.,does.,not.,cure.,autoimmune.,
disease.
A.,patient.,is.,undergoing.,plasmapharesis.,for.,treatment.,of.,systemic.,lupus.,er
ythematosus..,The.,nurse.,explains.,that.,plasmpharesis.,is.,used.,in.,her.,treatme
nt.,to
a..,remove.,T.,lymphocytes.,in.,her.,blood.,that.,are.,producing.,antinuclear.,anti
bodies
, b..,remove.,normal.,particles.,in.,her.,blood.,that.,are.,being.,damaged.,by.,autoan
tibodies
c..,exchange.,her.,plasma.,that.,contains.,antinuclear.,antibodies.,with.,a.,substit
ute.,fluid
d..,replace.,viral-
damaged.,cellular.,components.,of.,her.,blood.,with.,replacement.,whole.,blood
.,-.,correct.,answer.,✔ ✔
c..,exchange.,her.,plasma.,that.,contains.,antinuclear.,antibodies.,with.,a.,subst
itute.,fluid
Rationale:.,The.,rationale.,for.,performing.,therapeutic.,plasmapheresis.,in.,pat
ients.,with.,autoimmune.,disorders.,such.,as.,SLE.,is.,to.,remove.,pathologic.,sub
stances.,(i.e.,.,antinuclear.,antibodies).,from.,plasma.
A.,57-year-old.,postmenopausal.,woman.,is.,scheduled.,for.,dual-energy.,x-
ray.,absorptiometry.,(DXA)..,Which.,statement,.,if.,made.,by.,the.,patient.,to.,th
e.,nurse,.,indicates.,understanding.,of.,the.,procedure?
a..,"The.,bone.,density.,in.,my.,heel.,will.,be.,measured."
b..,"This.,procedure.,will.,not.,cause.,any.,pain.,or.,discomfort.".,
c..,"I.,will.,not.,be.,exposed.,to.,any.,radiation.,during.,the.,procedure."
d..,"I.,will.,need.,to.,remove.,my.,hearing.,aids.,before.,the.,procedure.".,-
.,correct.,answer.,✔ ✔
b..,"This.,procedure.,will.,not.,cause.,any.,pain.,or.,discomfort.".,
