A client has been newly diagnosed with systemic lupus erythematosus and is reviewing self-care measures with the nurse. Which statement by the client indicates a need to review the material?

Correct Answer: B

Rationale: The correct answer is B. Baby powder is not recommended for individuals with systemic lupus erythematosus, as it can irritate the skin and worsen symptoms. A: Avoiding direct sunlight is crucial due to photosensitivity. C: Grouping errands helps conserve energy. D: Rest is important to manage fatigue. Summary: A, C, and D are all appropriate self-care measures for a client with systemic lupus erythematosus, while using baby powder is not recommended.

Correct Answer: B

Rationale: The correct answer is B: IL-2. IL-2 is essential for the clonal expansion of T cells as it promotes T cell proliferation. It is produced by activated T cells themselves and plays a crucial role in regulating immune responses. IL-1 is involved in inflammation, not T cell expansion. IL-4 is important for Th2 cell differentiation, while IL-5 is critical for eosinophil activation. In summary, IL-2 specifically promotes T cell clonal expansion, making it the correct choice in this context.

Correct Answer: D

Rationale: The correct answer is D because T regulatory cells are known to suppress immune responses and promote immune tolerance, which is opposite to causing immunity. Choice A is incorrect because T regulatory cells are indeed generated in the thymus upon expression of Foxp3. Choice B is incorrect as T regulatory cells can also be generated in the periphery in response to cytokines. Choice C is incorrect as T regulatory cells are known to inhibit effector T cells to regulate immune responses.

Correct Answer: B

Rationale: The correct answer is B: Hepatitis B. Recombinant vaccines are made by inserting genetic material from a pathogen into another organism to stimulate an immune response. Hepatitis B vaccine is produced using recombinant DNA technology to create a non-infectious protein that triggers an immune response against the hepatitis B virus. DPT, BCG, and Measles vaccines are not examples of recombinant vaccines as they are made using different methods without genetic engineering.

Correct Answer: C

Rationale: The correct answer is C because the statement that SARS coronavirus is also the causal agent of MERS is false. MERS (Middle East Respiratory Syndrome) is caused by a different coronavirus called MERS-CoV. SARS-CoV caused the 2003 epidemic with a 10% mortality rate, which aligns with statement A. Statement B is correct as SARS-CoV does cause an acute infection of the lungs known as acute respiratory distress syndrome. Statement D is also true as SARS-CoV is believed to have been transmitted from bats to civets and then to humans. Therefore, the incorrect statement is C.