A client is being administered the first dose of belimumab for a systemic lupus erythematosus flare. What actions by the nurse are most appropriate? (Select one that does not apply.)

Correct Answer: C

Rationale: The correct answer is C: Inform the client not to drive or sign legal papers for 24 hours. This is because belimumab can cause dizziness and fatigue as side effects, which may impair the client's ability to drive or make important decisions. It is crucial for the nurse to ensure the safety of the client and others by advising against these activities for 24 hours post-administration. Choice A: Observing the client for at least 2 hours is important for monitoring immediate adverse reactions, but it is not the most appropriate action in this scenario. Choice B: Instructing the client about the monthly infusion schedule is important for treatment adherence, but it is not the most immediate concern after the first dose administration. Choice D: Ensuring emergency equipment is working and nearby is important for safety precautions, but advising the client not to drive or sign legal papers is more directly related to the potential side effects of belimumab.

Correct Answer: E

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: The correct answer is C because avian influenza has not caused a human pandemic due to the fact that it recognizes a variant of sialic acid only found in deep tissues of humans. This unique binding preference prevents efficient human-to-human transmission, which is crucial for a pandemic to occur. Choice A is incorrect as avian flu can cause severe illness in humans. Choice B is incorrect because avian flu recognizing a variant of sialic acid found only on avian cells would not prevent a pandemic in humans. Choice D is incorrect as there is no specific annual vaccine for avian influenza.

Correct Answer: C

Rationale: The correct answer is C because NLRs are not important for embryonic development in Drosophila. NLRs are primarily involved in immune responses by recognizing pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs) in the cytosol. Choice A is correct as NLRs are indeed cytosolic receptors for MAMPs and DAMPs. Choice B is correct as NOD receptors are a subset of NLRs. Choice D is correct as similar proteins to NLRs are also found in plants, known as NBS-LRR proteins. Therefore, the incorrect statement is C, as NLRs are not essential for embryonic development in Drosophila.

Correct Answer: D

Rationale: The correct answer is D because a lower number of gut bacteria is not associated with obesity. In fact, research shows that an imbalance in gut bacteria, not a lower number, can contribute to obesity. Choice A is correct as there are indeed more bacteria in the gut than human cells in the body. Choice B is also correct as babies develop their commensal flora after birth. Choice C is correct, as studies on germ-free mice have shown the importance of microbiota in immune system development.