A nurse caring for clients with systemic lupus erythematosus (SLE) plans care understanding the most common causes of death for these clients is which of the following? (Select one that does not apply.)

Correct Answer: C

Rationale: The correct answer is C: Vasculitis. Vasculitis is a common complication of systemic lupus erythematosus (SLE) and can lead to serious organ damage and even death. In SLE, inflammation affects blood vessels, leading to vasculitis which can cause tissue damage and impaired blood flow. While infections, cardiovascular impairment, and chronic kidney disease are also common causes of mortality in SLE patients, vasculitis is specifically associated with the disease and its complications. Infections can occur due to the immune system's weakened response, cardiovascular issues can arise from inflammation and damage to the heart and blood vessels, and chronic kidney disease can develop due to immune complex deposition in the kidneys. However, vasculitis is the most directly linked cause of death in SLE patients due to its impact on multiple organ systems.

Correct Answer: A

Rationale: The correct answer is A: Sex bias observed with males more at risk of developing the disease. This statement is NOT true because MS actually has a sex bias towards females, with women being more at risk. This is due to hormonal, genetic, and immunological factors. The other choices are true: B is correct as MS is more common in northern regions, possibly due to environmental factors; C is correct since MS is characterized by demyelination of neurons leading to various symptoms; and D is correct as experimental autoimmune encephalomyelitis (EAE) is an animal model often used to study MS, induced by injecting myelin components to trigger an immune response.

Correct Answer: D

Rationale: The correct answer is D because a strong cytotoxic T cell response can still effectively clear the virus even without neutralizing antibodies. Cytotoxic T cells directly kill infected cells, helping to control and eliminate the virus. Therefore, the vaccine would not result in failure to clear the virus. A) Incorrect: While the vaccine may not prevent infection, the presence of cytotoxic T cells would help in controlling and reducing the severity of the infection. B) Incorrect: The vaccine may indeed lessen the severity of the disease by aiding in the clearance of infected cells. C) Incorrect: A strong T cell response can provide broader protection against different variants of the virus.

Correct Answer: B

Rationale: The correct answer is B because upregulation of endothelial adhesion molecules is the first event during an acute inflammatory response. This event facilitates the initial recruitment of leukocytes, including neutrophils, to the site of inflammation. Extravasation of neutrophils (choice A) occurs after adhesion molecules are upregulated. Secretion of opsonins (choice C) and phagocytosis (choice D) occur later in the inflammatory response process after the neutrophils have been recruited to the site of inflammation.

Correct Answer: D

Rationale: The correct answer is D: Increased migration of dendritic cells from tissues to lymph nodes. Complement activation does not directly lead to the migration of dendritic cells. Complement activation can lead to increased recruitment of inflammatory cells (A), opsonization of pathogens (B), and lysis of pathogens (C). Dendritic cells typically migrate to lymph nodes to present antigens to T cells, but this process is not directly mediated by complement activation.