NCLEX 6/5

Goodpasture syndrome Goodpasture syndrome is an autoimmune disease that affects the kidneys.

Damage to alveolar and renal glomerular basement membranes by cytotoxic antibody.

Which mediator of injury is involved in the client with pruritic lesions from an immunoglobulin E (IgE)-mediated hypersensitivity reaction?

Histamine is one of the mediators of injury involving IgE-mediated injury and potentially causes pruritus. Cytokines are the mediators of injury in delayed hypersensitivity reaction. Neutrophils are involved in immune complex-mediated hypersensitivity reactions. Macrophages in tissues are involved in cytotoxic reactions.

Which product would the nurse instruct intravenous drug users (IDUs) to use for cleaning of needles and syringes between uses? Bleach

IDUs should be instructed to fill syringes with household bleach and shake the syringe for 30 to 60 seconds. Hot water, ammonia, or rubbing alcohol is not used to disinfect used syringes.