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NUR 211 Quiz 5 Questions with correct Answers 100% and detailed solutions
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NUR 211 Quiz 5 Questions with correct Answers 100% and detailed solutions
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STUVIA 2024/2025NUR 211 Quiz 5
Facial rash
Rationale: SLE causes a characteristic facial "butterfly" rash that is dry, scaly, red, and
raised - ✔✔A Nurse is assessing a client who has systemic lupus erythematosus
(SLE). Which of the following findings should the nurse expect?
Facial rash
Thickened skin
Chronic back pain
Iritis
Use a sun-blocking agent with a sun protection of at least 15.
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Rationale: Clients who have SLE are prone to hair loss. They should use a mild protein
shampoo and ... avoid treatments that can damage the hair and scalp, such as dyes
and permanents.
Clients who have SLE should not use powder or other drying skin products on their
skin. Clients who have SLE should apply non-perfumed moisturizing lotions liberally to
the skin - ✔✔A nurse is providing discharge teaching to a client who has systemic
lupus erythematosus (SLE). Which of the following instructions should the nurse
include?
Avoid using moisturizing lotions on the skin
Wash the hair with a mild protein shampoo.
Apply powder liberally to sensitive skin areas.
Use a sun-blocking agent with a sun protection of at least 15.
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Connective tissue
Rationale: SLE originates in the connective tissues of the body and affects all organ
systems. - ✔✔A nurse is caring for a client who has a new diagnosis of systemic
lupus erythematosus (SLE) and asks where this disease originates within the body.
The nurse should tell the client that SLE originates in which of the following locations in
the body?
Connective tissue
Muscle tissue
Peripheral vascular system
Presence of sudden peripheral edema.
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Rationale: The client who has SLE is at greatest risk for death from lupus nephritis.
Therefore, according to the safety and risk reduction priority setting framework, findings
that indicate an impairment of renal function are the highest priority to report.
Rationale: The client who has SLE commonly reports joint pain and rash. However,
according to Rationale: The client who has SLE commonly reports feelings of
depression. However, according to the safety and risk reduction priority setting
framework, these other findings are not the highest priority. - ✔✔A nurse is assessing
a client who has systemic lupus erythematosus (SLE). Which of the following findings
is the highest priority for the nurse to report to the provider?
Client reports mild feelings of depression
Dry, raised rash on the face.
Presence of sudden peripheral edema.
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Joint pain in hands and knees.
Blurry Vision
Rationale: When using the urgent vs non-urgent approach to client care, the nurse
should determine that the priority finding to report to the provider is blurred vision, as
this is a manifestation of
hydroxychloroquine toxicity and can be an indication of retinal damage. - ✔✔A nurse
is assessing a client who is taking hydroxychloroquine. The nurse should report which
of the following adverse effects to the provider immediately?
Blurry vision
Diarrhea
Fatigue
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Pruritus
Exercise
Rationale: Deconditioning and muscle atrophy occurs as a result of lack of mobility.
The nurse should encourage client to engage in conditioning exercises alternated with
periods of rest.
Rationale:Exposure to sunlight and artificial ultraviolet light can cause for an
exacerbation of SLE manifestations, especially the characteristic skin manifestations of
lesions and butterfly rash.
Rationale:Pregnancy can cause an exacerbation of SLE, probably due to hormonal
changes. The client should be advised of the risks and must be monitored closely for
effects on the renal and cardiovascular systems if she decides to get pregnant.
Rationale:Infection is a major stressor on the body and can trigger an exacerbation of
the SLE disease process. In addition, many clients who have SLE take steroid
medications that place them at higher risk for infection. - ✔✔A nurse is teaching a
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