Exam (elaborations)
EXAM 1 – LUPUS QUESTIONS WITH COMPLETE ANSWERS
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EXAM 1 – LUPUS QUESTIONS WITH COMPLETE ANSWERS
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EXAM 1 – LUPUS QUESTIONS WITHCOMPLETE ANSWERS
The dd26-year-old ddfemale ddclient ddis ddcomplaining ddof dda ddlow-grade ddfever,
ddarthralgias, ddfatigue, ddand dda ddfacial ddrash. ddWhich ddlaboratory ddtests ddshould ddthe
ddnurse ddexpect ddthe ddHCP ddto ddorder ddif ddSLE ddis ddsuspected?
1. ddComplete ddmetabolic ddpanel ddand ddliver ddfunction ddtests.
2. ddComplete ddblood ddcount ddand ddantinuclear ddantibody ddtests.
3. ddCholesterol ddand ddlipid ddprofile ddtests.
4. ddBlood ddurea ddnitrogen ddand ddglomerular ddfiltration ddtests. dd- ddAnswer dd2.
ddComplete ddblood ddcount ddand ddantinuclear ddantibody ddtests
1. ddSLE ddcan ddaffect ddany ddorgan ddsystem, ddand ddthese ddtests ddare ddused ddto
dddetermine ddthe ddpossibility ddof ddthe ddliver ddbeing ddinvolved, ddbut ddthey ddare ddnot
ddused ddto dddiagnose ddSLE.
*2. ddNo ddsingle ddlaboratory ddtest dddiagnoses ddSLE, ddbut ddthe ddclient ddusually
ddpresents ddwith ddmoderate ddto ddsevere ddanemia, ddthrombocytopenia, ddleukopenia,
ddand dda ddpositive ddantinuclear ddantibody.*
3. ddFemale ddclients ddwith ddSLE dddevelop ddatherosclerosis ddat ddan ddearlier ddage,
ddbut ddcholesterol ddand ddlipid ddprofile ddtests ddare ddnot ddused ddto dddiagnose ddthe
dddisease.
4. ddThese ddtests ddmay ddbe dddone ddto dddetermine ddSLE ddinfiltration ddin ddthe
ddkidneys ddbut ddnot ddto dddiagnose ddthe dddisease dditself.
The ddclient dddiagnosed ddwith ddSLE ddis ddbeing dddischarged ddfrom ddthe ddmedical
ddunit. ddWhich dddischarge ddinstructions ddare ddmost ddimportant ddfor ddthe ddnurse ddto
ddinclude? dd*Select ddall ddthat ddapply.*
1. ddUse dda ddsunscreen ddof ddSPF dd30 ddor ddgreater ddwhen ddin ddthe ddsunlight.
2. ddNotify ddthe ddHCP ddimmediately ddwhen dddeveloping dda ddlow-grade ddfever.
3. ddSome dddyspnea ddis ddexpected ddand dddoes ddnot ddneed ddimmediate ddattention.
4. ddThe ddhands ddand ddfeet ddmay ddchange ddcolor ddif ddexposed ddto ddcold ddor ddheat.
5. ddExplain ddthe ddclient ddcan ddbe ddcured ddwith ddcontinued ddtherapy. dd- ddAnswer dd1.
ddUse dda ddsunscreen ddof ddSPF dd30 ddor ddgreater ddwhen ddin ddthe ddsunlight.
2. ddNotify ddthe ddHCP ddimmediately ddwhen dddeveloping dda ddlow-grade ddfever.
4. ddThe ddhands ddand ddfeet ddmay ddchange ddcolor ddif ddexposed ddto ddcold ddor ddheat.
, *1. ddSunlight ddor ddUV ddlight ddexposure ddhas ddbeen ddshown ddto ddinitiate ddan
ddexacerbation ddof ddSLE, ddso ddthe ddclient ddshould ddbe ddtaught ddto ddprotect ddthe
ddskin ddwhen ddin ddthe ddsun.*
*2. ddA ddfever ddmay ddbe ddthe ddfirst ddindication ddof ddan ddexacerbation ddof ddSLE.*
3. ddDyspnea ddis ddnot ddexpected ddand ddcould ddsignal ddrespiratory ddinvolvement.
*4. ddRaynaud's ddphenomenon ddis dda ddcondition ddin ddwhich ddthe dddigits ddof ddthe
ddhands ddand ddfeet ddturn ddred, ddblue, ddor ddwhite ddin ddresponse ddto ddheat ddor ddcold
ddand ddstress. ddIt ddoccurs ddwith ddsome ddimmune ddinflammatory ddprocesses.*
5. ddSLE ddis dda ddchronic dddisease ddand ddthere ddis ddno ddknown ddcure.
The ddnurse ddis dddeveloping dda ddcare ddplan ddfor dda ddclient dddiagnosed ddwith ddSLE.
ddWhich ddgoal ddis dd*priority* ddfor ddthis ddclient?
1. ddThe ddclient ddwill ddmaintain ddreproductive ddability.
2. ddThe ddclient ddwill ddverbalize ddfeelings ddof ddbody-image ddchanges.
3. ddThe ddclient ddwill ddhave ddno dddeterioration ddof ddorgan ddfunction.
4. ddThe ddclient's ddskin ddwill ddremain ddintact ddand ddhave ddno ddirritation. dd- ddAnswer
dd3. ddThe ddclient ddwill ddhave ddno dddeterioration ddof ddorgan ddfunction.
1. ddSLE ddis ddfrequently dddiagnosed ddin ddyoung ddwomen ddand ddreproduction ddis dda
ddconcern ddfor ddthese ddclients, ddbut ddit ddis ddnot ddthe ddmost ddimportant ddgoal.
2. ddThe ddclient's ddbody ddimage ddis ddimportant, ddbut ddthis ddis ddnot ddthe ddmost
ddimportant.
*3. ddSLE ddcan ddinvade ddand dddestroy ddany ddbody ddsystem ddor ddorgan. ddMaintaining
ddorgan ddfunction ddis ddthe ddprimary ddgoal ddof ddSLE ddtreatment.*
4. ddMeasures ddare ddtaken ddto ddprevent ddbreakdown, ddbut ddskin ddbreakdown ddis ddnot
ddlife ddthreatening.
The ddnurse ddis ddadmitting dda ddclient dddiagnosed ddwith ddR/O ddSLE. ddWhich
ddassessment dddata ddobserved ddby ddthe ddnurse ddsupport ddthe dddiagnosis ddof ddSLE?
1. ddPericardial ddfriction ddrub ddand ddcrackles ddin ddthe ddlungs.
2. ddMuscle ddspasticity ddand ddbradykinesia.
3. ddHirsutism ddand ddclubbing ddof ddthe ddfingers.
4. ddSomnolence ddand ddweight ddgain. dd- ddAnswer dd1. ddPericardial ddfriction ddrub ddand
ddcrackles ddin ddthe ddlungs.
*1. ddSLE ddcan ddaffect ddany ddorgan. ddIt ddcan ddcause ddpericarditis ddand ddmyocardial
ddischemia ddas ddwell ddas ddpneumonia ddor ddpleural ddeffusions.*
2. ddMuscle ddspasticity ddoccurs ddin ddMS, ddand ddbradykinesia ddoccurs ddin
ddParkinson's dddisease.
3. ddHirsutism ddis ddan ddover ddgrowth ddof ddhair. ddSpotty ddareas ddof ddalopecia ddoccur
ddin ddSLE, ddand ddclubbing ddof ddthe ddfingers ddoccurs ddin ddchronic ddpulmonary ddor
ddcardiac dddiseases.
4. ddWeight ddloss ddand ddfatigue ddare ddexperienced ddby ddclients dddiagnosed ddwith
ddSLE.
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