Systemic Lupus Erythematosus Practice Question Flashcards

Which pathophysiological process promotes systemic lupus erythematosus (SLE)?

The initial anticipated nursing intervention is to accurately record the severity of systemic lupus erythematosus (SLE) symptoms. For which acute conditions should the nurse assess the client? (Select all that apply. One, some, or all options may be correct.)

A.Urinary retention

B.Fever pattern

C.Fatigue level.

D.Joint inflammation.

E.Hemiplegia.

F.Hypotension

Which assessment finding should alert the nurse that teaching is needed to prevent skin breakdown?

A. Manicured finger nails and toe nails.

B.A small tattoo on the left shoulder.

C.Prominent tan lines on the back

D.Light brown highlights in the hair.

About which potential complication of systemic lupus erythematosus (SLE) should the nurse warn the client?

A.Problems with bladder and bowel function.

B.Easily broken bones due to osteoporosis.

C.Increased risk for bleeding or blood clotting.

D.Bone necrosis, cellulitis, and septicemia.

The healthcare provider has written several admission prescriptions for the client. Which prescription should the nurse ask the healthcare provider to clarify?

A.Low sodium diet.I

B.buprofen 200 mg PO Q4 hours as needed for pain

C.Draw blood for CBC, ESR, and CRP laboratory tests.

D.Prednisone PO daily.

The healthcare provider clarifies the prescription as prednisone 30mg PO daily. The nurse prepares to give the first dose of prednisone. Which education elements should the nurse highlight with the client? (Select all that apply. One, some, or all options may be correct.)

A.Do not suddenly stop taking this medication; it should be tapered.

B.Do not have any live virus vaccinations while taking this medication.

C.Take this medication in the morning with food to avoid GI disturbance.

D.Hypoglycemia can often occur in clients who take this medication.

E.Dysrhythmias can occur with this drug due to elevated serum potassium.SubmitPrevious Section

After giving the prednisone as prescribed, what should the nurse do first?

A.Ask the client to remain NPO for at least 4 hours.

B.Teach the client about the medication being given.

C.Evaluate the client’s response to the medication.

D.Sign the drug off in the electronic health record.

The nurse returns to the client's room to assess the physical response to the medication taken an hour ago. The client is very quiet. The nurse asks if the client is feeling alright after taking the prednisone, and there is a hesitation for a moment and then says, “yes.” Which action is the best response by the nurse?

A.Tell the client how wonderful it is that all is going so great.

B.State to the client, “You're quiet. Why are you so quiet?"

C.Ask the client about feelings in general right now.

D.Say “OK,” place the call button nearby, and leave the room.SubmitPrevious Section

The nurse is concerned that the client is not coping very well with the chronic illness and is very quiet. Which responses are helpful for the nurse to give this client? (Select all that apply. One, some, or all options may be correct.)

A.How are you doing this afternoon?

B.You really need to be talking about this.

C.Everything is going to be alright for you.

D. What you are experiencing is very hard.

E.You are not handling this situation very well.SubmitPrevious Section

The nurse is preparing to develop a personalized care plan for the client. Which approach to initiating this process would be most effective?

A. Ask the client to describe a typical day and how health fits into that.

B.Draw a concept map of the client's issues and look for patterns among them.

C.Access the electronic health record and locate the care planning tool there.

D.Create a list of the client’s problems and develop goals for achieving interventions.

The nurse is assessing the importance of client culture and ethnicity while planning care with the client. Which questions would be helpful for gathering this information? (Select all that apply. One, some, or all options may be correct.)

A.What languages are typically spoken in your home?

B.Are there any special foods that you like to eat?

C.How are medical decisions made in your family?

D.What are some activities that you enjoy doing?

E.Which graduate business school are you attending?SubmitPrevious Section

The nurse comes to the client's room, which is crowded with people. Several conversations are going simultaneously. Two school aged children are quietly sitting on the floor playing a game. Which action should the nurse perform next?

Tell the client that children are not permitted in the room.

Inform the client that only 2 visitors are permitted at a time.

Have the client’s spouse give her afternoon medications.

Establish a family information and decision-making protocol.

A few hours later, the unlicensed assistive personnel (UAP) informs the nurse that the client has refused the dinner tray. As the nurse comes to the client's room, the mother opens a sealed plastic bowl full of soup and gives the client a spoon. Which intervention is the most important for the nurse to perform?

Ask the client why the dinner tray was refused.

Tell the client that the food provided on the tray should be eaten first.

Notify the healthcare provider that the client is not eating.

Note and document the approximate volume of soup.

The nurse assesses the client's lifestyle choices to explore what resources are available for health promotion. Which lifestyle choice may concern the nurse about a client with systemic lupus erythematosus (SLE)? (Select all that apply. One, some, or all options may be correct.)

The client lives in a big house with three generations of their family.

The client reads about 4 hours a day; mostly news and school books.

The client says that “this disease process is all in the hands of God.

”The female client wants to become pregnant in the next year or two.

The client is a devout Catholic who does not use contraception.

The client enjoys sun bathing beside the pool at their house.SubmitPrevious Section

The nurse teaches the client how to manage systemic lupus erythematosus (SLE) when experiencing a flare. Which element of self-care will be most important to the client's condition?

The nurse is providing the client with evidence-based approaches for reducing the incidence of systemic lupus erythematosus (SLE) flares. Which elements of self-care are relevant to the client's condition? (Select all that apply. One, some, or all options may be correct.)

Avoiding gardening activities.

Reducing the stress in the client's daily life.

Avoiding uncooked seafood and eggs.

Adhering to the medication regimen.

Abstaining from sex or using a condom.

Getting plenty of rest and relaxation.

The nurse is evaluating the effectiveness of teaching the client about daily dietary intake. Which response would demonstrate that diet teaching has been effective?

Avoid eating foods high in purines.

Eat foods high in calcium and vitamin D.

Cut all tyrosine-containing foods.

Consume food additives high in sodium.

The healthcare provider advises a female client that she should avoid pregnancy for the rest of her life due to the many serious complications that can arise with systemic lupus erythematosus (SLE). The client is devastated by this advice and the nurse supports her with therapeutic presence and information. About which common complications in pregnant women with SLE should the nurse inform her? (Select all that apply. One, some, or all options may be correct.)

Spontaneous abortion.

Stillbirth and neonatal death.

Gestational diabetes type 2.

Intrauterine growth defects.

Preeclampsia and eclampsia.

Severe postpartum exacerbation

A female client with SLE has informed the nurse and healthcare team that she does not wish to have birth control and that everything is in God's hands now. If she becomes a mother someday, it will be God's will for her. The healthcare provider takes the nurse aside and asks that more time be spent convincing her that contraception should be instituted as soon as possible. Which response is the best reply from the nurse?

A.Perhaps we should consult an ethics committee soon.

B.I think that she will come around. Give her some time.

C.Maybe reviewing the data with the client again will help.

D.The client's right to refuse contraception should be respected.

The nurse anticipates that a female client will have some difficulty with changes in body image due to the illness and the advice that she should not become pregnant. Which method is best for evaluating the impact of body image changes on the client?

A.Give the client a body image survey to complete.

B.Asking this question is unnecessary; the client is an adult.

C.Ask the client how her illness has changed her body image.

D.Listen closely to how the client describes their self-care routine.SubmitPrevious Section

How should the nurse assess the stressors that are affecting the client's nursing care? (Select all that apply. One, some, or all options may be correct.)Select all that apply

Document any major losses experienced within the previous year.

Explore with the client which stressors are confronting her now.

Document the number of family visitors the client has in their room.

Note the strategies they have used previously to cope with stress.

Ask the client who they want as their contact person while in the hospital.

The nurse plans to implement a measure to reduce environmental stress for the client. Which action is most likely to be effective?

A.Reducing the number of visitors so the client can have some quiet

B.Playing classical music at low volume in the client’s room.

C.Dimming the lights and placing a cool wash cloth on the client's head.

D.Teaching the client how to use relaxation breathing techniques.

The client is discussing sleep rest patterns with the nurse. Which intervention would be helpful for improving sleep quality for a client with SLE who suffers from fatigue?

Read books on a portable device before bed.

Establish a regular daily sleep-wake routine.

Have a glass of wine and a snack before bedtime.

Get strenuous exercise four hours before bedtime.SubmitPrevious Section

The nurse evaluates the client's understanding of the health promotion activities they have discussed in previous conversations in preparation for discharge to home. Which health promotion activities mentioned by the client assure the nurse that learning has been effective? (Select all that apply. One, some, or all options may be correct.)Select all that apply

Take prednisone by mouth as prescribed.

Establish an effective sleep-wake routine.

Reduce environmental and emotional stress.

Eat foods high in calcium and vitamin D.

Avoid large crowds and people who are ill.

Spend time in the sun to acquire more vitamin D.

Which client teaching point is the most important thing for the nurse to emphasize when giving the client discharge information?

Remind the client to wear long sleeves and sunscreen when outdoors.

Do not suddenly stop taking the prednisone medication.

Reduce environmental and emotional stress.

Eat foods high in calcium and vitamin D.SubmitPrevious Section