Heat/Immune

The nurse is collecting data on a client complaining of fatigue, weakness, malaise, muscle pain, joint pain at multiple sites, anorexia, and photosensitivity. Systematic lupus erythematosus (SLE) is suspected. The nurse would further check for which manifestation that is also indicative of the presence of SLE?

Butterfly rash on the cheeks and bridge of the nose

A client has been diagnosed with pernicious anemia. In planning care for the client, the nurse anticipates that the client will be treated with which vitamin or mineral?

Vitamin B12

The nurse is instructing a client with a diagnosis of systemic lupus erythematosus (SLE) about dietary alterations. The nurse would remind the client to avoid which primary foods? Select all that apply.

Beef and Cheese

The nurse is caring for a client with a suspected diagnosis of aplastic anemia. Which test would the nurse anticipate to be performed to confirm the diagnosis?

Bone marrow aspiration

Which test would the nurse expect to have done for a client suspected of having pernicious anemia?

Schilling test

The nurse reinforces home care instructions to a client diagnosed with systemic lupus erythematosus and instructs the client about methods to manage fatigue. Which statement by the client indicates a need for further teaching?

"I should take hot baths because they are relaxing."

The nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE) that is affecting the hematopoietic system. Which data regarding signs and symptoms would the nurse anticipate collecting? Select all that apply.

Anemia Splenomegaly Lymphadenopathy

The nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE). The nurse assesses a rash on the client's face. What is the name of the major skin manifestation of discoid lupus erythematosus (DLE) and SLE?

Butterfly rash

The nurse is reviewing the medical record of a client who is suspected of having systematic lupus erythematosus (SLE). Which sign would the nurse expect to be documented in the record that is most related to this diagnosis?

Butterfly rash on cheeks and bridge of the nose Ascites noted in the abdomen

The client is suspected of having systemic lupus erythematous (SLE). The nurse monitors the client, knowing that which is one of the initial characteristic signs of SLE?

Rash on the face across the nose and on the cheeks

A client with sickle cell disease has been admitted to the hospital complaining of a sudden onset of severe pain in the extremities, abdomen, back, and chest. Which interventions would the nurse expect to be included in the care of the client? Select all that apply.

1. Administer oxygen per nasal cannula. 2. Administer the prescribed opioid analgesic. 3. Encourage the client to keep extremities extended. 4. Hydrate the client with 0.9% normal saline 125 mL/hr intravenously.

The nurse would determine that which are risk factors for systemic lupus erythematosus (SLE)? Select all that apply.

1. Female gender 2. African American origin 3. Being in the childbearing years

A client has experienced several episodes of sickle cell crisis. Which reinforced instructions would be included in the client's teaching plan to prevent recurrence? Select all that apply.

1. Wear shoes and socks when walking outside to prevent damage to the feet. 2. Recognize early symptoms of infection and contact the primary health care provider (PHCP).

The nurse is caring for a client with a diagnosis of aplastic anemia. Which are the most likely signs/symptoms associated with aplastic anemia? Select all that apply.

Fatigue Infection Petechiae Shortness of breath

The nurse is reviewing the laboratory results of a client receiving chemotherapy. The nurse prepares to initiate neutropenic precautions when the nurse notes which laboratory result?

A white blood cell (WBC) count of 2000 mm3

The nurse is assisting in the care of a client diagnosed with systemic lupus erythematosus (SLE). The nurse would most appropriately administer which prescribed medication to manage the condition?

Corticosteroid

The nurse is doing discharge teaching with a client who has sickle cell disease. The nurse reinforces instructions to the client to avoid which factors that could precipitate a sickle cell crisis? Select all that apply.

Infection Emotional stress

The nurse is assigned to care for a client diagnosed with systemic lupus erythematosus (SLE). The nurse would plan care considering which factor regarding this diagnosis?

it is an inflammatory disease of collagen contained in connective tissue.

The nurse is reinforcing dietary instructions to a client diagnosed with systemic lupus erythematosus. Which dietary item would the nurse most instruct the client to avoid?

steak

A complete blood cell count is performed on a client with a diagnosis of systemic lupus erythematosus (SLE). The nurse would suspect that which finding will most likely be reported from this blood test?

Decrease of all cell types

The nurse is reinforcing instructions to a client with iron deficiency anemia about eating a diet with iron-rich foods. Which food sources would the nurse include in the discharge teaching plan of a client with iron deficiency anemia? Select all that apply.

Eggs Liver

The nurse has conducted dietary teaching with the client diagnosed with iron deficiency anemia. The nurse determines that the client understands the information if the client states the intention to increase intake of which foods? Select all that apply.

Oysters Spinach Kidney beans

A client prescribed zidovudine has been diagnosed with severe neutropenia. The nurse anticipates which intervention would be implemented?

The medication will be temporarily discontinued.

The nurse is caring for a client following a total hip replacement. The client has been diagnosed with iron deficiency anemia. The nurse instructs the client to increase intake of which foods? Select all that apply.

Clams and mussels Lean beef and chicken liver

Which food sources would the nurse include in the discharge teaching plan of a client with vitamin B12 deficiency anemia? Select all that apply.

Eggs Liver Red meats

The nurse is assigned to care for a client admitted with a diagnosis of systemic lupus erythematosus (SLE). The nurse reviews the primary health care provider's prescriptions. Which medication would the nurse expect to be prescribed to aid in long-term control?

Hydroxychloroquine

A client is admitted to the hospital with vitamin B12 deficiency. When taking the client's history, which symptoms would the nurse expect the client to report? Select all that apply.

Muscle weakness Difficulty in walking Numbness in hands

The nurse is explaining about antigens and antibodies when the client asks where antibodies come from. The nurse would include which areas as the most appropriate response? Select all that apply.

Tears Spleen Saliva Blood serum Lymph nodes