Review

Which is a complication of lupus?

Inflammation of kidneys.

The nurse is preparing the preoperative client for a total hip replacement. Which of the intervention should the nursing implement postoperatively?

Sit in a high-seated chair for a flexion of less than 90 degrees.

A patient who exhibits xerophthalmia and xerostomia is most likely diagnosed with what autoimmune condition?

Sjogren Syndrome

Which data indicates the surgical treatment for a total hip replacement is effective?

The client ambulates to the bathroom

S/S of peritonitis

abdominal pain, abdominal rigidity and distension, N/V, ascites, fever, leukocytosis, paralytic ileus (bowel obstruction)

Which of the following is a contraindication for a total joint arthroplasty surgery?

recent infection

A client is diagnosed with scleroderma. Which intervention should the nurse anticipate to be prescribed?

Administer corticosteroids as prescribed for inflammation.

Mr. C has a parent that has just been diagnosed with Colorectal Cancer. As you obtain his medical history you know Mr. C may be at risk for developing Colorectal Cancer as well due to the following statements made by Mr. C. Select all that apply.

-"I have been trying to lose about 50 pounds, but I find it is hard to give up fast food with my busy schedule". -"I still smoke 1 pack of cigarettes a day, but I am thinking about trying the new e-cigarettes". -"I just had my 55th birthday and I wonder if I should slow down on drinking".

A patient reports difficulty sleeping. Which suggestions will the nurse provide? (Select all that apply).

-Exercise every day -Put electronic devices away 1 to 2 hours before bedtime.

The nurse is caring for a patient suspected of having systemic scleroderma. The nurse explains to the patient that systemic scleroderma (Select all that apply).

-Is an autoimmune disease that affects connective tissue• -Is characterized by inflammation, fibrosis, and sclerosis• -Causes weakness in the majority of patients•

The nurse is admitting a client diagnosed with MS. Which clinical manifestation should the nurse assess?

-Muscle flaccidity -Dysmetria -fatigue Dysphagia.

The client who has sustained a left-sided cerebrovascular accident (stroke) has residual right-sided paralysis. The nurse identifies a concept of impaired functional ability. Which should be included in the care map?

-Refer to the OT -Assess the client for neglect of the right side. -Place the client in a room where the door is on the left side -teach the client to call to participate in physical therapy daily.

The nurse writes a concept of "impaired mobility" for a client diagnosed with a fractured right hip. Which would the nurse include in the plan of care?

-Req' a physical therapy referral. -Administer enoxaparin -Utilize a gait belt when ambulating the client -Assess the client's pain levels on a 1-to-10 scale.

Which of the following are examples of bowel obstructions: Pick all that apply.

-Volvulus -Incarcerated hernia -Impaction -Intussusception

diagnostics of peritonitis

-WBC above 20,000 -blood culture -F&E balance -BUN, Cr -ABGs -X-rays

A 55 year-old client is scheduled for a total hip arthroplasty. The nurse is preparing a teaching plan for the client including activity restrictions after the surgery. Which of the following should the nurse include in the teaching plan?

-avoid hip flexion greater than 90 degrees. -use an abduction pillow while lying on your side in bed. -continue isometric exercises.

Orders to diagnose Peritonitis:

CBC Abdominal CT Scan Troponin Blood cultures

What would you expect to see in a patient diagnosed with systemic lupus erythematosus (SLE)? SAA

Fatigue Raynaud's phenomenon Joint pain Butterfly rash

A nurse is assessing a client with systemic scleroderma. Which of the following findings should the nurse expect?

Finger contractures