Systemic Lupus
The nurse has established a goal of verbalizing an understanding of activities to prevent exacerbations with a female patient with systemic lupus erythematosus (SLE). Which statement made by the patient would support this goal?
"I plan to do meditation daily and take time for myself."
A patient with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti-inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider?
Melena
A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during an exacerbation of SLE. Which response from the nurse is appropriate?
"Your body is making antibodies that attack the proteins in your DNA."
A patient is undergoing diagnostic testing for suspected systemic lupus erythematosus (SLE). Which assessment findings may help confirm the diagnosis?
Malar rash Photosensitivity Swollen painful joints
A patient with systemic lupus erythematosus (SLE) mentions to the nurse that she is trying to conceive. Which questions should the nurse ask to address potential pregnancy complications?
Are you currently taking methotrexate? "Have you had an antiphospholipid antibody test?" Have you and your partner started pregnancy counseling?"
A female patient presents to the primary care clinic with a reddened, raised rash over her nose and cheeks. The patient also complains about painful joints in her left hand. Which laboratory tests would the nurse anticipate being ordered by the provider to confirm a diagnosis of systemic lupus erythematosus (SLE)?
Anti-DNA Anti-phospholipid Anti-nuclear antibody
Which instructions should the nurse include in the teaching plan when educating a patient and his or her caregiver about systemic lupus erythematosus (SLE)?
Avoid excessive excercise
A patient with suspected systemic lupus erythematosus (SLE) asks the nurse which symptoms of the disease are likely to occur. Which manifestations should the nurse include?
Blood in urine Facial butterfly rash
A nurse is caring for a patient with systemic lupus erythematosus (SLE) who reports having mild pain and swelling in the hands. Which medication would the nurse anticipate the health care provider to prescribe?
Celecoxib
A patient diagnosed with systemic lupus erythematosus (SLE) is taking methotrexate. Which instruction should the nurse provide to the patient?
Folic acid supplement
A patient with systemic lupus erythematosus (SLE) presents with a malar and discoid rash. As the nurse is assessing the patient, which question should the nurse ask?
Have you spent time outside
A nurse is caring for a patient diagnosed with systemic lupus erythematosus (SLE) who has been on a long-term regimen of methylprednisolone. Which precautions should the nurse take to prevent complications of the treatment?
Mental status Glucose levels
Which plasma proteins and blood cells are affected by the autoimmune response in systemic lupus erythematosus (SLE)?
Platelets Lymphocytes Clotting Factors
Which finding in a patient with systemic lupus erythematosus (SLE) would indicate possible kidney damage?
Protein in urine
A female patient comes to the emergency department with a butterfly rash and tests positive for antinuclear antibodies. Which additional tests would the nurse anticipate to be ordered by the health care provider to confirm a diagnosis of systemic lupus erythematosus (SLE)?
UA Serum complement test
Which factor could trigger an exacerbation of systemic lupus erythematosus (SLE)?
UV Light
The nurse is caring for a newly admitted patient with an exacerbation of systemic lupus erythematosus (SLE). Which interventions should the nurse perform?
Urine samples signs of hemorrhage I&O
The nurse is caring for a patient with a new diagnosis of systemic lupus erythematosus (SLE). The patient denies a family history of this disease. Which information in the patient's history identifies a likely cause of the onset of symptoms?
Use of prescribed procainamide
