Lupus: Practice Questions
A nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
A. Avoid NSAIDs B. Stop taking the corticosteroids when your symptoms resolve C. Exposure to UV light will help control the skin rashes D. Monitor your body temperature and report any elevations promptly D. Monitor your body temperature and report The nurse should teach the client to monitor body temperature and report any elevations promptly, as a fever can suggest either an exacerbation or a potentially life threatening infection
A client is being discharged from the hospital after being diagnosed with and treated for SLE. What would the nurse not say when teaching the client and family information about managing the disease?
A. Avoid sunlight and UV radiation B. Maintain a well balanced diet and increase fluid intake to raise energy levels and promote tissue healing C. Pace activities D. If you have problems with a medication, you may stop it until your next physician visit D. If you have problems with a medication, you may stop it until your next physician visit Take medications exactly as directed and do not stop the medication if symptoms are relieved unless advised to do so by physician
A client with SLE has the classic rash of lesions on the cheek and bridge of the nose. What term should the nurse use to describe this characteristic pattern?
A. Bullseye rash B. Pustular rash C. Papular rash D. Butterfly rash
A client is experiencing painful joints and changes in the lungs, heart, and kidneys. For which condition will the nurse schedule this client for diagnostic tests?
A. Cancer B. HIV C. Fibromyalgia D. Autoimmune disorders D. Autoimmune disorders
A nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is scheduled to begin treatment for systemic manifestations. Which of following types of medications should the nurse plan to administer?
A. Corticosteroids B. Anti malarials C. Antidepressants D. Opioids A. Corticosteroids Corticosteroids such as prednisone are the treatment of choice for systemic manifestations because if their rapid anti inflammatory action
A nurse is teaching a female client with a new diagnosis of systemic erythematosus (SLE) about factors that can trigger an exacerbation of SLE. The nurse should determine that the client requires further teaching if she identifies which of the following as an exacerbation factor ?
A. Exercise B. Pregnancy C. Infection D. Sunlight A. Exercise Most clients who have SLE can follow an exercise program to increase their cellular aerobic capacity and improve immune function
Which assessment suggests to the nurse that a client with SLE is having renal involvement?
A. Hypertension B. Hypoglycemia C. Oliguria D. Bradypnea A. Hypertension
A client is diagnosed with SLE. What is the most appropriate action for the nurse to take in order to evaluate the client's stage of disease?
A. Review the clients medical record B. Auscultate the client's lung sounds C. Observe the client's gait D. Inspect the client's mouth A. Review the client's medical record The nurse evaluates the stage of SLE and plans appropriate interventions by reviewing the medical record and diagnostic findings of the client.
Which of the following disorders is characterized by an increase autoantibody production?
A. Rheumatoid arthritis B. Hepatitis C. Systemic lupus erythematosus D. Osteoporosis C. Systemic lupus erythematosus
Nursing assessment findings real joint swelling and tenderness and a butterfly rash on the face. The nurse suspects which of the following?
A. Systemic lupus erythematosus B. Anklyosing spondylitis C. Scleroderma D. Fibromyalgia A. Systemic lupus erythematosus
The nurse is teaching a new,y diagnosed client about systemic lupus erythematosus (SLE). What statement by the client indicates the teaching was successful?
A. The belief is that this is an autoimmune disorder with an unknown trigger B. The symptoms are primarily localized to the skin but may involve the joints C. This disorder is more common in men in their thirties and forties than in men D. SLE has very specific manifestations that make diagnosis relatively easy A. The belief is that this is an autoimmune disorder with an unknown trigger SLE believed to be an auntoimmune disorder but trigger is unknown. Disorder more common in females 20-40 years of age, disease is considered great imitator because it mimics other conditions, connective tissue disease that affects multiple body organs
A nurse assess a client in the health care provider's office. Which assessment support a suspicion of systemic lupus erythematosus (SLE)?
A. Weight gain, hypervigilance, hypothermia, edema of legs B. Photosensitivity, polyarthralgia, painful mucous, ulcers C. Facial erythema, pericarditis, pleuritis, fever, weight loss D. Hypothermia, weight gain, lethargy, edema of the arms C. Facial erythema, pericarditis, pleuritis, fever, weight loss
