A client with lupus asks why the provider emphasized avoiding sun exposure. Which response is correct?
"Sunlight reduces joint inflammation in lupus."
"Sun exposure improves vitamin D and prevents flares."
"UV light can trigger lupus flares and worsen skin lesions.
“Photosensitivity is only a minor concern in lupus."
The Correct Answer is C
A. "Sunlight reduces joint inflammation in lupus.": Ultraviolet (UV) light does not reduce inflammation in lupus. Exposure to sunlight can actually exacerbate systemic and cutaneous symptoms.
B. "Sun exposure improves vitamin D and prevents flares.": While sunlight supports vitamin D synthesis, in lupus, UV exposure increases the risk of disease flares and skin lesions. Vitamin D should be obtained through diet or supplements rather than intentional sun exposure.
C. "UV light can trigger lupus flares and worsen skin lesions.": Ultraviolet radiation can activate the immune system in individuals with lupus, leading to inflammation, rashes, and systemic flares. Avoiding sun exposure and using protective measures are essential parts of self-care to prevent exacerbations.
D. “Photosensitivity is only a minor concern in lupus.": Photosensitivity is a major concern for many clients with lupus. Dismissing it can result in flares, worsening rashes, and increased risk of organ involvement. Patient education on sun protection is critical.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Osteoporosis: Osteoporosis affects bone density and does not directly impact urinary tract function or susceptibility to infection. It is not considered a risk factor for developing a UTI.
B. Diabetes mellitus: Diabetes can impair immune function and lead to glycosuria, creating an environment that promotes bacterial growth in the urinary tract. Hyperglycemia and poor glycemic control increase the risk of both uncomplicated and complicated UTIs.
C. COPD: Chronic obstructive pulmonary disease primarily affects the respiratory system and does not directly increase UTI risk. Respiratory disease is not a recognized predisposing factor for urinary tract infections.
D. Anemia: Anemia reflects decreased red blood cell levels or hemoglobin but does not inherently alter susceptibility to urinary tract infections. While it may indicate overall health status, it is not a specific UTI risk factor.
Correct Answer is D
Explanation
A. Dysphagia: Difficulty swallowing is not typically associated with hypoxemia or asthma exacerbations. It is more relevant to neurological or esophageal disorders rather than oxygen deprivation.
B. Hypotension: Hypotension is not a common early sign of hypoxemia in asthma. Blood pressure may remain normal or even increase due to sympathetic stimulation during an acute attack.
C. Nausea: Nausea can occur from various causes, including anxiety or medication side effects, but it is not a primary indicator of low oxygen levels in asthma.
D. Agitation: Agitation and restlessness are early manifestations of hypoxemia due to the brain’s sensitivity to decreased oxygen levels. Confusion, anxiety, and irritability often accompany respiratory distress in acute asthma attacks.
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