A client with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the client has understood health education when the client makes what statement?

"I will make sure I get enough exposure to sunlight to keep my vitamin D levels up

"I will try to be as physically active as possible between flare-ups

I will make sure to monitor my body temperature on a regular basis"

I will stop taking my steroids when I get relief from my symptoms.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Sunlight exposure can trigger flares in clients with SLE due to photosensitivity; minimizing UV exposure is recommended.
B. While moderate activity is beneficial, overexertion can lead to flares; clients should balance activity with rest.
C. Monitoring body temperature regularly helps detect early signs of infection, which clients with SLE are at increased risk for due to immunosuppressive therapy and the disease itself. This shows appropriate understanding.
D. Stopping steroids abruptly can lead to adrenal insufficiency and flare-ups; medications should only be adjusted under medical supervision.

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Correct Answer is B

Explanation

Rationale:
A. While keeping a toothbrush clean is important, running it in the dishwasher monthly is not an effective or necessary method of infection prevention. A soft-bristled toothbrush should be rinsed and replaced regularly.
B. Excessive menstrual bleeding can indicate thrombocytopenia, a serious side effect of chemotherapy, and should be reported immediately. This statement shows appropriate understanding.
C. Clients with neutropenia should avoid crowds to protect themselves from infection, not to prevent spreading it to others.
D. Antiemetics are most effective when taken before chemotherapy begins, not after the infusion is complete.

A. Encourage internal and external rotation of the affected leg B. Maintain prone positioning at all times C. Administer analgesics as required D. Place a pillow between the client's legs when turning

Correct Answer is D

Explanation

Rationale:
A. Encouraging internal and external rotation of the affected leg increases the risk of dislocating the hip and should be avoided post-fracture or post-surgery.
B. Prone positioning is rarely used and can increase discomfort or stress on the hip joint, potentially worsening outcomes.
C. While administering analgesics is important for comfort, it does not directly prevent hip displacement.
D. Placing a pillow between the client’s legs when turning helps maintain proper hip alignment and prevents adduction, which can lead to hip dislocation. This is a key nursing intervention to prevent complications after a hip fracture.

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A client with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the client has understood health education when the client makes what statement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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