A nurse in a provider's office is caring for a client.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

Rationale:

The client exhibits hallmark symptoms of Systemic Lupus Erythematosus (SLE), including a butterfly rash on the cheeks, alopecia, joint tenderness, and elevated ANA and ESR levels. These findings, combined with anemia and thrombocytopenia, are consistent with SLE, an autoimmune disorder characterized by systemic inflammation and tissue damage.

Multiple sclerosis is primarily a neurological condition and does not align with the client’s dermatological and hematological findings. Celiac disease is associated with gastrointestinal symptoms and gluten sensitivity, which the client denies. Type 1 diabetes mellitus involves hyperglycemia and insulin deficiency, which are not relevant to the presented symptoms.

Helping the client identify aggravating factors (e.g., sunlight exposure, stress) is crucial for managing SLE. Recommending low-impact exercises can help maintain joint mobility and reduce inflammation.

Monitoring adherence to corticosteroid therapy is essential since these medications are often used to control inflammation in SLE. Assessing for depression related to body image is important due to the physical manifestations of SLE, such as alopecia and hyperpigmentation, which may affect the client’s mental health.

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Correct Answer is A

Explanation

A. A capillary refill time of 6 seconds is considered abnormal and suggests poor circulation, which could indicate compromised blood flow to the extremity. This requires immediate intervention to assess for potential complications like compartment syndrome, which can occur with fractures and external fixators.

B. An oral temperature of 38.3° C (100.9° F) is slightly elevated but is not an immediate concern unless it persists or rises higher. A mild fever can be common after surgery but should be monitored for any signs of infection.

C. A closed-suction drain output of 100 mL is within the expected range and is not a cause for concern unless the drainage increases or becomes excessive.

D. A pain level of 7 on a scale of 0 to 10 is significant, but pain is common after surgery. The nurse should address pain management, but this is not an immediate priority compared to circulation concerns.

A. Offer the dog a bowl of water to demonstrate caring. B. Pet the dog briefly to demonstrate acceptance. C. Consult the client before approaching the dog. D. Command the dog to sit while talking with the client.

Correct Answer is C

Explanation

A. Offering the dog water may not be appropriate unless the client requests it. The dog is working and may not need a break at that moment. Offering water without consulting the client could be intrusive.

B. Petting the dog is not appropriate unless the client specifically invites it. Service dogs are working animals and should not be distracted by strangers petting them.

C. Consulting the client before approaching the dog is the most respectful approach. Service dogs are vital to their handlers, and the nurse should always ask the client’s permission before interacting with the dog. This ensures that the handler's needs and the dog’s working status are respected.

D. Commanding the dog to sit is not appropriate unless directed by the client. The service dog is trained to respond to the client’s commands, and the nurse should not give commands to the dog unless the client asks for assistance.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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