A nurse is assisting in preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk for developing this disorder?

Asian men

White women

Native American men

African American women

Answer and Explanation

The Correct Answer is D

A. Asian men: SLE is less common in men and even less common among Asian men.

B. White women: White women are at risk, but SLE is more prevalent among women of African descent.

C. Native American men: SLE is more common in women, and while Native Americans have a higher risk compared to some other groups, African American women have the highest prevalence.

D. African American women: This group has the highest risk for developing SLE. The disease is more common and severe in African American women compared to other demographics.

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Correct Answer is D

Explanation

A. Sit with the client for a few minutes. While providing comfort is important, it does not address the immediate need to evaluate and manage a potentially serious condition.

B. Administer an analgesic. Administering analgesics without assessing the cause of the headache might mask symptoms of a serious issue. This is not the priority action.

C. Inform the nurse manager. Informing the nurse manager is important but does not directly address the client’s immediate needs or potential emergency.

D. Call the health care provider immediately. Reporting severe headache in a client with a cerebral aneurysm is critical as it could indicate worsening of the condition, such as aneurysm rupture or increased intracranial pressure. Immediate action is required to prevent further complications.

A. "I can see that you're uncomfortable now, so we can wait until tomorrow." B. "If you refuse these pills, you'll have to get an injection C. "What is it about the medicine that you don't like?" D. "You know you have to take this medicine for your own good."

Correct Answer is C

Explanation

A. "I can see that you're uncomfortable now, so we can wait until tomorrow." Delaying the medication could worsen the client's condition and does not address the underlying reason for the refusal.

B. "If you refuse these pills, you'll have to get an injection." This response is coercive and could damage trust between the client and the nurse. It does not explore the client's concerns.

C. "What is it about the medicine that you don't like?" This response is therapeutic as it opens a dialogue with the client to understand their concerns, which can help in addressing the reluctance and promoting adherence to the medication.

D. "You know you have to take this medicine for your own good." This response is paternalistic and dismisses the client's autonomy and concerns, which may lead to further resistance.

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A nurse is assisting in preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk for developing this disorder?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with a cerebral aneurysm reports a severe headache to the nurse. What action is a priority for the nurse?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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