A nurse is caring for a 29-year-old female client in a clinic who has been newly diagnosed with systemic lupus erythematosus (SLE). The client has been experiencing symptoms associated with SLE, including a rash and joint pain, and is currently undergoing treatment with hydroxychloroquine. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and possible complications.
Drag words from the choices below to fill in each blank in the following statement.
The client is at risk for developing:
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Systemic lupus erythematosus often causes photosensitivity, which is an increased sensitivity to sunlight, leading to skin rashes and other reactions. Additionally, chronic fatigue is a common symptom in individuals with SLE, as described by the progressive fatigue that the client has been experiencing. Weight loss and hypoglycemia are not directly related to the common complications of SLE mentioned in the exhibits.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A child with rheumatic fever could carry infectious agents that might pose a risk to a child with severe immunocompromise such as low WBC.
Choice B rationale
A child recovering from a ruptured appendix might have residual infection or be at higher risk of infection, which could be dangerous for a child with very low WBC count.
Choice C rationale
A child with cystic fibrosis has a risk of respiratory infections, posing a threat to a child with a compromised immune system like severe neutropenia.
Choice D rationale
A child with nephrotic syndrome does not typically carry infectious risks and would be a safer roommate for a child with a compromised immune system due to low WBC count.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale: Contact precautions are not necessary in this situation as the client is presenting symptoms of a possible infection related to chemotherapy-induced immunosuppression, not a contagious disease.
Choice B rationale: Placing the client in a private room is crucial to protect her from potential infections, given her compromised immune system due to chemotherapy.
Choice C rationale: Encouraging the client to increase fluid intake can help manage fever and muscle aches and keep her hydrated, which is important when dealing with symptoms of infection and fatigue.
Choice D rationale: Wearing a mask when caring for the client is necessary to protect both the client and the healthcare provider from potential infections, considering the client’s immunocompromised state.
Choice E rationale: Preparing to administer an antibiotic should be based on the healthcare provider's orders and further diagnostic results. While it might be necessary, it is not an immediate nursing action without provider confirmation.
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