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.

Exhibits

Drag words from the choices below to fill in each blank in the following statement.

The client is at risk for developing:
dropdown
and
dropdown

Answer and Explanation

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

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Correct Answer is ["A","D"]

Explanation

Choice A rationale
Weighing a client with heart failure is a non-invasive and routine task that can be performed by an assistive personnel (AP). Accurate daily weights are essential for monitoring fluid balance in these clients.
Choice B rationale
Incorrect, as providing discharge instructions for a client requires professional nursing judgment and assessment, tasks outside the scope of practice for APs.
Choice C rationale
Incorrect, as performing an admission assessment requires critical thinking and clinical judgment, which are responsibilities of a licensed nurse.
Choice D rationale
Ambulating an older adult client with hypertension can be safely done by an AP. This helps in maintaining the client's mobility and preventing complications such as blood clots and muscle atrophy.
Choice E rationale
Incorrect, as checking a blood product with another nurse prior to administration involves a critical safety check that must be performed by licensed nurses to ensure the right blood is given to the right patient.

A. Wear multiple layers of clothing. B. Drink warm fluids from a thermos. C. Wear gloves and earmuffs. D. Wear a loose-fitting hat.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale
Wearing multiple layers of clothing helps to trap body heat, preventing hypothermia.
Choice B rationale
Drinking warm fluids from a thermos helps maintain body temperature by providing warmth.
Choice C rationale
Wearing gloves and earmuffs prevents heat loss from extremities, which is essential in preventing hypothermia.
Choice D rationale
Wearing a loose-fitting hat prevents heat loss from the head, which is a significant source of body heat loss.

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Naxlex Comprehensive Predictor Exams

A nurse is planning to assign tasks for a group of clients.Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply)

Correct Answer is ["A","D"]

Explanation

The home health nurse in Wyoming gives instruction to an 80-year-old patient in the prevention of hypothermia. Which information should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?

A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene. The nurse should recognize that the client is at an increased risk for which of the following situations?

A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?

On a hot humid day, a nurse is caring for a client who is confused and presents with these vital signs: temperature 104.1°F (40.1°C), pulse 132 beats/min, respirations 26 breaths/min, and blood pressure 106/66 mmHg. What action would the nurse take to provide immediate appropriate care?

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?