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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Correct Answer is C

Explanation

Choice A rationale
Replacing the water in flower vases daily does not prevent infection for a client with neutropenia, as bacteria can still accumulate.
Choice B rationale
Humidifying the client’s room can increase the risk of mold growth, which is harmful to immunocompromised clients.
Choice C rationale
Serving cooked fruit minimizes the risk of infections from bacteria and fungi present on raw fruits, which is crucial for clients with low WBC counts.
Choice D rationale
Cleaning dentures in a denture cup does not significantly reduce infection risks for immunocompromised clients; proper mouth hygiene is essential but this practice alone is insufficient.

A. "DIC is controllable with lifelong heparin usage.”. B. "DIC is caused by abnormal coagulation involving fibrinogen.”. C. "DIC is a genetic disorder involving a vitamin K deficiency.”. D. "DIC is characterized by an elevated platelet count.”.

Correct Answer is B

Explanation

Choice A rationale
DIC is not controllable with lifelong heparin usage. Heparin may be used to manage DIC, but it is not a permanent solution, and the underlying cause of DIC must be addressed.
Choice B rationale
DIC is caused by abnormal coagulation involving fibrinogen. It is characterized by widespread activation of the clotting cascade, leading to both clot formation and bleeding due to consumption of clotting factors and platelets.
Choice C rationale
DIC is not a genetic disorder involving a vitamin K deficiency. It is an acquired condition resulting from severe illnesses or injuries that trigger abnormal clotting and bleeding processes.
Choice D rationale
DIC is not characterized by an elevated platelet count. Instead, it involves thrombocytopenia due to the consumption of platelets in widespread clotting, leading to a decreased platelet count.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who has a WBC count of 2,000/mm³ after three rounds of chemotherapy. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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