A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the following should the nurse expect to find?
Joint inflammation
Tophi
Esophagitis
"Bull's eye" lesion
The Correct Answer is A
A. Joint inflammation(arthritis) is a common manifestation of systemic lupus erythematosus. SLE can cause inflammation in the joints, leading to symptoms such as pain, swelling, stiffness, and decreased range of motion. It often affects the small joints of the hands, wrists, and knees.
B. Tophi are deposits of uric acid crystals that form under the skin in people with chronic gout.
C. Esophagitis, or inflammation of the esophagus, can occur in systemic lupus erythematosus as part of gastrointestinal involvement. However, it is not one of the most common manifestations of SLE.
D. "Bull's eye" lesion, also known as erythema multiforme, is a skin manifestation seen in conditions such as Lyme disease and certain drug reactions. It is not typically associated with systemic lupus erythematosus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. It acknowledges the client's symptoms and provides a likely explanation related to hormonal changes associated with aging. It opens the door for further discussion and potential interventions to address the underlying cause.
A. This response dismisses the client's symptoms without addressing the underlying cause or providing potential solutions.
B. The opposite tends to occur with age – vaginal tissue can become thinner and drier due to decreasing estrogen levels, leading to symptoms like vaginal dryness and itching.
D. While avoiding intercourse may be recommended in certain situations, such as if there is discomfort or pain, it does not address the underlying cause of the symptoms. Additionally, it may not be necessary if appropriate treatments are pursued to alleviate vaginal dryness and itching.
Correct Answer is ["C","D","E","F"]
Explanation
The client is likely suffering from diabetes ketoacidosis with metabolic acidosis not respiratory alkalosis. They are also severely dehydrated which may lead to hypotension and acute renal injury. In DKA, clients may have hyperkalemia or hypokalemia who h may predispose to cardiac dysrhythmias.
Septic shock is unlikely as the chest exam indicates likely resolved pneumonia.
Cerebral edema is commonly seen in clients on hydration therapy in DKA due to rapid fluid replacement.
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