A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?
Raised facial rash
Hemangiomas
Kaposi's sarcoma lesions
Psoriasis
The Correct Answer is A
A. Raised facial rash, often in a "butterfly" distribution across the cheeks and bridge of the nose, is a characteristic manifestation of systemic lupus erythematosus.
B. Hemangiomas are not typically associated with systemic lupus erythematosus.
C. Kaposi's sarcoma lesions are associated with immunosuppression, such as in HIV infection, and are not a typical finding in systemic lupus erythematosus.
D. Psoriasis is a separate autoimmune condition characterized by red, scaly patches on the skin and is not typically associated with systemic lupus erythematosus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Changing a dressing on an implanted central venous access device involves a sterile procedure and assessment, requiring the skills and knowledge of a licensed nurse.
B. Removing an NG tube is a task beyond an AP’s scope and requires the specialized skills of a registered nurse.
C. Suctioning a tracheostomy requires specialised training and skill to perform safely and should not be delegated to assistive personnel.
D. Performing postmortem is within the scope of an assistive personnel. It does not require any specialized skills and knowledge of a registered nurse.
Correct Answer is B
Explanation
A. While a cooling blanket may be indicated to reduce fever associated with a thyroid storm, the priority lies in monitoring the cardiac rhythm for potential life-threatening complications such as tachycardia or arrhythmias.
B. Thyroid storm can precipitate severe cardiac complications, making continuous monitoring of the client's cardiac rhythm imperative to detect any abnormalities promptly.
C. Administering IV fluids may be necessary to address dehydration, but it is not the priority over monitoring the cardiac rhythm.
D. While monitoring blood glucose levels is important, it is not the immediate priority in managing a thyroid storm.
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