A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Iritis
Spinal deformity
Facial rash
Thickened skin
The Correct Answer is C
- Iritis: This is associated more with autoimmune conditions like ankylosing spondylitis rather than SLE.
- Spinal deformity is not a typical feature of SLE. Spinal deformities are more commonly seen in conditions like rheumatoid arthritis.
- Facial rash: The characteristic "butterfly" rash over the cheeks and nose is a hallmark finding in SLE.
- Thickened skin: SLE typically presents with skin lesions or rashes rather than skin thickening.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The student wears gloves when administering the medication: Wearing gloves is part of standard precautions for administering medications.
B. The student washes her hands before and after administering the medication: Hand hygiene is essential before and after care for all patients, including those with HIV.
C. The student recaps the needle and places it in the sharps container: Requires correction; recapping needles increases the risk of accidental needle sticks and is not recommended. The correct practice is to dispose of needles directly in a sharps container without recapping.
D. The student uses a needleless system to administer the medication: Needleless systems reduce the risk of needle-stick injuries.
Correct Answer is B
Explanation
A. Damage to kidneys, which cause a decrease in erythropoietin production: This describes anemia of chronic disease or kidney-related anemia, not pernicious anemia.
B. Destruction of gastric parietal cells, which decrease intrinsic factor production: Pernicious anemia results from the loss of intrinsic factor, essential for vitamin B12 absorption in the intestine.
C. Decrease in RBC in the bone marrow: This is more characteristic of aplastic anemia or bone marrow suppression rather than pernicious anemia.
D. Hemolysis of RBC: This describes hemolytic anemia rather than pernicious anemia.
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