A nurse is performing discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?

Wash your hair with a mild protein shampoo.

Apply powder liberally to sensitive skin areas.

Use a sun blocking agent with a sun protection factor of at least 15.

Avoid using moisturizing lotions on your skin.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is incorrect. While gentle hair care is important, it is not as critical as sun protection for SLE patients.

Choice B reason: This is incorrect. Powder can be drying, and SLE patients often need to keep their skin moisturized.

Choice C reason: This is correct. SLE patients are often photosensitive and need to protect their skin from UV rays.

Choice D reason: This is incorrect. SLE patients should keep their skin well moisturized to prevent dryness.

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Correct Answer is B

Explanation

Choice A reason: Headache can be associated with FES; however, it is not typically considered an early sign. It may occur as a part of the broader spectrum of symptoms.

Choice B reason: Dyspnea, or difficulty breathing, is one of the earliest signs of FES. Patients may experience shortness of breath due to fat globules obstructing pulmonary vessels.

Choice C reason: Red-brown petechiae, which are small, pinpoint hemorrhages, can appear on the skin and are a classic sign of FES, often found in the axillary region or on the chest.

Choice D reason: Altered mental status, including confusion and drowsiness, can occur early in FES due to fat emboli traveling to the cerebral circulation.

A. Drink 2 liters of fluid each day while taking the medication. B. Take a 650 milligram dose of aspirin for joint pain. C. Take the medication on an empty stomach. D. Do not crush the medication before taking it.

Correct Answer is A

Explanation

Choice A reason: This is correct because staying well hydrated can help prevent gout attacks and kidney stones, which can be a side effect of allopurinol.

Choice B reason: This is incorrect. Aspirin can interfere with allopurinol and may increase the risk of gout attacks; therefore, it is not recommended without consulting a healthcare provider.

Choice C reason: This is incorrect. Allopurinol does not need to be taken on an empty stomach; it can be taken with or without food.

Choice D reason: This is correct. Allopurinol should not be crushed or chewed; it should be swallowed whole.

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A nurse is performing discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 24 hours postoperative following an open reduction and internal fixation to repair a fracture of the femur. Which of the following assessment findings is an early manifestation of fat embolism syndrome (FES)?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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