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.

None

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: Assessing the cranial nerves is important, but it is not the immediate next step after implementing droplet precautions for suspected bacterial meningitis.

Choice B reason: Decreasing environmental stimuli can help reduce the risk of seizures and is a supportive measure for a patient with suspected bacterial meningitis.

Choice C reason: Closing the room is part of implementing droplet precautions but is not an action that needs to be initiated by the nurse as it should already be in place.

Choice D reason: Administering an antipyretic may be necessary if the patient has a fever, but it is not the immediate next action after droplet precautions.

A. pH 7.30, HCO3 26 mEq/L, PaCO2 50 mm Hg B. pH 7.50, HCO3 20 mEq/L, PaCO2 32 mm Hg C. pH 7.55, HCO3 30 mEq/L, PaCO2 31 mm Hg D. pH 7.25, HCO3 19 mEq/L, PaCO2 30 mm Hg

Correct Answer is A

Explanation

Choice A reason: This set of values is indicative of metabolic acidosis with respiratory compensation, which is common in chronic kidney disease due to the accumulation of acids in the blood and the lungs' attempt to compensate by retaining CO2.

Choice B reason: This choice suggests respiratory alkalosis, which is less likely in chronic kidney disease unless there is a secondary respiratory condition causing hyperventilation.

Choice C reason: This choice indicates metabolic alkalosis, which is not typical for chronic kidney disease, as the kidneys are unable to excrete acid effectively.

Choice D reason: While this set of values does indicate acidosis, the expected compensatory response in chronic kidney disease would be an elevated PaCO2, not a normal or low value.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease. Which of the following sets of values should the nurse expect?

Correct Answer is A

Explanation

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