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

Apply powder liberally to sensitive skin areas.

Wash the hair with a strong protein shampoo.

Use a sun-blocking agent with a sun protection factor of at least 30.

Avoid using moisturizing lotions on the skin.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Applying powder to sensitive skin areas can cause dryness and irritation, exacerbating SLE symptoms. Powders can also block pores, increasing the risk of skin infections.
Choice B rationale
Using a strong protein shampoo is not relevant to managing SLE. It won't address the photosensitivity or skin issues commonly associated with SLE.
Choice C rationale
Sun protection is crucial for SLE patients due to photosensitivity. UV exposure can trigger flare-ups, making a sun-blocking agent with SPF 30 or higher essential for skin protection.
Choice D rationale
Moisturizing lotions help prevent dryness and protect the skin barrier, which is important in SLE management. Avoiding them can lead to skin complications.

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Correct Answer is B

Explanation

Choice A rationale
Increasing carbohydrate intake is not recommended for clients with Cushing's disease. Excessive carbohydrates can lead to weight gain and worsen hyperglycemia, common in Cushing's.
Choice B rationale
Restricting sodium intake is essential in Cushing's disease management. Excess sodium can exacerbate hypertension and fluid retention, common issues in Cushing's.
Choice C rationale
Limiting potassium-rich foods is not advised in Cushing's disease. Patients often need more potassium due to potassium loss caused by increased cortisol levels.
Choice D rationale
Decreasing protein intake is not recommended as it can lead to muscle wasting. Protein is necessary to maintain muscle mass and strength, especially with the catabolic effects of cortisol.

A. Administering IV opioids to reduce pain. B. After rewarming, the extremity should be lowered to reduce edema. C. Immersion of hands and feet in warm water. D. Elevating affected limbs. E. Do not give tetanus prophylaxis.

Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Administering IV opioids can help manage the intense pain associated with frostbite, improving patient comfort during rewarming and recovery.
Choice B rationale
After rewarming, the extremity should be elevated, not lowered, to reduce edema by encouraging fluid return to the central circulation.
Choice C rationale
Immersing hands and feet in warm water is a crucial step in the rewarming process, which helps restore blood flow and prevent further tissue damage.
Choice D rationale
Elevating affected limbs after rewarming helps reduce edema and prevents further swelling and complications.
Choice E rationale
Tetanus prophylaxis is recommended in frostbite cases as frostbite injuries can break the skin, increasing the risk of tetanus infection. Hence, avoiding tetanus prophylaxis is incorrect.

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A nurse is providing discharge teaching to 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 providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should the nurse include in the teaching?

Correct Answer is B

Explanation

Treatment for frostbite includes which actions? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse several Questions about what the provider might be planning to do. Which of the following nursing responses should the nurse make?

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