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

"Minimize exposure to the sun and artificial ultraviolet light"

"Avoid using moisturizing lotions on your skin."

"Use a sun-blocking agent with a sun protection factor of 10.1

"Apply powder liberally to sensitive areas of skin."

Answer and Explanation

The Correct Answer is A

A.   "Minimize exposure to the sun and artificial ultraviolet light": UV light can trigger lupus flares, so sun protection is crucial.
B.   "Avoid using moisturizing lotions on your skin.": Moisturizing lotions help prevent skin dryness, which is common in lupus patients.
C.   "Use a sun-blocking agent with a sun protection factor of 10.": An SPF of 10 is too low for effective protection. A minimum of SPF 30 is recommended.
D.   "Apply powder liberally to sensitive areas of skin.": Powders can irritate the skin and cause dryness, exacerbating skin issues in lupus.

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Correct Answer is B

Explanation

A. A CD4 count 300/μL: Although this may indicate immunosuppression, it is not consistent with AIDS, which requires a CD4 count below 200/μL.
B. A CD4 count 100/μL: This count is indicative of advanced AIDS, where patients are highly susceptible to opportunistic infections.
C. A CD4 count of 800/μL: This is within the normal range for a healthy individual.
D. A CD4 count of 600/μL: This is still within the normal range and does not indicate AIDS.

A. There is formation of antigen- antibody complexes leading to inflammation B. Production of immunoglobulin E antibodies occurs C. It is a chronic progressive inflammatory disease of the spine and large limb joints D. Autoantibodies lyse red blood cells

Correct Answer is C

Explanation

A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing the CD4 count results of a patient with AIDS. What can the nurse expect to find?

Correct Answer is B

Explanation

The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?

Correct Answer is C

Explanation

The nurse suspects the patient is having a blood transfusion reaction. What is the FIRST action the nurse should do?

A patient is diagnosed with Hashimoto thyroiditis and asks what causes it. The nurse would respond that the destruction of thyroid cells in this condition is due to which of the following?

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?

A patient is being given penicillin via intravenous infusion and develops signs and symptoms of an anaphylactic reaction. Which of the following should be the nurse's FIRST action?

A nurse is caring for a client who has HIV. Select words from the choices below to fill in each blank in the following sentence. The client is at risk for developing _______ and _____

Which of the following is a common nursing diagnosis that the nurse will include in the plan of care for a patient with systemic lupus erythematosus (SLE)?

The nurse knows that it is very important when giving a patient blood to make sure it is the correct blood type to avoid which of the following conditions?

A nurse is caring for a client who has a WBC count of 20,000/mm3. Which of the following WBC abnormalities labels this finding?