A nurse is teaching a female client with systemic lupus erythematosus (SLE) about exacerbating factors for their disease. Which statement about exacerbating factors by the client requires further teaching?
"I will keep the temperature in my house cold to avoid becoming overheated."
"I will follow my prescribed medication regimen and inform my healthcare provider of any side effects."
"I will try to manage my stress levels through relaxation techniques and therapy."
"I will make sure to wear protective clothing when I go outside."
The Correct Answer is A
A. The statement about keeping the temperature cold to avoid becoming overheated requires further teaching. While avoiding excessive heat is important for individuals with SLE, maintaining an overly cold environment can also trigger symptoms, as cold temperatures can lead to vasoconstriction and Raynaud's phenomenon, which is common in SLE patients.
B. Following the prescribed medication regimen and informing the healthcare provider of any side effects is an essential component of managing SLE. This indicates that the client understands the importance of medication adherence in controlling the disease.
C. Managing stress through relaxation techniques and therapy is appropriate, as stress is a known exacerbating factor for SLE. This statement reflects the client's understanding of the need to reduce stress to prevent flare-ups.
D. Wearing protective clothing when going outside is important because UV light exposure can trigger SLE exacerbations. This shows that the client is aware of the need to protect their skin from sunlight.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Surgical intervention is the most common and effective treatment for age-related cataracts. Cataract surgery involves the removal of the cloudy lens and replacement with an artificial intraocular lens, which can significantly improve vision.
B. Corticosteroid eye drops are not used to treat cataracts; they are generally prescribed for reducing inflammation in various eye conditions but do not address the lens opacity caused by cataracts.
C. Antioxidant supplements, beta-carotene, and selenium have been studied for their potential role in slowing the progression of cataracts, but they are not considered a primary treatment once cataracts have developed to the point of affecting vision.
D. Eyeglasses or magnifying lenses may help improve vision temporarily in the early stages of cataracts, but they do not treat the underlying cause and are not effective in advanced cases. Surgery remains the definitive treatment.
Correct Answer is ["B","C","D","E"]
Explanation
A. Osteoarthritis is not associated with hearing loss
B. The client's place of employment as a firearms instructor at a shooting range exposes them to loud noises, which is a well-known risk factor for hearing loss.
C. Gentamycin is an aminoglycoside antibiotic that can be ototoxic, especially when administered in high doses or for prolonged periods, potentially leading to hearing loss.
D. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with an increased risk of hearing loss, particularly when taken regularly or in high doses.
E. Bumetanide is a loop diuretic that can also have ototoxic effects, especially when used in conjunction with aminoglycoside antibiotics like gentamycin.
F. Heart failure is not associated with hearing loss
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