A teenager has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching about the disease, the nurse explains that the teenager needs to avoid which typical teenage activity?

Attending late-night parties and dances

Sunbathing at the community pool

Receiving a manicure and pedicure

Daily hair shampoos

Answer and Explanation

The Correct Answer is B

a) Attending late-night parties and dances might not be directly related to SLE unless it interferes with sleep and rest, which are important for managing the condition.

b) Sun exposure can trigger lupus flares, so activities involving prolonged sun exposure should be avoided or practiced with precautions like sunscreen and protective clothing.

c) Manicures and pedicures typically do not exacerbate SLE unless they involve harsh chemicals that might trigger skin reactions.

d) Daily hair shampoos, unless they contain harsh chemicals or irritants, may not directly exacerbate SLE symptoms.

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Correct Answer is A

Explanation

a) Risk for aspiration related to regurgitation: With esophageal atresia and tracheoesophageal fistula, the risk of aspiration due to the abnormal connection between the trachea and esophagus is a significant concern. Preventing aspiration is a priority.

b) Acute pain related to esophageal defect: Pain might be present but managing the risk of aspiration is more immediate.

c) Ineffective tissue perfusion gastrointestinal related to decreased circulation: While important, preventing aspiration takes precedence.

d) Ineffective feeding pattern related to uncoordinated suck and swallow: A valid concern but not as critical as the risk of aspiration.

A. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy B. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy C. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy D. Aortic stenosis, ventricular septal defect, overriding aorta, life ventricular hypertrophy

Correct Answer is C

Explanation

a) Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Does not describe the specific combination seen in tetralogy of Fallot.

b) Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy: Incorrect combination of defects for tetralogy of Fallot.

c) Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy: Accurately describes the four structural defects characterizing tetralogy of Fallot.

d) Aortic stenosis, ventricular septal defect, overriding aorta, left ventricular hypertrophy: Left ventricular hypertrophy is not typically part of tetralogy of Fallot.

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A teenager has recently been diagnosed with systemic lupus erythematosus (SLE). In teaching about the disease, the nurse explains that the teenager needs to avoid which typical teenage activity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant has been born with an esophageal atresia and tracheoesophageal fistula. What is the priority preoperative nursing diagnosis?

Correct Answer is A

Explanation

Which of the following structural defects constitute tetralogy of Fallot?

Correct Answer is C

Explanation

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect. Which equipment does the nurse ensure is prepared at the bedside?

An adolescent was diagnosed with cystic fibrosis as an infant, at this time, the nurse anticipates that the adolescent will need additional teaching related to which of the following?

You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

Which breath sounds indicate the infant is experiencing respiratory distress? (Select All That Apply: SATA)

While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session?

Which of the following are clinical manifestations of Lupus (SLE)?

The nurse for an 8-year-old is trying to encourage developmental growth. What activity can the nurse provide for the child to encourage his sense of industry?

A newborn is suspected of having cystic fibrosis. As the child is being prepared for transfer to the pediatric hospital, the mother asks the nurse which symptoms made the practitioner suspect cystic fibrosis. Which response by the nurse is most appropriate?