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 C

Explanation

a) Having antihistamines like Benadryl is beneficial, but in severe allergic reactions (anaphylaxis), an epinephrine auto-injector (epi-pen) is the first-line treatment and can be life-saving.

b) Waiting for the next occurrence without preparation is risky. Immediate action is crucial in severe allergic reactions.

c) Teaching how to use an epi-pen is crucial for managing severe allergic reactions. It provides rapid relief by counteracting anaphylaxis until emergency help arrives.

d) Desensitization processes are not immediate solutions and are typically conducted under medical supervision.

A. Risk for aspiration related to regurgitation B. Acute pain related to esophageal defect C. Ineffective tissue perfusion gastrointestinal related to decreased circulation D. Ineffective feeding pattern related to uncoordinated suck and swallow

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.

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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

Parents of a child who experienced a moderately severe allergic reaction after eating peanuts ask the nurse what they can do to help if it happens again. Which response by the nurse is the most appropriate?

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

A 4-year-old girl is brought to the emergency department. She has a ‘frog-like’ croaking sound on inspiration, is agitated, and drooling. She insists on sitting upright. The nurse should do which of the following?

In the pediatric well-child clinical, the nurse explains the reason for an immunization series to the child’s mother. This action represents which term?

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

A 14-year-old boy who has experienced frequent ear infections has recently been diagnosed with conductive hearing loss. Which of the following should the clinic nurse assess?

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