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) Blood in the urine after hypospadias repair could indicate postoperative bleeding, and it's a significant finding that should be reported promptly to the surgeon.

b) Administration of morphine according to PRN orders is a common postoperative pain management strategy and might not require immediate reporting unless there are concerns about the dosage or the child's response.

c) Voiding once after surgery is expected and not necessarily concerning unless there are additional issues or complications.

d) Ensuring the stent is free from stool contamination is important for postoperative care but doesn't require immediate reporting to the surgeon unless there are signs of infection or other complications.

A. Make her lie down and rest quietly B. Examine her oral pharynx and report to the physician C. Auscultate her lungs and prepare for placement in a warm mist tent D. Defer an oral assessment and be prepared to assist with a tracheostomy or intubation

Correct Answer is D

Explanation

a) Make her lie down and rest quietly: Inappropriate as the symptoms suggest potential airway obstruction.

b) Examine her oral pharynx and report to the physician: Important action, but immediate airway management is the priority.

c) Auscultate her lungs and prepare for placement in a warm mist tent: Less critical than ensuring an open airway.

d) Defer an oral assessment and be prepared to assist with a tracheostomy or intubation: The child's symptoms (stridor, agitation, drooling) indicate potential upper airway obstruction, and immediate readiness for airway intervention is essential.

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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

Following a hypospadias repair, the 10-month-old child returns from the operating room with a urethral stent. It is now 8 hours since the child’s surgery. Which assessment finding should be reported to the surgeon?

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?

Correct Answer is D

Explanation

The parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should include which of the following?

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While assessing the development of a 9-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:

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The teacher reports to the nurse that, despite adequate intelligence, a child is not performing well in school. The nurse’s initial assessments would include:

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?

Which of the following conditions is most likely to lead to prenatal renal failure?