An adolescent client has just been diagnosed with systemic lupus erythematosus (SLE). Following client education about the disease, which statement by the client demonstrates understanding of SLE?
SLE only affects my skin. It seldom causes problems in any other organs.
If my SLE has been found early enough in the disease process, there is a good chance that medication can cure it.
SLE is an autoimmune disorder that I will always have, with times of flare-ups and times of minimal to no symptoms.
SLE is a rheumatic disease that mostly affects my joints
The Correct Answer is C
A. SLE can affect multiple organs, not just the skin.
B. SLE is a chronic autoimmune disease and is not curable, though symptoms can be managed.
C. SLE is a lifelong autoimmune condition that has periods of remission and flare-ups.
D. Although SLE affects joints, it can also impact organs like the kidneys, heart, and lungs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Antibiotics are essential but are administered after cultures to avoid interference.
B. Blood cultures are important but not as immediate as infection control through isolation.
C. Placing the child in isolation helps prevent the spread of meningitis, which is highly contagious.
D. A lumbar puncture is diagnostic but follows isolation and initial assessments.
Correct Answer is ["24.9"]
Explanation
To calculate the dosage of digoxin for the infant, first convert the weight from pounds to kilograms, knowing that 1 pound is approximately 0.453592 kilograms. The infant weighs 22 pounds, which is equivalent to 22 * 0.453592 = 9.979024 kilograms. The prescribed dose is 5 micrograms per kilogram per day, so the total daily dose is 5 micrograms/kg * 9.979024 kg = 49.89512 micrograms per day. Since the medication is to be given in two divided doses, each dose should be half of the daily total. Therefore, each dose would be 49.89512 micrograms/day / 2 = 24.94756 micrograms per dose. Rounded to one decimal place, the nurse should administer 24.9 micrograms of digoxin per dose.
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