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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A low blood pressure (89/50 mm Hg) may indicate hypovolemic shock, which is a medical emergency and the priority.

B. Abdominal pain rated 4/10 is concerning but not as critical as potential shock.

C. A heart rate of 72/min is within normal limits and not immediately concerning.

D. A respiratory rate of 20/min is normal and does not indicate an urgent issue.

A. Provide range of motion exercises for both lower extremities B. Assess for skin breakdown C. Refer child for immediate intervention in Emergency Department D. Provide cast care for the infant

Correct Answer is C

Explanation

A. Range of motion exercises are not appropriate with casts in place and do not address the urgent symptoms.

B. Assessing for skin breakdown is important but does not address the immediate priority.

C. Pallor and coolness indicate compromised circulation, which requires immediate intervention to prevent tissue damage.

D. Cast care is essential but does not address the urgent vascular concern.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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