The nurse is caring for a patient with systemic lupus erythematosus (SLE). What health education will the nurse teach the patient to prevent flares and complications of this condition?
Increase vitamin D levels with regular sun exposure.
Utilize an evidence-based smoking cessation program.
Eliminate all gluten, dairy, and seed oils from the diet.
Avoid receiving the influenza, COVID, and shingles vaccine.
The Correct Answer is B
Choice A reason: Increasing vitamin D levels with regular sun exposure may be beneficial for overall health but is not specifically targeted at preventing flares and complications of SLE. SLE patients are often advised to avoid excessive sun exposure as it can trigger flares and exacerbate symptoms.
Choice B reason: Utilizing an evidence-based smoking cessation program is important for SLE patients, as smoking can worsen the symptoms and complications associated with the disease. Smoking has been linked to increased disease activity, higher risk of cardiovascular complications, and reduced effectiveness of certain medications in SLE patients. Quitting smoking can improve overall health outcomes and reduce the risk of flares and complications.
Choice C reason: Eliminating all gluten, dairy, and seed oils from the diet is not universally recommended for SLE patients. While some patients may have specific dietary triggers or intolerances, there is no broad evidence suggesting that such eliminations are necessary for all SLE patients. A balanced, nutritious diet tailored to the individual's needs is more appropriate.
Choice D reason: Avoiding the influenza, COVID, and shingles vaccines is not recommended for SLE patients. In fact, vaccinations can help prevent infections that could trigger SLE flares or complications. It is important for SLE patients to discuss their vaccination schedule with their healthcare provider to ensure they are appropriately protected.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Albuterol is a short-acting beta-agonist that helps to quickly relieve bronchospasm, reduce wheezing, and improve airflow in patients with COPD exacerbations.
Choice B reason: Beclomethasone is an inhaled corticosteroid used for long-term control of inflammation in COPD but is not the first-line treatment for acute exacerbations.
Choice C reason: Fluticasone and salmeterol is a combination inhaler used for maintenance therapy in COPD, providing both anti-inflammatory and long-acting bronchodilation effects, but not ideal for immediate symptom relief.
Choice D reason: Tiotropium is a long-acting anticholinergic bronchodilator used for maintenance treatment in COPD but is not the best choice for acute symptom management.
Correct Answer is A
Explanation
Choice A reason: Ondansetron is an antiemetic given to control nausea and vomiting, which are common symptoms in patients with inflammatory bowel disease, especially when they have a flare-up.
Choice B reason: Vitamin B12 injections are crucial for preventing pernicious anemia but are not specific treatments for acute management of inflammatory bowel disease symptoms.
Choice C reason: Antidiarrheal medications should be used cautiously in inflammatory bowel disease as they can worsen symptoms or lead to complications like toxic megacolon.
Choice D reason: Beta-adrenergic blockers are not used to reduce bowel motility and are not a part of the standard treatment regimen for inflammatory bowel disease.
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