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 B
Explanation
Choice A reason: The patient with heart failure whose pulse oximetry is 94% on 2L oxygen is stable at the moment. While they require monitoring, they do not take immediate priority over the patient with altered consciousness.
Choice B reason: Altered level of consciousness and restlessness are critical symptoms that require immediate assessment. These could indicate a life-threatening condition such as hypoxia, electrolyte imbalance, or stroke, necessitating prompt evaluation and intervention.
Choice C reason: The patient with dyspnea on exertion who wants to be discharged against medical advice is important, but altered consciousness takes precedence due to its potential severity.
Choice D reason: The patient with an ejection fraction of 50% and 2+ bilateral lower extremity edema is stable and does not require immediate intervention compared to the patient with altered consciousness.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A reason: Applying a hypothermia blanket is appropriate for managing hyperthermia in a patient with Graves' disease. Elevated temperatures (fever) are common in thyroid storm, a severe complication of Graves' disease. Using a hypothermia blanket helps reduce the body temperature and prevent further complications.
Choice B reason: Administering humidified oxygen is important for supporting respiratory function in a patient with increased respiratory rate and decreased level of consciousness. Humidified oxygen can help alleviate respiratory distress and improve oxygenation.
Choice C reason: Administering aspirin 325 mg orally is not recommended for patients with hyperthyroidism or thyroid storm. Aspirin can increase free thyroid hormone levels by displacing thyroid hormone from its binding proteins, potentially worsening the patient's condition. Acetaminophen is a safer alternative for managing fever in these patients.
Choice D reason: Administering D5NS intravenous infusion is appropriate for managing dehydration and electrolyte imbalances in a patient with thyroid storm. This intervention helps maintain fluid balance and provides dextrose for energy.
Choice E reason: Administering propylthiouracil is a key intervention for managing thyroid storm. Propylthiouracil inhibits thyroid hormone synthesis and peripheral conversion of T4 to T3, helping to reduce thyroid hormone levels and alleviate symptoms.
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