The nurse is developing health promotion education in the plan of care for a patient with systemic lupus erythematosus (SLE). What should a nurse include in the plan of care?

The use of nonpharmacologic pain intervention instead of analgesics

The necessity of genetic counseling before planning a family

Risk factors associated with corticosteroid use

Limit dietary protein and carbohydrate intake

Answer and Explanation

The Correct Answer is C

A. The use of nonpharmacologic pain intervention instead of analgesics: Nonpharmacologic interventions can complement pain management, but they do not replace prescribed medications for SLE. Pain control often requires anti-inflammatory or disease-modifying therapy, so education should include safe medication use.

B. The necessity of genetic counseling before planning a family: While there is a genetic component to SLE, routine genetic counseling is not required for all patients before conception. Family planning education should focus on disease activity, medication safety, and pregnancy planning.

C. Risk factors associated with corticosteroid use: Corticosteroids are commonly prescribed in SLE to control inflammation. Education should include potential adverse effects such as osteoporosis, hyperglycemia, weight gain, hypertension, and increased infection risk, promoting adherence and monitoring.

D. Limit dietary protein and carbohydrate intake: There is no standard recommendation to restrict protein or carbohydrates for SLE unless comorbidities (e.g., kidney disease or diabetes) exist. General dietary guidance focuses on balanced nutrition and cardiovascular health rather than specific macronutrient restriction.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Evaluate for potential need of stronger analgesics: When NSAIDs no longer provide adequate pain relief, the priority is reassessing pain management and considering alternative or stronger pharmacologic interventions, such as acetaminophen, opioid therapy, or adjuvant medications, to maintain comfort and function.

B. Recommend herbal supplements: Herbal or complementary therapies may provide some symptom relief but are secondary interventions. They are not sufficient for managing moderate to severe osteoarthritis pain.

C. Provide education on joint protection: Joint protection strategies are important for long-term management but do not address the immediate inadequacy of pain control. They are supportive, not priority interventions in acute symptom escalation.

D. Recommend low-impact water exercises: Exercise helps maintain mobility and reduce joint stress, but it does not immediately address uncontrolled pain. Ensuring adequate analgesia is necessary before engaging in activity.

A. Blurred vision B. Excessive thirst C. Joint pain and swelling D. Persistent cough

Correct Answer is C

Explanation

A. Blurred vision: Visual changes are not a common early symptom of SLE. While lupus can occasionally affect the eyes through complications like retinal vasculitis, blurred vision is not a hallmark feature.

B. Excessive thirst: Polyuria and polydipsia are more characteristic of diabetes mellitus, not SLE. They are not typical indicators of lupus activity or flares.

C. Joint pain and swelling: Arthritis and arthralgia are among the most common manifestations of SLE. Symmetrical or migratory joint pain, swelling, and stiffness often occur during flares, making this a key symptom for patient education recognition.

D. Persistent cough: Respiratory symptoms such as cough may arise if lupus involves the lungs (e.g., pleuritis or pneumonitis), but they are less common and not a primary symptom. Joint involvement is more consistent and recognizable.

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The nurse is developing health promotion education in the plan of care for a patient with systemic lupus erythematosus (SLE). What should a nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with osteoarthritis tells the nurse that NSAIDs are no longer helping relieve moderate pain. What is the priority intervention?

Correct Answer is A

Explanation

The nurse is providing education to a Systemic Lupus Erythematosus (LES) support group about common symptoms of lupus. Which symptom/s by a participant indicates an understanding?

Correct Answer is C

Explanation

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