The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective?

"My energy level will increase over time."

"I need to avoid prolonged sun exposure."

"My medications will ultimately correct my problem"

"I do not need to make changes in my diet."

Answer and Explanation

The Correct Answer is B

A. "My energy level will increase over time.": Fatigue is one of the most common and persistent symptoms of systemic lupus erythematosus (SLE). Energy levels often fluctuate depending on disease activity, and clients may experience chronic fatigue rather than steady improvement.

B. "I need to avoid prolonged sun exposure.": Ultraviolet (UV) light can trigger lupus flares and worsen symptoms such as skin rashes, joint pain, and fatigue. Avoiding prolonged sun exposure and using sun protection is a key self-care measure in SLE.

C. "My medications will ultimately correct my problem.": Medications such as corticosteroids, immunosuppressants, and NSAIDs help control inflammation and manage symptoms, but they do not cure SLE. The disease is chronic and requires ongoing management rather than correction.

D. "I do not need to make changes in my diet.": While no specific diet cures lupus, a balanced diet rich in vitamins, minerals, and anti-inflammatory foods supports overall health. Dietary modifications may also help manage side effects of medications, so disregarding nutrition is not accurate.

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Correct Answer is A

Explanation

A. "I can use a regular toothbrush but brush gently.": Clients receiving chemotherapy and radiation often develop thrombocytopenia or mucositis. A regular toothbrush can cause gum trauma and bleeding. The client should use a soft-bristled toothbrush or foam swabs to reduce oral injury and infection risk.

B. "I should balance my activities throughout the day to allow for rest periods.": Fatigue is a major side effect of cancer treatment, and conserving energy through activity pacing helps maintain independence while preventing exhaustion.

C. "I should include frequent small meals throughout the day.": Nausea, anorexia, and altered taste are common treatment side effects. Smaller meals are easier to tolerate and help maintain adequate nutrition and caloric intake.

D. "I should use an electric razor.": Due to potential thrombocytopenia and bleeding risk, electric razors are recommended instead of blades to minimize cuts and reduce complications during treatment.

A. Superficial friendliness toward others B. Withdrawal from social activities C. Seeking special privileges D. Exploitation of other clients E. Compliance with expectations

Correct Answer is ["A","C","D"]

Explanation

A. Superficial friendliness toward others: Clients with antisocial personality disorder often display superficial charm to manipulate or gain the trust of others. This friendliness is not genuine but serves their own interests, making it a common behavior.

B. Withdrawal from social activities: Social withdrawal is more typical of schizoid or avoidant personality disorders. Clients with antisocial traits are usually socially active but use interactions manipulatively rather than avoiding them.

C. Seeking special privileges: These clients frequently disregard rules and expect special treatment. Seeking privileges aligns with their manipulative and self-serving behavior patterns.

D. Exploitation of other clients: Exploitation is a hallmark feature of antisocial personality disorder, as individuals often take advantage of others without guilt or remorse. This behavior demonstrates their lack of empathy and disregard for others’ rights.

E. Compliance with expectations: Consistent compliance is not typical in antisocial personality disorder. Instead, these clients resist authority, break rules, and manipulate situations rather than conforming to expectations.

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The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following statements by the client requires additional teaching regarding managing side effects of radiation and chemotherapy?

Correct Answer is A

Explanation

The nurse working with a client with antisocial personality disorder would expect which behaviors? Select all that apply.

Correct Answer is ["A","C","D"]

Explanation

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