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The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

Hypotension

Heartburn

Fever

Gout

Answer and Explanation

The Correct Answer is C

A. Hypotension is not associated with SLE exacerbation.

B. Heartburn is not a trigger for SLE flares.

C. Fever can indicate infection or inflammation, common triggers for SLE exacerbations.

D. Gout is unrelated to SLE exacerbation.

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Correct Answer is B

Explanation

A. Suggesting remedies prematurely without fully understanding the client’s concerns might not address their specific needs.

B. The best response is to encourage open communication by acknowledging the client’s concerns and fostering a discussion. This approach helps the nurse understand the client’s worries and provide tailored information about rheumatoid arthritis and its potential impact on daily life.

C. The progression of rheumatoid arthritis is variable and can affect activities of daily living more noticeably over time; it’s not always subtle.

D. While predicting disease outcomes can be difficult, giving a more open response like option B will foster better communication and support.

Correct Answer is ["1270"]

Explanation

Intake:

IV Fluids:

D5W: 150 ml/hr from 0700 to 1500 (8 hours) = 150 ml/hr * 8 hr = 1200 ml

Antibiotic: 50 ml every 4 hours, starting at 0800. So, it will be administered at 0800 and 1200 = 50 ml * 2 = 100 ml

Oral Intake:

Gelatin: 4 oz = 4 * 30 ml = 120 ml

Apple Juice: 10 oz = 10 * 30 ml = 300 ml

Water: 500 ml

Ice Chips: 16 oz (since ice chips are half liquid) = 16 * 30 ml / 2 = 240 ml

Total Intake: 1200 ml (D5W) + 100 ml (Antibiotic) + 120 ml (Gelatin) + 300 ml (Apple Juice) + 500 ml (Water) + 240 ml (Ice Chips) = 2460 ml

Output:

Urine Output:

0900: 100 ml

1100: 250 ml

1330: 290 ml

1445: 250 ml

Diarrhea Stool:

1200: 300 ml

Total Output: 100 ml + 250 ml + 290 ml + 250 ml + 300 ml = 1190 ml

Cumulative Fluid Balance:

Intake - Output: 2460 ml - 1190 ml = 1270 ml

So, the cumulative fluid balance for the 0700-1500 shift is +1270 ml.

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The nurse teaches a client that which factor might increase the risk of developing an exacerbation of systemic lupus erythematous (SLEP

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client has been diagnosed with rheumatoid arthritis and asks, "What impact will this have on my activities of daily living in the years to come?" What is the best response by the nurse?

Correct Answer is B

Explanation

Correct Answer is ["1270"]

Explanation

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