What would the nurse include in the teaching plan for the patient with SLE?
Ways to increase dietary protein and carbohydrate intake.
The use of nonpharmacologic pain interventions instead of analgesics.
Ways to avoid exposure to sunlight.
The need for genetic counseling before planning a family.
The Correct Answer is C
Choice A reason: Increasing dietary protein and carbohydrates is not specific to SLE management. While nutrition supports overall health, SLE requires focus on photosensitivity, inflammation control, and organ protection. Recommending this risks diverting attention from critical interventions like sun protection or immunosuppression, potentially worsening SLE symptoms like rashes or flares.
Choice B reason: Nonpharmacologic pain interventions are adjunctive but not a substitute for analgesics in SLE, where pain from arthritis or organ involvement often requires medications like NSAIDs or hydroxychloroquine. Prioritizing nonpharmacologic methods alone risks inadequate pain control, reducing quality of life and misaligning with evidence-based SLE management strategies.
Choice C reason: Avoiding sunlight is critical in SLE, as ultraviolet exposure triggers photosensitive rashes and systemic flares in 70% of patients. Sun protection (sunscreen, clothing, avoiding peak hours) reduces cutaneous and systemic inflammation, preventing exacerbations. This teaching is essential for disease control, improving outcomes and patient comfort in SLE management.
Choice D reason: Genetic counseling is not routinely required for SLE family planning, as it’s not primarily hereditary, though genetic factors contribute. Counseling may be relevant for specific concerns, but it’s less critical than sun avoidance. Prioritizing this misguides teaching, potentially causing unnecessary worry and overlooking key SLE management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A greenstick fracture does not involve bone fragments splintering into surrounding tissue, which characterizes a comminuted fracture. Greenstick fractures, common in children’s flexible bones, involve a partial break where one side bends and cracks lengthwise, leaving the other side intact. This distinction ensures accurate diagnosis, guiding immobilization without surgical intervention for soft tissue damage.
Choice B reason: Bone ends forced toward each other describe an impacted fracture, not a greenstick fracture. In greenstick fractures, the bone bends and partially breaks along its length, typically in pediatric patients due to bone pliability. Misidentification risks inappropriate treatment, such as unnecessary surgical fixation, delaying healing and increasing complications.
Choice C reason: A greenstick fracture is a partial break where the bone cracks lengthwise but doesn’t break through, common in children due to their flexible, less brittle bones. One side bends while the other cracks, requiring immobilization. Accurate identification ensures proper casting, promoting healing without invasive procedures and minimizing long-term deformity risks.
Choice D reason: A sharp bone edge breaking through the skin indicates an open (compound) fracture, not a greenstick fracture. Greenstick fractures are closed, with no skin penetration, as the bone partially breaks and bends. Misdiagnosis could lead to unnecessary infection prophylaxis or surgery, complicating recovery in pediatric patients with this injury.
Correct Answer is D
Explanation
Choice A reason: Buck’s traction does not maintain pin alignment, as it’s a skin traction method using weights and pulleys, not skeletal pins. It’s applied preoperatively for hip fractures to stabilize the limb. Expecting pin alignment misguides teaching, confusing Buck’s traction with skeletal traction, potentially causing patient misunderstanding of the procedure’s purpose.
Choice B reason: Buck’s traction does not reduce the fracture (realign bone ends), which requires surgical or manual reduction. It stabilizes the hip, relieving spasms and pain preoperatively. Assuming reduction misleads the patient, risking unrealistic expectations and overlooking Buck’s role in muscle relaxation and temporary immobilization for intracapsular fractures.
Choice C reason: Buck’s traction restricts movement to stabilize the hip, not allow supported movement. Movement could worsen fracture displacement or pain. Expecting movement misinforms the patient, potentially leading to improper use of traction, increasing complications like malunion or muscle spasms in the fractured hip.
Choice D reason: Buck’s extension traction relieves muscle spasms in intracapsular hip fractures by applying gentle, continuous pull to align the limb and reduce muscle contraction around the fracture site. This decreases pain and stabilizes the hip preoperatively, preventing further displacement. Accurate teaching ensures patient understanding, promoting compliance and effective preoperative management.
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