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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A reason: Hematoma forms immediately post-fracture, initiating the healing process by providing a matrix for inflammation and cell migration. By 4 weeks, the hematoma is typically replaced by soft callus, making it an outdated sign. X-rays at this stage show callus formation, not hematoma, as the primary evidence of healing.

Choice B reason: Granulation tissue forms early in soft tissue repair, not bone healing, and is not visible on x-ray. In fractures, it may precede callus formation but is not a distinct radiologic marker by 4 weeks. Callus, a bony precursor, is the expected x-ray finding, making this choice incorrect.

Choice C reason: Complete bony union occurs months after a fracture, typically 6-12 weeks for a humerus, depending on age and health. At 4 weeks, healing is in the callus formation stage, not full union. This sign is too advanced for the timeframe, making it an incorrect indicator.

Choice D reason: Callus formation, visible on x-ray by 4 weeks, indicates initial bone healing. Fibrocartilaginous callus bridges the fracture, stabilizing it as osteoblasts lay down new bone. This radiologic sign confirms progression from hematoma to early bone remodeling, making it the expected evidence of healing at this stage.

A. Use a blow dryer on a moderate heat setting to dry the cast after showering. B. Use a cotton swab to relieve itching under the cast. C. Avoid moving the affected leg. D. Report any worsening or unrelieved pain.

Correct Answer is D

Explanation

Choice A reason: Using a blow dryer to dry a fiberglass cast is inappropriate, as casts should be kept dry to prevent skin maceration or infection. Fiberglass is water-resistant but not waterproof, and heat can damage the cast or skin. This instruction risks complications, misguiding patients on proper cast care and hygiene.

Choice B reason: Using a cotton swab under the cast to relieve itching is unsafe, as it may introduce debris or cause skin injury, increasing infection risk. Itching should be managed with elevation or antihistamines. This advice misaligns with cast care, potentially leading to complications like dermatitis or bacterial infection under the cast.

Choice C reason: Avoiding all movement of the affected leg is impractical and harmful. Controlled movement, as advised, prevents stiffness and muscle atrophy while maintaining circulation. Complete immobilization risks complications like contractures. This instruction misguides recovery, delaying rehabilitation and functional restoration in patients with a tibial fracture.

Choice D reason: Reporting worsening or unrelieved pain is critical, as it may indicate complications like compartment syndrome, infection, or cast pressure. Pain assessment ensures timely intervention, preventing serious outcomes like tissue necrosis or delayed healing. This instruction aligns with safe cast care, promoting patient safety and effective fracture management.

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What would the nurse include in the teaching plan for the patient with SLE?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with a humeral fracture is returning for a 4-week checkup. The nurse explains that initial evidence of healing on x-ray is indicated by

Correct Answer is D

Explanation

A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is teaching a client who has a fractured femur about fat emboli syndrome. Which of the following findings should the nurse include as a manifestation of a fat embolism?

A nurse is assessing a client who has a cast in place for a fractured tibia. Which of the following actions should the nurse take first?

A 28-year-old man with a fractured humerus calls the nurse into his room. Upon assessment, the nurse finds the patient to be tachycardic, pale, and confused. The nurse suspects the patient may be experiencing which of the following complications?

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A nurse is assessing a client who is in skeletal traction. The nurse should correct which of the following findings?

A nurse in an urgent care center is caring for a client who has a greenstick fracture of the forearm. The nurse should explain that which of the following injuries has occurred with a greenstick fracture?

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