Which of the following interventions is appropriate for a child with systemic lupus erythematosus (SLE)?
Encouraging a high-protein/high fat diet to reduce inflammation
Encouraging the child to engage in regular physical activity
Administering live vaccines to prevent infections
Promoting sun exposure without protection during peak hours
The Correct Answer is B
A. A high-protein/high-fat diet may exacerbate inflammation rather than reduce it.
B. Regular physical activity promotes joint function and can support general well-being in children with SLE.
C. Live vaccines are contraindicated in immunocompromised patients with SLE due to infection risk.
D. Sun exposure without protection can exacerbate SLE symptoms due to photosensitivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
A. Offering fluids with carbohydrates when solid foods aren’t tolerated helps maintain blood sugar levels.
B. Testing urine for protein is not a standard recommendation during illness; ketone testing is more relevant.
C. Sugary fluids can help prevent hypoglycemia during illness, so limiting sugar might not be appropriate.
D. Carbohydrate intake should not be limited during illness, as it is needed to maintain blood glucose levels.
E. Testing for ketones helps identify diabetic ketoacidosis risk during illness.
F. Insulin should not be withheld during illness, as insulin needs may actually increase.
Correct Answer is B
Explanation
A. Blood pressure may fluctuate but is less sensitive as an early indicator of fluid resuscitation efficacy.
B. A decrease in heart rate is a sign of improved hydration status, as tachycardia is often a compensatory response to hypovolemia.
C. Weight is not used as an immediate indicator for fluid resuscitation adequacy.
D. Urine output should increase with adequate fluid resuscitation; a decrease in urine output would indicate worsening.
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