A female client with systemic lupus erythematosus (SLE) asks the nurse about pregnancy and lupus. Which information should the nurse include when educating the client?
Women with lupus should ensure that they get plenty of sun each day while they are pregnant.
Women with lupus should not become pregnant, because the disease poses too many risks.
Women with lupus should have frequent prenatal visits and close monitoring of lupus symptoms during pregnancy.
Women with lupus should avoid all medications during pregnancy to prevent harm to the baby.
The Correct Answer is C
A. Women with lupus should ensure that they get plenty of sun each day while they are pregnant. Exposure to sunlight can exacerbate lupus symptoms, especially in women with lupus photosensitivity. It's important for women with lupus to avoid excessive sun exposure and wear protective clothing and sunscreen.
B. Women with lupus should not become pregnant, because the disease poses too many risks. While pregnancy can pose additional risks for women with lupus, it is not always contraindicated. With proper management, many women with lupus can have healthy pregnancies.
C. It is important for women with lupus to receive frequent prenatal care and close monitoring of their lupus symptoms throughout pregnancy. This includes regular check-ups with a rheumatologist and obstetrician, monitoring of blood pressure, kidney function, and lupus activity, as well as screening for fetal development.
D. Women with lupus should avoid all medications during pregnancy to prevent harm to the baby. This is not always the case. Some medications may be necessary to manage lupus symptoms during pregnancy, and the benefits often outweigh the risks. It's important to discuss medication options with healthcare providers to determine the best course of action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Bradycardia, or a slow heart rate, is not typically associated with thyrotoxic crisis. In fact, thyrotoxic crisis usually causes tachycardia (rapid heart rate) due to the body's heightened metabolism and sympathetic nervous system stimulation.
B. Hypotension, or low blood pressure, is not characteristic of a thyrotoxic crisis. The condition typically causes hypertension (elevated blood pressure) as part of the body's stress response and increased metabolic rate.
C. Hyperthermia, or elevated body temperature, is a key sign of thyrotoxic crisis. The condition leads to a hypermetabolic state that can significantly increase body temperature. This high fever is a result of the body's excessive heat production due to the overstimulation of metabolic processes.
D. Constipation is not typically associated with thyrotoxic crisis. In hyperthyroidism, and consequently in thyrotoxic crisis, patients usually experience diarrhea or increased bowel movements due to the increased metabolic rate and gastrointestinal motility.
Correct Answer is D
Explanation
A. Peptic ulcers are sores that develop on the lining of the stomach, small intestine, or esophagus due to the erosion caused by stomach acid. A Mallory-Weiss tear is not related to peptic ulcers. Instead, it results from a different type of injury related to forceful vomiting or retching.
B. Chewable aspirin is not a treatment for Mallory-Weiss tears. In fact, aspirin can exacerbate bleeding and is typically avoided in situations where gastrointestinal bleeding is present. Mallory-Weiss tears are generally managed by supportive measures and sometimes endoscopic interventions, not with aspirin.
C. A Mallory-Weiss tear specifically affects the mucosal lining at the junction of the esophagus and the stomach, not the duodenum. The duodenum is part of the small intestine, and tears or bleeding here are not characteristic of Mallory-Weiss syndrome.
D. A Mallory-Weiss tear is a tear or laceration in the mucosal lining at the gastroesophageal junction (where the esophagus meets the stomach). It is typically caused by severe vomiting or retching, which can lead to the tear and subsequent upper gastrointestinal bleeding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
