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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. A pneumothorax, or collapsed lung, occurs when air enters the pleural space, leading to lung collapse. While a pneumothorax can be a serious issue, it is not a typical finding associated with advanced COPD.
B. Hyperinflation is a hallmark finding of advanced COPD. It occurs when air becomes trapped in the lungs due to obstructed airways and damaged alveoli, leading to increased lung volumes and overexpansion of the lungs. On a chest X-ray, hyperinflation appears as an increased retrosternal air space, flattened diaphragm, and possibly increased lung volumes.
C. The presence of masses on a chest X-ray might suggest malignancies or other lung pathologies, but it is not a typical finding in COPD. While lung cancer can co-occur with COPD, masses themselves are not a direct indicator of COPD but rather a potential separate issue that would need further evaluation.
D. Atelectasis refers to the collapse of lung tissue due to loss of air in the alveoli, which can occur from various causes including obstruction or compression of the lung. While atelectasis can be seen in various pulmonary conditions, it is not specific to advanced COPD.

A. "A primary goal when caring for clients who have a chronic illness is to cure them of the condition." B. "Clients with chronic illness may have to dedicate a lot of time to managing their disease." C. "Individuals with the same chronic illness may experience a completely different trajectory of the illness." D. "The client and caregiver should be educated on the prescribed treatment plan."

Correct Answer is A

Explanation

A. This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B. This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C. The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D. This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has shortness of breath and a chronic cough. The client has smoked one pack of cigarettes per day for the last 20 years. Which finding on the client's chest x-ray would be consistent with a diagnosis of advanced COPD?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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