A nurse in a provider's office is caring for a client.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
Rationale:
The client exhibits hallmark symptoms of Systemic Lupus Erythematosus (SLE), including a butterfly rash on the cheeks, alopecia, joint tenderness, and elevated ANA and ESR levels. These findings, combined with anemia and thrombocytopenia, are consistent with SLE, an autoimmune disorder characterized by systemic inflammation and tissue damage.
Multiple sclerosis is primarily a neurological condition and does not align with the client’s dermatological and hematological findings. Celiac disease is associated with gastrointestinal symptoms and gluten sensitivity, which the client denies. Type 1 diabetes mellitus involves hyperglycemia and insulin deficiency, which are not relevant to the presented symptoms.
Helping the client identify aggravating factors (e.g., sunlight exposure, stress) is crucial for managing SLE. Recommending low-impact exercises can help maintain joint mobility and reduce inflammation.
Monitoring adherence to corticosteroid therapy is essential since these medications are often used to control inflammation in SLE. Assessing for depression related to body image is important due to the physical manifestations of SLE, such as alopecia and hyperpigmentation, which may affect the client’s mental health.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Monitoring urine for white blood cells is not directly related to the use of ibuprofen. White blood cells in the urine are more indicative of an infection, such as a urinary tract infection.
B. Fasting blood glucose is not typically required for monitoring the effects of ibuprofen. Although ibuprofen can affect renal function, it does not directly impact blood glucose levels.
C. Serum calcium is not the most relevant test for monitoring the effects of long-term ibuprofen use. Ibuprofen can affect kidney function, but calcium levels are not the primary concern.
D. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can cause gastrointestinal irritation and increase the risk of gastrointestinal bleeding. Monitoring stool for occult blood is important to detect any potential bleeding from the gastrointestinal tract, which is a common side effect of chronic NSAID use.
Correct Answer is A
Explanation
A. Supporting the feet with a rolled pillow when the client is lying on their back is a correct positioning strategy. It helps maintain proper alignment and prevents foot drop, which is a common concern in clients with hemiplegia.
B. Using a thick pillow under the head can cause excessive neck flexion, which can lead to discomfort and poor alignment. A thinner pillow is typically recommended to maintain neutral head and neck positioning.
C. Ensuring the neck is flexed backward when the client is lying on their stomach is incorrect. The neck should remain in a neutral position to avoid strain or injury.
D. Resting the heels on the mattress when the client is sitting up in bed is not recommended, as it can increase the risk of pressure ulcers. It is better to use heel protectors or pillows to elevate the heels off the mattress and prevent pressure.
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