A nurse in a provider's office is caring for a client.

Exhibits

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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Avoiding intercourse is not necessary unless there is discomfort, but the focus should be on managing symptoms like vaginal dryness. It is important to address the root cause of the discomfort, which is often related to hormonal changes rather than avoiding sexual activity.

B. Thickening of the vaginal tissue is not typical in older women. In fact, due to decreasing estrogen levels, vaginal tissue often becomes thinner, drier, and less elastic, which can contribute to discomfort and dryness.

C. Decreasing estrogen levels are a common cause of vaginal dryness and itching in older adult women, especially during and after menopause. Estrogen helps maintain the health of vaginal tissues, and a decrease in this hormone leads to symptoms such as dryness, itching, and discomfort.

D. Discomforts decreasing with time is not accurate. While some symptoms may improve with treatment, vaginal dryness and itching are typically chronic issues that require management, such as with estrogen therapy or lubricants, rather than resolving on their own.

A. Urine for white blood cells B. Fasting blood glucose C. Serum calcium D. Stool for occult blood

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.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who reports vaginal dryness and itching. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is admitting a client who has arthritic pain and reports taking ibuprofen several times daily for 3 years. Which of the following tests should the nurse monitor?

Correct Answer is D

Explanation

A nurse is asking a preoperative client about food allergies. Which of the following food allergies indicates a potential reaction to propofol?

A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid-base imbalances?

A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

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