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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The first priority during a tonic-clonic seizure is to ensure the client's airway is clear and to prevent aspiration or injury. Turning the client on their side helps to keep the airway open and allows any secretions to drain from the mouth, reducing the risk of aspiration.
B. Performing a neurologic check is important after the seizure has ended, but the immediate action is to protect the client during the seizure.
C. Notifying the rapid response team is important if the seizure is prolonged or if the client is unresponsive to interventions, but the priority is to ensure safety during the seizure.
D. Obtaining vital signs can be done after the seizure ends, but the immediate priority is ensuring the client's safety and airway.
Correct Answer is D
Explanation
A. Hypoglycemia is not typically associated with a bilateral orchiectomy. The removal of the testes leads to decreased production of testosterone, which can cause other symptoms but not hypoglycemia.
B. Increased muscle mass is unlikely after a bilateral orchiectomy. The removal of the testes results in lower testosterone levels, which can lead to a decrease in muscle mass over time.
C. Increased libido is unlikely after a bilateral orchiectomy. The procedure reduces testosterone production, which generally leads to a decrease in libido.
D. Hot flashes are a common symptom following a bilateral orchiectomy due to the sudden drop in testosterone levels. This is similar to the symptoms women experience during menopause due to hormonal changes.
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