A nurse is caring for a 29-year-old female client in a clinic who has been newly diagnosed with systemic lupus erythematosus (SLE). The client has been experiencing symptoms associated with SLE, including a rash and joint pain, and is currently undergoing treatment with hydroxychloroquine. The nurse must evaluate the client's condition based on the exhibits provided to determine appropriate actions and possible complications.
Drag words from the choices below to fill in each blank in the following statement.
The client is at risk for developing:
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Systemic lupus erythematosus often causes photosensitivity, which is an increased sensitivity to sunlight, leading to skin rashes and other reactions. Additionally, chronic fatigue is a common symptom in individuals with SLE, as described by the progressive fatigue that the client has been experiencing. Weight loss and hypoglycemia are not directly related to the common complications of SLE mentioned in the exhibits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Restricting activities that could result in bleeding is important for patients with thrombocytopenia, which is different from neutropenia; neutropenic precautions focus on infection prevention.
Choice B rationale
Restricting all visitors might be overly restrictive; instead, visitors should be screened for infections, and hand hygiene should be emphasized to prevent infection transmission.
Choice C rationale
Fresh flowers and potted plants can harbor bacteria and fungi that pose an infection risk to immunocompromised clients, such as those with neutropenia, making this restriction important.
Choice D rationale
Restricting oral fluid intake to between meals only is not necessary for managing neutropenia; maintaining good hydration is important, and there are no specific fluid timing restrictions.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Choice A rationale:
The client's low platelet count (90 x 10⁹/L) is a significant risk factor for developing Disseminated Intravascular Coagulation (DIC), a condition characterized by abnormal blood clotting and bleeding. The client's history of cancer and symptoms such as unexplained bruising and fatigue further support this risk.
Choice B rationale:
Hyperkalemia is characterized by high potassium levels, but the client's potassium level is within the normal range (4.1 mmol/L), so this is not a risk factor.
Choice C rationale:
Hyponatremia is a condition of low sodium levels in the blood. The client's sodium level is normal (137 mmol/L), so this is not a risk factor.
Choice D rationale:
Pneumonia is a lung infection, and the client's oxygen saturation is normal (98% on room air), indicating no immediate risk of pneumonia.
Choice E rationale:
Acute nephritic syndrome is a kidney disorder that can cause elevated blood urea nitrogen (BUN) and creatinine levels. The client's BUN is slightly elevated (22 mg/dL), but her creatinine level is normal (1.0 mg/dL), making this less likely.
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