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.

Exhibits

Drag words from the choices below to fill in each blank in the following statement.

The client is at risk for developing:
dropdown
and
dropdown

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale
Metoclopramide does not work by decreasing gastric acid secretions. It is not classified as an antacid or acid suppressant.
Choice B rationale
Metoclopramide does not relieve nausea by slowing peristalsis. In fact, it increases peristalsis, which helps move contents through the gastrointestinal tract more quickly.
Choice C rationale
Metoclopramide does not work by relaxing gastric muscles. Instead, it enhances the tone and motility of the gastrointestinal tract.
Choice D rationale
Metoclopramide relieves nausea by promoting gastric emptying. It increases the movement of the stomach and intestines, which helps reduce feelings of nausea and vomiting.

A. A child who has rheumatic fever. B. A child recovering from a ruptured appendix. C. A child who has cystic fibrosis. D. A child who has nephrotic syndrome.

Correct Answer is D

Explanation

Choice A rationale
A child with rheumatic fever could carry infectious agents that might pose a risk to a child with severe immunocompromise such as low WBC.
Choice B rationale
A child recovering from a ruptured appendix might have residual infection or be at higher risk of infection, which could be dangerous for a child with very low WBC count.
Choice C rationale
A child with cystic fibrosis has a risk of respiratory infections, posing a threat to a child with a compromised immune system like severe neutropenia.
Choice D rationale
A child with nephrotic syndrome does not typically carry infectious risks and would be a safer roommate for a child with a compromised immune system due to low WBC count.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hours as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?

Correct Answer is D

Explanation

A nurse is admitting a child who has a total WBC count of 1200. Which of the following clients should the nurse place in the same room with this child?

Correct Answer is D

Explanation

A nurse is caring for a client who asks to be screened for cervical cancer because a relative has been diagnosed with it. Which of the following tests should the nurse expect the provider to use?

A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy.The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

A nurse is caring for a client who has Cushing's syndrome.Which of the following interventions should the nurse expect to perform? (Select all that apply.)

A nurse is teaching a client who has a new prescription for prednisone to treat acute kidney rejection. The nurse should inform the client that which of the following is a therapeutic effect of this medication?

A nurse is creating the plan of care for a client who is immunosuppressed.Which of the following precautions should the nurse include in the plan? (Select all that apply)

A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?

A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?

A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?