A nurse is caring for a client who has systemic lupus erythematosus (SLE).
The client asks why she has to have her blood drawn so often.
Which of the following responses should the nurse make?
“We need to monitor your kidney function because SLE can cause glomerulonephritis.”
“We need to monitor your liver function because SLE can cause hepatic necrosis.”
“We need to monitor your thyroid function because SLE can cause hypothyroidism.”
“We need to monitor your pancreatic function because SLE can cause diabetes mellitus.”.
The Correct Answer is A
“We need to monitor your kidney function because SLE can cause glomerulonephritis.” Glomerulonephritis is kidney inflammation caused by SLE that can damage the filtering units of the kidneys called glomeruli. SLE is an autoimmune disease that can affect various organs and tissues, including the kidneys. About half of the people with lupus experience kidney involvement, which can lead to kidney failure if not treated.
Therefore, it is important to monitor the kidney function of people with SLE.
Choice B is wrong because SLE does not cause hepatic necrosis, which is the death of liver cells. SLE can cause inflammation of the liver, but this is less common and less severe than kidney involvement.
Choice C is wrong because SLE does not cause hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones.
SLE can affect the thyroid gland, but this is rare and usually does not affect the thyroid function.
Choice D is wrong because SLE does not cause diabetes mellitus, which is a condition where the body cannot regulate blood sugar levels.
SLE can cause inflammation of the pancreas, but this is uncommon and usually does not affect the insulin production.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This is because newborns with hypoglycemia need to receive adequate nutrition to raise their blood glucose levels and prevent neurologic damage.Early feeding also helps establish breast milk supply for nursing mothers.
Choice B is wrong because feeding the baby only when he cries may delay the intake of glucose and worsen the hypoglycemia.Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.
Choice C is wrong because feeding the baby every 6 hours is too infrequent and may cause prolonged hypoglycemia.Newborns with hypoglycemia should be fed on demand or at least every 2 to 3 hours.
Choice D is wrong because feeding the baby with glucose water may not provide enough calories and nutrients for growth and development.Newborns with hypoglycemia should be fed with breast milk or formula.Glucose water may be used as a temporary measure until breast milk or formula is available.
Correct Answer is C
Explanation
This is a sign of dehydration, which can be caused by phototherapy.Phototherapy increases insensible water loss through the skin and can lead to fluid and electrolyte imbalance in the newborn.The nurse should monitor the newborn’s hydration status, weight, urine output, and serum electrolytes and provide adequate fluid intake.
Choice A is wrong because conjunctivitis is not a common complication of phototherapy.It can be prevented by using eye shields or patches to protect the newborn’s eyes from the light source.
Choice B is wrong because bronze skin discoloration is a rare complication of phototherapy that occurs when the bilirubin level is very high and the skin pigment changes.It is not a priority finding and usually resolves after phototherapy is discontinued.
Choice D is wrong because maculopapular skin rash is a benign side effect of phototherapy that does not require intervention.It usually disappears within a few days after phototherapy is stopped.
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