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
Absent Moro reflex on the affected side indicates a possible injury to the brachial plexus, which is the nerve network that controls the movements and sensations of the shoulder, arm, hand and fingers.Shoulder dystocia can cause brachial plexus injuries when the baby’s shoulder gets stuck behind the mother’s pubic bone during delivery.
Choice B is wrong because flaccid paralysis of both lower extremities is not a common complication of shoulder dystocia.
It could be a sign of spinal cord injury or other neurological disorders.
Choice C is wrong because facial asymmetry when crying or smiling is a sign of facial nerve palsy, which can occur due to compression of the facial nerve during delivery.
It is not specific to shoulder dystocia.
Choice D is wrong because inability to suck or swallow is not a typical sign of shoulder dystocia.
It could be caused by other factors such as prematurity, neurological problems, or congenital anomalies.
Normal ranges for Moro reflex are present at birth and disappear by 4 to 6 months of age.
Normal ranges for facial nerve function are symmetrical movements of both sides of the face.
Normal ranges for sucking and swallowing are coordinated and effective feeding within the first hour after birth.
Correct Answer is C
Explanation
Jitteriness and poor feeding are common signs of hypoglycemia in a newborn.
Hypoglycemia is when the level of sugar (glucose) in the blood is too low.
Glucose is the main source of fuel for the brain and the body.In a newborn baby, low blood sugar can cause problems such as shakiness, blue tint to the skin, and breathing and feeding problems.
Choice A is wrong because hypertension and bradycardia are not typical symptoms of hypoglycemia in a newborn.
They may indicate other conditions such as heart problems or infection.
Choice B is wrong because diarrhea and vomiting are not specific symptoms of hypoglycemia in a newborn.
They may be caused by many other factors such as infection, food intolerance, or gastroesophageal reflux.
Choice D is wrong because hyperactivity and irritability are not usual symptoms of hypoglycemia in a newborn.
They may be signs of other conditions such as pain, hunger, or overstimulation.
Normal ranges for blood glucose levels in newborns vary depending on the age, gestational age, and feeding status of the baby.Most doctors consider blood glucose that is below 47 milligrams per deciliter (mg/dl) to be the definition of hypoglycemia in newborns.
However, some babies may need higher levels to prevent brain injury.
A doctor will monitor the blood glucose levels of a newborn at risk for hypoglycemia and treat accordingly.
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