A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

Kaposi's sarcoma lesions

Hemangiomas

Psoriasis

Raised facial rash

Answer and Explanation

The Correct Answer is D

A) Kaposi's sarcoma lesions: Kaposi's sarcoma is a cancer that commonly appears in individuals with immunocompromised states, such as those with HIV/AIDS. It is not associated with systemic lupus erythematosus (SLE). Therefore, finding Kaposi's sarcoma lesions would not be expected in a client with SLE.

B) Hemangiomas: Hemangiomas are benign vascular tumors typically seen in infants and children. While they can occur in various skin conditions, they are not characteristic of systemic lupus erythematosus. Thus, finding hemangiomas would not be relevant in this context.

C) Psoriasis: Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin. While both psoriasis and lupus are autoimmune disorders, the specific skin manifestations of lupus differ from those of psoriasis. Therefore, a nurse would not expect to find psoriasis in a client with systemic lupus erythematosus.

D) Raised facial rash: A raised facial rash, often described as a "butterfly rash," is a classic manifestation of systemic lupus erythematosus. This rash typically appears across the cheeks and nose and is associated with photosensitivity, making it a key finding when assessing clients with SLE. Thus, the presence of a raised facial rash is an expected and significant finding in this condition.

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Correct Answer is C

Explanation

A) Educating clients about contraindications to specific immunizations: This task relates more to primary prevention, as it aims to prevent disease by informing clients about vaccine safety and appropriateness.

B) Helping clients understand health screenings covered by their insurance plans: This is also more aligned with primary prevention, as it focuses on the importance of screenings to detect health issues early.

C) Using an electronic messaging system to remind clients when to take medications: This is the correct answer. Tertiary prevention focuses on managing and improving the quality of life for individuals with chronic conditions, such as HIV. Reminding clients to take their medications helps prevent disease progression and complications.

D) Providing clients with information about the benefits of exercise: While exercise is beneficial for health, this task is more associated with promoting general health and wellness, aligning with primary prevention efforts rather than tertiary prevention.

A. Educate clients who are at risk for Parkinson's disease about maintaining a low-cholesterol diet. B. Provide screenings for community members to identify early manifestations of Parkinson's disease. C. Educate clients about common techniques used to diagnose Parkinson's disease. D. Provide daily exercise classes to improve ambulation for clients who have Parkinson's disease.

Correct Answer is D

Explanation

A) Educating clients about maintaining a low-cholesterol diet is a form of primary prevention aimed at reducing risk factors for chronic diseases, but it does not directly address individuals already diagnosed with Parkinson's disease. This intervention focuses more on general health rather than managing an existing condition.

B) Providing screenings for early manifestations of Parkinson's disease represents secondary prevention, as it aims to identify the disease at an early stage to allow for timely intervention. However, this option does not apply to clients who already have Parkinson's disease, thus it is not a tertiary prevention strategy.

C) Educating clients about techniques used to diagnose Parkinson's disease is informative but primarily falls under secondary prevention. It pertains to awareness rather than actively managing the condition in those already diagnosed.

D) Providing daily exercise classes to improve ambulation for clients who have Parkinson's disease is a tertiary prevention strategy. This intervention focuses on rehabilitation and improving the quality of life for individuals already diagnosed with the disease, aiming to manage symptoms and prevent further complications associated with Parkinson's disease.

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A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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