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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Large soaking tub without a shower head: This poses a potential risk for injury. A large soaking tub can make it difficult for the client to safely enter and exit, increasing the risk of falls, especially after a total hip arthroplasty.
B. No stairs in the home: This is actually a positive finding, as having no stairs reduces the risk of falls and injury for the client during their recovery.
C. Elevated toilet seats: Elevated toilet seats are generally considered beneficial for clients recovering from hip surgery, as they make it easier to sit down and stand up, reducing strain on the hip.
D. Reclining chair with a straight back: This is also a positive finding. A reclining chair can provide comfort and support, and a straight back can promote proper posture during recovery.
Correct Answer is C
Explanation
A. "I try to respond to the baby quickly so she doesn't cry very long.": This statement reflects a positive parenting behavior, indicating the parent is attentive and responsive to the baby's needs, which is protective against child abuse.
B. "I want to meet other parents to see if they are going through the same thing.": This shows a desire for social support and connection, which is a healthy response to the challenges of parenting.
C. "I think the baby should be sleeping through the night by now.": This statement can indicate unrealistic expectations about infant behavior. It may suggest frustration and a lack of understanding of normal infant sleep patterns, which can increase stress and risk for abusive behaviors if the parent feels overwhelmed.
D. "I have several friends who come by to help out with the baby.": This indicates a support system, which is protective and beneficial for a new parent, reducing the likelihood of stress and potential abuse.
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