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 D
Explanation
A) “You should give your child a clear liquid diet for 24 hr.”:A clear liquid diet is not typically required following a cardiac catheterization. The child can usually resume a regular diet unless otherwise instructed by the healthcare provider.
B) “Your child can take a tub bath this evening.”:Tub baths should be avoided immediately after a cardiac catheterization to prevent infection at the catheter insertion site. Sponge baths are usually recommended until the site has healed.
C) “Your child should stay out of school for 7 days following the procedure.”:While some rest is necessary, staying out of school for 7 days is generally not required. The child can usually return to school within a few days, depending on their recovery and the healthcare provider’s advice.
D) “You should remove your child’s pressure dressing tomorrow.”:Removing the pressure dressing the day after the procedure is a common instruction. It allows the site to be inspected for any signs of infection or complications and ensures proper healing.
Correct Answer is B
Explanation
A) Referring the family to a chronic pain support group could be beneficial, but it should not be the first action taken. Understanding the child’s specific situation and triggers is more immediate.
B) Reviewing the child's electronic pain diary is the most appropriate first action. This diary can provide valuable insights into the frequency, duration, and intensity of the migraine headaches, as well as potential triggers. Understanding these details is essential for guiding further interventions and discussions with the healthcare provider.
C) Requesting a change in medication from the provider may be necessary if the child’s current treatment is ineffective, but this decision should be based on comprehensive assessment data. Without first reviewing the pain diary, the nurse may not have enough information to support a medication change.
D) Setting up an appointment with the school nurse could be useful for monitoring the child during school hours, but again, it should not take precedence over gathering more information about the migraines first. Understanding the child’s migraine patterns and triggers is essential before considering additional support.
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