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 C
Explanation
A) Taking your temperature 1 hour after getting out of bed is not appropriate for the basal body temperature method. For accurate tracking, temperature should be taken immediately upon waking, before any activity or movement that could affect the reading.
B) Taking your temperature every night before going to bed does not align with the basal body temperature method. This method requires consistent morning measurements to track ovulation accurately, as body temperature can fluctuate throughout the day.
C) Taking your temperature immediately after waking and before getting out of bed is the correct instruction. This ensures the reading reflects the body's resting temperature, which can help identify the slight increase that occurs after ovulation, aiding in family planning efforts.
D) Taking your temperature within 30 minutes after your first morning void is not suitable for this method. The ideal time is right upon waking, and any activity, including using the bathroom, can alter body temperature and lead to inaccurate readings.
Correct Answer is D
Explanation
A) Document assessment findings and interventions after providing care for a group of clients:Delaying documentation until after providing care for a group of clients can lead to incomplete or inaccurate records. Timely documentation is essential for maintaining accurate client records and ensuring continuity of care.
B) Delay cleaning personal work area until the end of the shift:Delaying the cleaning of the personal work area can lead to disorganization and potential safety hazards. Maintaining a clean and organized work area throughout the shift helps improve efficiency and safety.
C) Gather supplies for a client’s dressing change after removing the old dressing:Gathering supplies after removing the old dressing can lead to delays and increased risk of infection. It is more efficient to gather all necessary supplies before starting the procedure to ensure a smooth and timely dressing change.
D) Complete activities for one client before moving to the next client:Completing activities for one client before moving to the next client helps ensure that each client receives focused and uninterrupted care. This approach minimizes the risk of errors and enhances time management by reducing the need to switch tasks frequently.
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