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 B

Explanation

A) "A nurse will draw blood from your baby's inner elbow.": This statement is misleading, as newborn screening is typically performed using a heel prick to collect blood from the heel rather than drawing blood from the inner elbow, which is not standard practice for infants.

B) "This test should be performed after your baby is 24 hours old.": This is correct. Newborn genetic screening is ideally conducted after the baby is at least 24 hours old to ensure accurate results, especially for metabolic conditions that may not be detectable earlier.

C) "This test will be repeated when your baby is 2 months old.": This statement is inaccurate. While some follow-up tests may be conducted, routine newborn screening is typically not repeated at 2 months unless there are abnormal results from the initial screening.

D) "Your baby will be given 2 ounces of water to drink prior to the test.": This statement is incorrect, as newborns are usually not given water before the screening test. The test is performed without prior hydration, and feeding may not be necessary right before the heel prick.

A. Educating clients about contraindications to specific immunizations B. Helping clients understand health screenings covered by their insurance plans C. Using an electronic messaging system to remind clients when to take medications D. Providing clients with information about the benefits of exercise

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.

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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

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Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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