A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?
Raised facial rash
Hemangiomas
Kaposi's sarcoma lesions
Psoriasis
The Correct Answer is A
A. Raised facial rash, often in a "butterfly" distribution across the cheeks and bridge of the nose, is a characteristic manifestation of systemic lupus erythematosus.
B. Hemangiomas are not typically associated with systemic lupus erythematosus.
C. Kaposi's sarcoma lesions are associated with immunosuppression, such as in HIV infection, and are not a typical finding in systemic lupus erythematosus.
D. Psoriasis is a separate autoimmune condition characterized by red, scaly patches on the skin and is not typically associated with systemic lupus erythematosus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Excessive sweating is a common adverse effect of sertraline, and it is essential for the nurse to educate the client about this potential side effect to enhance medication adherence and manage expectations.
B. Dry cough is not typically associated with sertraline, and its inclusion in the education may confuse the client and undermine the credibility of the nurse's teaching.
C. Increased urinary frequency is not commonly reported with sertraline use; therefore, including it in the client education may lead to misinformation.
D. A metallic taste in the mouth is not a commonly reported adverse effect of sertraline and should not be included in the client education as it may cause unnecessary concern or confusion.
Correct Answer is A
Explanation
A. Acetaminophen is a suitable option for pain relief in clients with a history of peptic ulcer because it does not typically irritate the gastric mucosa or increase the risk of gastrointestinal bleeding.
B. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastric ulceration and bleeding, especially in clients with a history of peptic ulcer.
C. Aspirin is also an NSAID and can increase the risk of gastric ulceration and bleeding, particularly in individuals with a history of peptic ulcer.
D. Ketorolac is an NSAID with a high risk of gastrointestinal side effects, including peptic ulceration and bleeding, and should be avoided in clients with a history of peptic ulcer.
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