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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A: Changing the TPN bag and tubing every 24 hours is standard practice to prevent infection, so this action is appropriate.
B: Checking glucose levels every 6 hours is necessary because TPN can significantly affect blood glucose levels.
C: Gradually increasing the TPN rate is a standard procedure to monitor tolerance to the infusion.
D: This indicates a need for intervention. TPN lines should not be used for any other infusions to prevent contamination and interactions between the nutrition formula and medications.

A. "I should assess the client's skin integrity every 8 hours while in mechanical restraints." B. "I should visually monitor the client continuously when in mechanical restraints." C. "I should ask the provider to write a prescription for mechanical restraints as needed." D. "I should expect the provider to evaluate the client within 4 hours of restraint application."

Correct Answer is B

Explanation

A. Skin integrity should be assessed more frequently, generally every 2 hours.

B. Continuous visual monitoring is required to ensure the safety and well-being of a client who is in mechanical restraints, to respond promptly to any distress or complications.
C. Restraints should be a last resort and not prescribed as needed.

D. The provider should evaluate the client sooner, typically within 1 hour of applying restraints.

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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

A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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