A nurse is providing care for a client who is experiencing an acute exacerbation of systemic lupus erythematosus. Which of the following findings should the nurse anticipate?

Esophagitis

Fever

Diplopia

Bradykinesia

Answer and Explanation

The Correct Answer is B

A. Esophagitis: Esophagitis is not a typical manifestation of systemic lupus erythematosus (SLE). While SLE can affect multiple organ systems, gastrointestinal involvement usually presents as abdominal pain, nausea, or pancreatitis, rather than inflammation of the esophagus.

B. Fever: Fever is a common systemic manifestation during an acute SLE exacerbation due to immune system activation and widespread inflammation. It reflects the inflammatory response and cytokine release associated with disease flare-ups.

C. Diplopia: Diplopia (double vision) is not a common feature of SLE exacerbations. Neurologic involvement in SLE more frequently presents as headache, seizures, cognitive dysfunction, or peripheral neuropathy rather than isolated visual disturbances.

D. Bradykinesia: Bradykinesia, or slowness of movement, is characteristic of Parkinson’s disease and other movement disorders, not SLE. Musculoskeletal manifestations of SLE typically include joint pain, stiffness, and swelling without the motor deficits seen in bradykinesia.

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Correct Answer is A,B,C,D

Explanation

A. Transport the client to another area of the nursing unit: The first priority during a fire is rescue, ensuring the safety of any individuals in immediate danger. Removing the client from the room prevents exposure to smoke, heat, and flames.

B. Activate the facility's fire alarm system: After ensuring the client’s safety, the nurse must alert others and initiate the facility’s emergency response. Early notification facilitates rapid evacuation and mobilization of fire response teams.

C. Close all nearby windows and doors: Closing doors and windows helps contain the fire, limits oxygen supply to the flames, and reduces the spread of smoke and fire to other areas of the unit.

D. Use the unit's fire extinguisher to attempt to put out the fire: Once people are safe and the alarm is activated, the nurse may attempt to extinguish a small, controllable fire using the appropriate fire extinguisher, following the PASS technique (Pull, Aim, Squeeze, Sweep).

A. "You did the right thing by bringing your partner in for treatment." B. "Why do you think your partner's symptoms are progressing so quickly?" C. "Can you talk about what was happening with your partner at home?" D. "You should make sure your partner takes the prescribed medication."

Correct Answer is C

Explanation

A. "You did the right thing by bringing your partner in for treatment.": While supportive, this statement provides reassurance rather than facilitating expression of feelings or exploration of the partner’s experience. Therapeutic communication focuses on encouraging dialogue and understanding.

B. "Why do you think your partner's symptoms are progressing so quickly?": Asking “why” can come across as judgmental and may make the partner defensive. It does not encourage open discussion about feelings or experiences, which is central to therapeutic interaction.

C. "Can you talk about what was happening with your partner at home?": This open-ended statement encourages the partner to describe observations and feelings, promoting emotional expression and building rapport. It facilitates assessment of the home environment and caregiving challenges, which is essential in planning support.

D. "You should make sure your partner takes the prescribed medication.": This directive focuses on compliance rather than exploring the partner’s emotional state or providing support. It does not address the partner’s immediate feelings of overwhelm and uncertainty.

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Body System	Common Adverse Effects
Head, eyes, ears, nose, and throat (HEENT)	_____
Cardiovascular	_____
Genitourinary	_____
Gastrointestinal	_____

A nurse is providing care for a client who is experiencing an acute exacerbation of systemic lupus erythematosus. Which of the following findings should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take. (Move the steps, placing them in the order of performance. Use all the steps.)

Correct Answer is A,B,C,D

Explanation

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Correct Answer is C

Explanation

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