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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypertension: Hypertension is not a typical complication of amniocentesis. While it may occur in pregnancy for other reasons, it is not directly related to this procedure and does not require specific post-procedure monitoring in this context.
B. Vomiting: Vomiting is not a common complication following amniocentesis. Nausea or discomfort may occur, but persistent vomiting is not expected and would likely be unrelated to the procedure itself.
C. Contractions: Uterine contractions are a potential complication after amniocentesis, especially in the third trimester. The nurse should monitor for signs of preterm labor, including contractions, cramping, or changes in fetal movement, to intervene promptly if needed.
D. Epigastric pain: Epigastric pain is not commonly associated with amniocentesis. It may indicate other conditions, such as preeclampsia or gastrointestinal issues, but it is not a typical post-procedure complication.
Correct Answer is D
Explanation
A. Temperature 37.4° C (99.3° F): This is a mild elevation and within normal limits for a laboring client. Slight temperature increases can occur due to physical exertion and are not typically concerning.
B. Early decelerations in the FHR: Early decelerations are usually benign and mirror uterine contractions, reflecting fetal head compression. They are not an indication for immediate intervention.
C. Contractions lasting 80 seconds: Normal uterine contractions in active labor typically last 45–80 seconds. While the upper limit of 80 seconds is noted, this alone does not require urgent reporting if the contraction pattern and fetal response remain reassuring.
D. FHR baseline 170/min: A baseline fetal heart rate above 160/min indicates fetal tachycardia, which can result from maternal infection, fetal hypoxia, or other complications. This finding requires prompt notification of the provider for further evaluation and potential intervention.
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