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?
Diplopia
Fever
Esophagitis
Bradykinesia
The Correct Answer is B
A. Diplopia. Double vision (diplopia) is more commonly associated with neurological or ophthalmic disorders such as multiple sclerosis or cranial nerve dysfunction. It is not a typical manifestation of lupus exacerbations.
B. Fever. Fever is a common and expected finding during an acute exacerbation of systemic lupus erythematosus (SLE). It results from systemic inflammation and immune system activation, often indicating disease flare-up or potential infection.
C. Esophagitis. Esophagitis is more often linked to gastroesophageal reflux disease or infections, not systemic lupus. Although lupus can affect many organs, the esophagus is not a typical site of acute involvement in SLE exacerbations.
D. Bradykinesia. Bradykinesia, or slowness of movement, is a hallmark feature of Parkinson’s disease. It is not associated with SLE and would not be expected during a lupus flare.
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Correct Answer is D
Explanation
A. Revise the current policy for catheter care. Policy changes should be based on evidence and root cause analysis. Revising the policy prematurely without identifying contributing factors may not address the actual causes of infection.
B. Schedule nursing staff training for infection control procedures. Education and training are important but should be guided by identified gaps. Implementing training without understanding the root cause may result in ineffective interventions.
C. Meet with providers to discuss measures to decrease the infections. While interdisciplinary collaboration is valuable, it should occur after gathering and analyzing relevant data. This ensures targeted, evidence-based recommendations.
D. Identify possible precipitating factors related to the infections. The first step in quality improvement is to investigate and assess contributing factors. This helps guide the most appropriate and effective interventions to reduce infection rates.
Correct Answer is B
Explanation
A. Social media campaign for survivors of prostate cancer. This targets individuals with a different age demographic and cancer type. Prostate cancer primarily affects older men, while testicular cancer primarily affects younger men.
B. Information booth at a community resource fair for young adults. This is the most appropriate choice, as testicular cancer most commonly affects males between the ages of 15 and 35. Reaching this age group through community events effectively targets the at-risk population.
C. Trifold pamphlets to be distributed at a health fair for older adults. Older adults are not the primary at-risk group for testicular cancer, so this setting would not effectively reach the intended population.
D. Education for clients who experience benign prostatic hypertrophy. BPH is a condition of older men and unrelated to testicular cancer. This would not be an effective or targeted intervention.
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