. A nurse is reinforcing discharge teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include in the teaching?

"Minimize exposure to the sun and artificial ultraviolet light"

"Avoid using moisturizing lotions on your skin."

"Use a sun-blocking agent with a sun protection factor of 10.1

"Apply powder liberally to sensitive areas of skin."

Answer and Explanation

The Correct Answer is A

A.   "Minimize exposure to the sun and artificial ultraviolet light": UV light can trigger lupus flares, so sun protection is crucial.
B.   "Avoid using moisturizing lotions on your skin.": Moisturizing lotions help prevent skin dryness, which is common in lupus patients.
C.   "Use a sun-blocking agent with a sun protection factor of 10.": An SPF of 10 is too low for effective protection. A minimum of SPF 30 is recommended.
D.   "Apply powder liberally to sensitive areas of skin.": Powders can irritate the skin and cause dryness, exacerbating skin issues in lupus.

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Correct Answer is C

Explanation

A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.

A. Western blot B. Enzyme-linked immunosorbent assay C. Viral load testing D. P24 antigen testing

Correct Answer is C

Explanation

A. Western blot: Used to confirm HIV diagnosis rather than monitor therapy effectiveness.
B. Enzyme-linked immunosorbent assay (ELISA): Typically used for initial detection of viral infections, especially HIV.
C. Viral load testing: Measures the amount of virus in the bloodstream to assess treatment effectiveness.
D. P24 antigen testing: Used for early detection of HIV but not for monitoring ongoing therapy.

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. A nurse is reinforcing discharge teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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