A nurse is teaching a client who has SLE (Lupus) about self-care. Which of the following statements by the client indicates an understanding of the teaching?
"I should use a mild hair shampoo"
"I will inspect my skin once a month for rashes"
“I should limit my time in the tanning bed to 10 minutes
"I will apply powder to any skin rash"
The Correct Answer is A
A. This statement indicates some understanding of self-care, as using gentle hair products can help minimize irritation. However, it's not specifically focused on the most critical aspects of SLE management related to skin care.
B. Clients with SLE should inspect their skin regularly, not just once a month, as they are at a higher risk for rashes and skin lesions. More frequent self-assessment can help catch any changes early.
C. Clients with SLE are generally advised to avoid tanning beds altogether, as ultraviolet (UV) exposure can exacerbate skin rashes and trigger flares of the disease. Limiting exposure to UV light is essential for managing lupus.
D. Applying powder to a rash may not be advisable, as it could irritate the skin further. Clients should be taught to keep the affected areas clean and follow their healthcare provider's recommendations for treating rashes.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Chronic blood loss is one of the most common causes of iron deficiency anemia. Conditions such as gastrointestinal bleeding (e.g., from ulcers, polyps, or cancer), heavy menstrual periods, or chronic blood donation can lead to a gradual loss of iron, resulting in anemia.
B. While liver problems can lead to various blood disorders, they are not a direct cause of iron deficiency anemia. Liver disease can affect iron metabolism and storage but does not typically cause iron deficiency unless accompanied by chronic blood loss or malnutrition.
C. Decreased folic acid absorption leads to folate deficiency anemia, not iron deficiency anemia. While folate is important for red blood cell production, it does not directly influence iron levels. This option is not a common cause of iron deficiency anemia.
D. Low dietary intake of iron is a well-known cause of iron deficiency anemia. Diets lacking in iron-rich foods (such as red meat, beans, and fortified cereals) can lead to insufficient iron stores and subsequent anemia.
Correct Answer is B
Explanation
A. While it’s important to provide reassurance, this option does not directly address the acute symptoms of respiratory distress and hypotension. Monitoring blood pressure is essential, but immediate action to treat the underlying issue is more critical.
B. This is the priority intervention in the case of suspected anaphylaxis. Epinephrine acts quickly to counteract severe allergic reactions, relieving bronchospasm, increasing heart rate, and raising blood pressure. Given the patient's wheezing and hypotension, administering epinephrine is crucial.
C. Administering oxygen can be beneficial, especially if the patient is experiencing respiratory distress. However, it does not address the potential anaphylactic reaction or the drop in blood pressure directly. It should be part of the management but not the priority.
D. Elevating the head of the bed can help improve breathing, especially if the patient is in respiratory distress. However, this action alone does not address the potential life-threatening aspects of anaphylaxis.
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