The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?

Use of silicone-based vaginal lubricants.

Use of dehumidifiers in the home.

Use of artificial tears.

Use of contact lenses.

Answer and Explanation

Correct Answer : C

Choice A rationale

The use of silicone-based vaginal lubricants is recommended for clients with Sjögren’s syndrome to alleviate vaginal dryness and discomfort during intercourse.

Choice B rationale

Using dehumidifiers in the home is not recommended for clients with Sjögren’s syndrome, as it can exacerbate dryness in the eyes, mouth, and other mucous membranes.

Choice C rationale

The use of artificial tears is essential for clients with Sjögren’s syndrome to relieve dry eyes and prevent complications such as corneal ulcers.

Choice D rationale

The use of contact lenses is not recommended for clients with Sjögren’s syndrome, as it can further irritate dry eyes and increase the risk of eye infections. .

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Correct Answer is A

Explanation

Choice A rationale

Multiple sexual partners increase the risk of human papillomavirus (HPV) infection, which is a significant risk factor for cervical cancer.

Choice B rationale

Multiple pregnancies are not a significant risk factor for cervical cancer.

Choice C rationale

Late onset of menarche is not a significant risk factor for cervical cancer.

Choice D rationale

Use of a diaphragm is not a significant risk factor for cervical cancer. .

A. Auscultate for wheezing. B. Assess the client’s level of consciousness. C. Administer epinephrine. D. Monitor for hypotension.

Correct Answer is C

Explanation

Choice A rationale

Auscultating for wheezing is important but not the first action. The priority is to administer epinephrine to counteract the severe allergic reaction.

Choice B rationale

Assessing the client’s level of consciousness is important but not the first action. Administering epinephrine takes precedence to stabilize the client’s condition.

Choice C rationale

Administering epinephrine is the first action. It is crucial to counteract the severe allergic reaction and prevent further complications.

Choice D rationale

Monitoring for hypotension is important but not the first action. Administering epinephrine is the priority to stabilize the client’s condition.

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?

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The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome.
Which interventions should the nurse incorporate in the plan for this client?