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 C

Explanation

Choice A rationale

Pitting edema of the hands and fingers is not a typical finding in clients with systemic lupus erythematosus (SLE). Edema can occur in SLE, but it is more commonly associated with renal involvement and not specifically pitting edema of the hands and fingers.

Choice B rationale

Subcutaneous nodules on the ulnar side of the arm are more commonly associated with rheumatoid arthritis rather than SLE. SLE does not typically present with subcutaneous nodules.

Choice C rationale

A dry, red rash across the bridge of the nose and on the cheeks, known as a “butterfly rash,” is a classic sign of SLE. This rash is caused by inflammation of the small blood vessels in the skin and is often exacerbated by sun exposure.

Choice D rationale

A grey-colored, non-purpuric papular rash is not characteristic of SLE. The typical rash in SLE is the butterfly rash, which is dry, red, and raised.

A. Speak loudly and into the client’s good ear. B. Use sign language when communicating with the client. C. Sit by the client’s side and speak very slowly. D. Speak directly to the client in a normal, clear voice.

Correct Answer is D

Explanation

Choice A rationale

Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.

Choice B rationale

Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.

Choice C rationale

Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.

Choice D rationale

Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.

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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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Naxlex Comprehensive Predictor Exams

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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?