Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)

Butterfly rash

Pleural effusions

Elevated ammonia levels

Pericarditis

Esophageal varices

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: Butterfly rash, a malar erythema, is a classic SLE sign, triggered by photosensitivity and immune complex deposition in skin, reflecting systemic inflammation.

Choice B reason: Pleural effusions occur in SLE from serositis, where autoantibodies inflame pleura, causing fluid buildup, a common thoracic manifestation of the disease.

Choice C reason: Elevated ammonia levels relate to liver failure, not SLE, which affects kidneys and joints, not ammonia metabolism, making this unrelated.

Choice D reason: Pericarditis in SLE results from immune-mediated inflammation of the pericardium, causing chest pain and effusion, a frequent cardiac feature.

Choice E reason: Esophageal varices stem from portal hypertension in cirrhosis, not SLE, which targets connective tissues, not liver vasculature directly.

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Correct Answer is B

Explanation

Choice A reason: 1 tablet (50 mcg) provides half the 100 mcg dose, insufficient for hypothyroidism treatment, underdosing the required thyroid hormone replacement level.

Choice B reason: 2 tablets (50 mcg each) equal 100 mcg, matching the prescribed dose, ensuring adequate T4 replacement for hypothyroidism’s metabolic needs daily.

Choice C reason: 3 tablets (150 mcg) exceed the 100 mcg dose, risking hyperthyroidism symptoms like tachycardia or nervousness from excessive thyroid hormone administration.

Choice D reason: 4 tablets (200 mcg) grossly overdose the 100 mcg requirement, potentially causing severe thyrotoxicosis, disrupting metabolism and cardiac function dangerously.

A. Albumin and furosemide B. A high fiber diet with increased fluid intake C. Maintain NPO and IV fluids D. Obtain a consent for a barium enema

Correct Answer is C

Explanation

Choice A reason: Albumin and furosemide treat fluid shifts or edema, not acute diverticulitis, which requires bowel rest, not volume or protein correction initially.

Choice B reason: High fiber aids chronic diverticulosis, but in acute diverticulitis, it worsens inflammation; rest, not fiber, is needed during active infection.

Choice C reason: NPO and IV fluids rest the bowel, reducing inflammation and perforation risk in acute diverticulitis, while maintaining hydration, the standard approach.

Choice D reason: Barium enema risks perforation in acute diverticulitis due to inflamed diverticula; it’s contraindicated until inflammation subsides, not ordered acutely.

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Which of the following manifestations may indicate that a client has systemic lupus erythematosus (SLE)? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer levothyroxine 100 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer daily? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

The nurse is caring for a client admitted with acute diverticulitis. Which would the nurse anticipate the healthcare provider ordering for this client?

Correct Answer is C

Explanation

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