Which statement by a client with systemic lupus erythematosus (SLE) indicates the best understanding of proper skin care?
"I should apply drying agents on my draining lesions every day."
"I need to make sure no one else comes in contact with my skin rash."
"Tanning booths are okay to use, but I need to stay out of direct sunlight."
"If I'm out in the sun, I need to use a very strong sunblock."
The Correct Answer is D
Choice A reason: Applying drying agents on draining lesions every day is not recommended for clients with SLE. This approach can lead to excessive dryness and irritation of the skin, which can worsen the condition and cause additional discomfort. Moisturizing and protecting the skin are more appropriate measures.
Choice B reason: While avoiding contact with others can help prevent the spread of infections, it is not the most important aspect of skin care for SLE. SLE is an autoimmune condition, and managing skin care focuses more on protecting the skin from external triggers and minimizing inflammation.
Choice C reason: Tanning booths are not safe for clients with SLE. Exposure to UV light, whether from the sun or artificial sources, can exacerbate SLE symptoms and trigger flares. Therefore, it is important to avoid both direct sunlight and tanning booths.
Choice D reason: Using a very strong sunblock when out in the sun is crucial for clients with SLE. Sun exposure can worsen skin lesions and trigger flares, so it is essential to protect the skin with a high SPF sunblock, wear protective clothing, and seek shade whenever possible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Leaving the door open so the client recognizes her belongings might help, but it is not the most effective solution. It relies on the client being able to remember and identify her possessions, which can be challenging with Alzheimer's disease.
Choice B reason: Placing a picture of the client on her door is an effective intervention. It provides a clear visual cue that the client can easily recognize, helping her to identify her own room without relying on memory alone. This approach uses a personal and familiar image, making it easier for the client to find her room.
Choice C reason: Putting a bright red balloon on the client's door may attract attention but does not provide a personal or meaningful cue for the client. While it might help distinguish the door, it lacks the personal connection needed for effective recognition.
Choice D reason: Enlarging the letters of her name on the door can help, but it still relies on the client's ability to read and recognize her name, which may be impaired. A picture of the client is a more straightforward and effective visual aid.
Correct Answer is B
Explanation
Choice A reason: Stool with fatty streaks is not a common finding in ulcerative colitis. It is more associated with malabsorption syndromes.
Choice B reason: Blood in the stool is a significant finding in ulcerative colitis, especially during an acute exacerbation. It indicates active inflammation and potential bleeding in the colon, which requires immediate attention and intervention.
Choice C reason: Clay-coloured stool usually indicates a problem with the bile ducts or liver, such as bile duct obstruction. It is not specific to ulcerative colitis.
Choice D reason: Hard pellets of stool indicate constipation, which is not typically associated with ulcerative colitis, especially during an acute exacerbation where diarrhea is more common.
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