NR 603 Week 7 (Systemic Lupus Erythematosus (Lupus) Exam Questions with Correct
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The nurse is caring for a patient with a new diagnosis of systemic lupus erythematosus (SLE).
The patient denies a family history of this disease. Which information in the patient's history
identifies a likely cause of the onset of symptoms? Use of prescribed procainamide
At least 40 prescription medications, including procainamide, can lead to the development of
SLE.
A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during an
exacerbation of SLE. Which response from the nurse is appropriate? "Your body is making
antibodies that attack the proteins in your DNA."
SLE is an autoimmune disease. An individual with SLE develops antibodies that attack the
proteins found in his or her DNA.
Which finding in a patient with systemic lupus erythematosus (SLE) would indicate possible
kidney damage? Protein in the urine
Proteinuria is a common finding in patients with SLE and indicates possible kidney damage.
A patient diagnosed with systemic lupus erythematosus (SLE) is taking methotrexate. Which
instruction should the nurse provide to the patient? "You need to take a folic acid
supplement."
Methotrexate depletes folic acid. Therefore supplementation is required.
A nurse is caring for a patient with systemic lupus erythematosus (SLE) who reports having mild
pain and swelling in the hands. Which medication would the nurse anticipate the health care
provider to prescribe? Celecoxib
, Celecoxib is a nonsteroidal antiinflammatory drug that is prescribed to treat arthritic pain
related to SLE.
A female patient comes to the emergency department with a butterfly rash and tests positive
for antinuclear antibodies. Which additional tests would the nurse anticipate to be ordered by
the health care provider to confirm a diagnosis of systemic lupus erythematosus (SLE)?
Urinalysis-
Urinalysis can confirm whether there is protein or any other indicator of kidney disease in the
urine, which is a positive indicator of SLE.
Serum complement test-
A serum complement test will confirm serositis, which is a positive indicator of SLE.
The nurse has established a goal of verbalizing an understanding of activities to prevent
exacerbations with a female patient with systemic lupus erythematosus (SLE). Which statement
made by the patient would support this goal? "I plan to do meditation daily and take time
for myself."
The patient's statement that she plans to meditate and set aside time for herself every day
indicates that she understands the impact of stress on the disease process.
A nurse is caring for a patient diagnosed with systemic lupus erythematosus (SLE) who has been
on a long-term regimen of methylprednisolone. Which precautions should the nurse take to
prevent complications of the treatment? Assess the patient's mental status-
The patient is taking methylprednisolone, which can cause psychosis in high doses. Therefore
the nurse should carefully monitor the patient's mental status and report any changes, such as
confusion, to the health care provider.
Monitor the patient's blood glucose levels-
A patient taking methylprednisolone can have a long-term complication of hyperglycemia, so
the nurse should carefully monitor this patient's blood glucose levels.
Answers| Latest Update Guaranteed Success
The nurse is caring for a patient with a new diagnosis of systemic lupus erythematosus (SLE).
The patient denies a family history of this disease. Which information in the patient's history
identifies a likely cause of the onset of symptoms? Use of prescribed procainamide
At least 40 prescription medications, including procainamide, can lead to the development of
SLE.
A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during an
exacerbation of SLE. Which response from the nurse is appropriate? "Your body is making
antibodies that attack the proteins in your DNA."
SLE is an autoimmune disease. An individual with SLE develops antibodies that attack the
proteins found in his or her DNA.
Which finding in a patient with systemic lupus erythematosus (SLE) would indicate possible
kidney damage? Protein in the urine
Proteinuria is a common finding in patients with SLE and indicates possible kidney damage.
A patient diagnosed with systemic lupus erythematosus (SLE) is taking methotrexate. Which
instruction should the nurse provide to the patient? "You need to take a folic acid
supplement."
Methotrexate depletes folic acid. Therefore supplementation is required.
A nurse is caring for a patient with systemic lupus erythematosus (SLE) who reports having mild
pain and swelling in the hands. Which medication would the nurse anticipate the health care
provider to prescribe? Celecoxib
, Celecoxib is a nonsteroidal antiinflammatory drug that is prescribed to treat arthritic pain
related to SLE.
A female patient comes to the emergency department with a butterfly rash and tests positive
for antinuclear antibodies. Which additional tests would the nurse anticipate to be ordered by
the health care provider to confirm a diagnosis of systemic lupus erythematosus (SLE)?
Urinalysis-
Urinalysis can confirm whether there is protein or any other indicator of kidney disease in the
urine, which is a positive indicator of SLE.
Serum complement test-
A serum complement test will confirm serositis, which is a positive indicator of SLE.
The nurse has established a goal of verbalizing an understanding of activities to prevent
exacerbations with a female patient with systemic lupus erythematosus (SLE). Which statement
made by the patient would support this goal? "I plan to do meditation daily and take time
for myself."
The patient's statement that she plans to meditate and set aside time for herself every day
indicates that she understands the impact of stress on the disease process.
A nurse is caring for a patient diagnosed with systemic lupus erythematosus (SLE) who has been
on a long-term regimen of methylprednisolone. Which precautions should the nurse take to
prevent complications of the treatment? Assess the patient's mental status-
The patient is taking methylprednisolone, which can cause psychosis in high doses. Therefore
the nurse should carefully monitor the patient's mental status and report any changes, such as
confusion, to the health care provider.
Monitor the patient's blood glucose levels-
A patient taking methylprednisolone can have a long-term complication of hyperglycemia, so
the nurse should carefully monitor this patient's blood glucose levels.
