HESI Case Study: Systemic Lupus
Erythematosus Exam with Verified
Detailed Answers
Meet the Client -
correct answer ✅An adult client is admitted to the medical-
surgical unit due to mild joint pain, skin rash, fever, nausea, and
extreme fatigue. The client was diagnosed as having systemic lupus
erythematosus (SLE) a year ago and has not had a flare up since
that time.
1. Which pathophysiological process promotes systemic lupus
erythematosus (SLE)? -
correct answer ✅Production of autoantibodies against nucleic
acids and other self-components.
Production of autoantibodies against nucleic acids and other self-
components, such as histones and ribonucleoproteins, is the
pathophysiology of systemic lupus erythematosus (SLE).
2. The initial anticipated nursing intervention is to accurately record
the severity of systemic lupus erythematosus (SLE) symptoms. For
which acute conditions should the nurse assess the client?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Fever pattern.
,HESI Case Study: Systemic Lupus
Erythematosus Exam with Verified
Detailed Answers
Fever pattern is an important assessment parameter for a client
with SLE.
Fatigue level.
Fatigue level is important to assess in a client with SLE.
Joint inflammation.
Joint inflammation is important to assess in a client with SLE.
3. Which assessment finding should alert the nurse that teaching is
needed to prevent skin breakdown? -
correct answer ✅Prominent tan lines on the back.
This assessment finding reveals that the client spends time directly
exposed to the sun. Sun exposure should be avoided in clients with
systemic lupus erythematosus (SLE) to avoid disease exacerbation.
4. About which potential complication of systemic lupus
erythematosus (SLE) should the nurse warn the client? -
correct answer ✅Increased risk for bleeding or blood clotting.
, HESI Case Study: Systemic Lupus
Erythematosus Exam with Verified
Detailed Answers
SLE is a disease process that can affect many body systems, and it
range from mild to rapidly progressive. Blood problems are a
common complication of the disease.
5. The healthcare provider has written several admission
prescriptions for the client. Which prescription should the nurse ask
the healthcare provider to clarify? -
correct answer ✅Prednisone PO daily.
This prescription requires a dosage.
6. The healthcare provider clarifies the prescription as prednisone
30mg PO daily. The nurse prepares to give the first dose of
prednisone. Which education elements should the nurse highlight
with the client?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Do not suddenly stop taking this medication; it
should be tapered.
Erythematosus Exam with Verified
Detailed Answers
Meet the Client -
correct answer ✅An adult client is admitted to the medical-
surgical unit due to mild joint pain, skin rash, fever, nausea, and
extreme fatigue. The client was diagnosed as having systemic lupus
erythematosus (SLE) a year ago and has not had a flare up since
that time.
1. Which pathophysiological process promotes systemic lupus
erythematosus (SLE)? -
correct answer ✅Production of autoantibodies against nucleic
acids and other self-components.
Production of autoantibodies against nucleic acids and other self-
components, such as histones and ribonucleoproteins, is the
pathophysiology of systemic lupus erythematosus (SLE).
2. The initial anticipated nursing intervention is to accurately record
the severity of systemic lupus erythematosus (SLE) symptoms. For
which acute conditions should the nurse assess the client?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Fever pattern.
,HESI Case Study: Systemic Lupus
Erythematosus Exam with Verified
Detailed Answers
Fever pattern is an important assessment parameter for a client
with SLE.
Fatigue level.
Fatigue level is important to assess in a client with SLE.
Joint inflammation.
Joint inflammation is important to assess in a client with SLE.
3. Which assessment finding should alert the nurse that teaching is
needed to prevent skin breakdown? -
correct answer ✅Prominent tan lines on the back.
This assessment finding reveals that the client spends time directly
exposed to the sun. Sun exposure should be avoided in clients with
systemic lupus erythematosus (SLE) to avoid disease exacerbation.
4. About which potential complication of systemic lupus
erythematosus (SLE) should the nurse warn the client? -
correct answer ✅Increased risk for bleeding or blood clotting.
, HESI Case Study: Systemic Lupus
Erythematosus Exam with Verified
Detailed Answers
SLE is a disease process that can affect many body systems, and it
range from mild to rapidly progressive. Blood problems are a
common complication of the disease.
5. The healthcare provider has written several admission
prescriptions for the client. Which prescription should the nurse ask
the healthcare provider to clarify? -
correct answer ✅Prednisone PO daily.
This prescription requires a dosage.
6. The healthcare provider clarifies the prescription as prednisone
30mg PO daily. The nurse prepares to give the first dose of
prednisone. Which education elements should the nurse highlight
with the client?
(Select all that apply. One, some, or all options may be correct.) -
correct answer ✅Do not suddenly stop taking this medication; it
should be tapered.
