NR 603 COMPREHENSIVE EXAMINATION
TEST WITH COMPLETE QUESTIONS AND
SOLUTIONS
◉ 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? Answer: 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? Answer: "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? Answer: 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? Answer: "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? Answer: 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)? Answer: 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-
TEST WITH COMPLETE QUESTIONS AND
SOLUTIONS
◉ 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? Answer: 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? Answer: "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? Answer: 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? Answer: "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? Answer: 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)? Answer: 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-
