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Exam (elaborations)

SLE REVIEW QUESTIONS AND ANSWERS 2024 WITH COMPLETE ANSWERS

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SLE REVIEW QUESTIONS AND ANSWERS 2024 WITH COMPLETE ANSWERS

Institution
LUPUS NCLEX
Course
LUPUS NCLEX









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Institution
LUPUS NCLEX
Course
LUPUS NCLEX

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Uploaded on
November 20, 2024
Number of pages
14
Written in
2024/2025
Type
Exam (elaborations)
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SLE REVIEW QUESTIONS AND
ANSWERS 2024 WITH COMPLETE
ANSWERS
A ffclient ffis ffsuspected ffof ffhaving ffsystemic fflupus fferythematous. ffThe ffnurse ffmonitors
ffthe ffclient, ffknowing ffthat ffwhich ffof ffthe fffollowing ffis ffone ffof ffthe ffinitial ffcharacteristic
ffsign ffof ffsystemic fflupus fferythematous?
1. ffWeight ffgain
2. ffSubnormal fftemperature
3. ffElevated ffred ffblood ffcell ffcount
4. ffRash ffon ffthe ffface ffacross ffthe ffbridge ffof ffthe ffnose ffand ffon ffthe ffcheeks ff-
ffAnswer ffAnswer: ff4
Rationale: ffSkin fflesions ffor ffrash ffon ffthe ffface ffacross ffthe ffbridge ffof ffthe ffnose ffand
ffon ffthe ffcheeks ffis ffan ffinitial ffcharacteristic ffsign ffof ffsystemic fflupus fferythematosus
ff(SLE). ffFever ffand ffweight ffloss ffmay ffalso ffoccur. ffAnemia ffis ffmost fflikely ffto ffoccur
fflater ffin ffSLE.


The ffnurse ffis ffassisting ffin ffplanning ffcare fffor ffa ffclient ffwith ffa ffdiagnosis ffof ffimmune
ffdeficiency. ffThe ffnurse ffwould ffincorporate ffwhich ffof ffthe fffollowing ffas ffa ffpriority ffin
ffthe ffplan ffof ffcare?
1. ffProtecting ffthe ffclient fffrom ffinfection
2. ffProviding ffemotional ffsupport ffto ffdecrease fffear
3. ffEncouraging ffdiscussion ffabout fflifestyle ffchanges
4. ffIdentifying fffactors ffthat ffdecreased ffthe ffimmune fffunction ff- ffAnswer ffAnswer: ff1
Rationale: ffThe ffclient ffwith ffimmune ffdeficiency ffhas ffinadequate ffor ffabsent ffimmune
ffbodies ffand ffis ffat ffrisk fffor ffinfection. ffThe ffpriority ffnursing ffintervention ffwould ffbe ffto
ffprotect ffthe ffclient fffrom ffinfection. ffOptions ff2, ff3, ffand ff4 ffmay ffbe ffcomponents ffof
ffcare ffbut ffare ffnot ffthe ffpriority.


The ffnurse ffis ffassigned ffto ffcare fffor ffa ffclient ffwith ffsystemic fflupus fferythematosus
ff(SLE). ffThe ffnurse ffplans ffcare ffknowing ffthat ffthis ffdisorder ffis:
1. ffA fflocal ffrash ffthat ffoccurs ffas ffa ffresult ffof ffallergy
2. ffA ffdisease ffcaused ffby ffoverexposure ffto ffsunlight
3. ffAn ffinflammatory ffdisease ffof ffcollagen ffcontained ffin ffconnective fftissue
4. ffA ffdisease ffcaused ffby ffthe ffcontinuous ffrelease ffof ffhistamine ffin ffthe ffbody ff-
ffAnswer ffAnswer: ff3

, Rationale: ffSLE ffis ffan ffinflammatory ffdisease ffof ffcollagen ffcontained ffin ffconnective
fftissue. ffOptions ff1, ff2, ffand ff4 ffare ffnot ffassociated ffwith ffthis ffdisease.


The ffnurse ffis ffassigned ffto ffcare fffor ffa ffclient ffadmitted ffto ffthe ffhospital ffwith ffa
ffdiagnosis ffof ffsystemic fflupus fferythematosus ff(SLE). ffThe ffnurse ffreviews ffthe ffhealth
ffcare ffprovider's ffprescriptions. ffWhich ffof ffthe fffollowing ffmedications ffwould ffthe ffnurse
ffexpect ffto ffbe ffprescribed?
1. ffAntibiotic
2. ffAntidiarrheal
3. ffCorticosteroid
4. ffOpioid ffanalgesic ff- ffAnswer ffAnswer: ff3
Rationale: ffTreatment ffof ffSLE ffis ffbased ffon ffthe ffsystems ffinvolved ffand ffsymptoms.
ffTreatment ffnormally ffconsists ffof ffanti-inflammatory ffdrugs, ffcorticosteroids, ffand
ffimmunosuppressants. ffThe ffincorrect ffoptions ffare ffnot ffstandard ffcomponents ffof
ffmedication fftherapy fffor ffthis ffdisorder.


A ffnurse ffis ffcollecting ffdata ffon ffa ffclient ffwho ffcomplains ffof fffatigue, ffweakness,
ffmalaise, ffmuscle ffpain, ffjoint ffpain ffat ffmultiple ffsites, ffanorexia, ffand ffphotosensitivity.
ffSystematic fflupus fferythematosus ff(SLE) ffis ffsuspected. ffThe ffnurse fffurther ffchecks
fffor ffwhich ffof ffthe fffollowing ffthat ffis ffalso ffindicative ffof ffthe ffpresence ffof ffSLE?
1. ffEmboli
2. ffAscites
3. ffTwo ffhemoglobin ffS ffgenes
4. ffButterfly ffrash ffon ffcheeks ffand ffbridge ffof ffnose ff- ffAnswer ffAnswer: ff4
Rationale: ffSLE ffis ffa ffchronic ffinflammatory ffdisease ffthat ffaffects ffmultiple ffbody
ffsystems. ffA ffbutterfly ffrash ffon ffthe ffcheeks ffand ffon ffthe ffbridge ffof ffthe ffnose ffis ffa
ffclassic ffsign ffof ffSLE. ffOption ff3 ffis fffound ffin ffsickle ffcell ffanemia. ffOptions ff1 ffand ff2
ffmay ffbe fffound ffin ffmany ffconditions ffbut ffare ffnot ffassociated ffwith ffSLE.


Which ffclient ffis ffat ffthe ffhighest ffrisk fffor ffsystemic fflupus fferythematous ff(SLE)?
1. ffAn ffAsian ffmale
2. ffA ffwhite fffemale
3. ffAn ffAfrican-American ffmale
4. ffAn ffAfrican-American fffemale ff- ffAnswer ff1. ffAn ffAsian ffmale
2. ffA ffwhite fffemale
3. ffAn ffAfrican-American ffmale
4. ffAn ffAfrican-American fffemale
Answer: ff4
Rationale: ffSLE ffaffects fffemales ffmore ffcommonly ffthan ffmales. ffIt ffis ffmore ffcommon
ffin ffAfrican-American fffemales ffthan ffin ffwhite fffemales.


A ffnurse ffis ffreviewing ffthe ffmedical ffrecord ffof ffa ffyoung fffemale ffclient ffwho ffis
ffsuspected ffof ffhaving ffsystematic fflupus fferythematosus ff(SLE). ffWhich ffof ffthe
fffollowing ffwould ffthe ffnurse ffexpect ffto ffnote ffdocumented ffin ffthe ffrecord ffthat ffis
ffrelated ffto ffthis ffdiagnosis?
1. ffPresence ffof fftwo ffhemoglobin ffS ffgenes ffin ffthe ffblood ffcell ffreport

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