LUPUS MED SURG PRACTICE
QUESTIONS WITH COMPLETE
ANSWERS
The ss26-year-old ssfemale ssclient ssis sscomplaining ssof ssa sslow-grade ssfever,
ssarthralgias, ssfatigue, ssand ssa ssfacial ssrash. ssWhich sslaboratory sstests ssshould ssthe
ssnurse ssexpect ssthe ssHCP ssto ssorder ssif ssSLE ssis sssuspected? ss
1. ssComplete ssmetabolic sspanel ssand ssliver ssfunction sstests. ss
2. ssComplete ssblood sscount ssand ssantinuclear ssantibody sstests. ss
3. ssCholesterol ssand sslipid ssprofile sstests. ss
4. ssBlood ssurea ssnitrogen ssand ssglomerular ssfiltration sstests. ss- ssAnswer ss2. ssNo
sssingle sslaboratory sstest ssdiagnoses ssSLE, ssbut ssthe ssclient ssusually sspresents sswith
ssmoderate ssto sssevere ssanemia, ssthrombocytopenia, ssleukopenia, ssand ssa sspositive
ssantinuclear ssantibody.
The ssclient ssdiagnosed sswith ssSLE ssis ssbeing ssdischarged ssfrom ssthe ssmedical ssunit.
ssWhich ssdischarge ssinstructions ssare ssmost ssimportant ssfor ssthe ssnurse ssto ssinclude?
ssSelect ssall ssthat ssapply. ss
1. ssUse ssa sssunscreen ssof ssSPF ss30 ssor ssgreater sswhen ssin ssthe sssunlight. ss
2. ssNotify ssthe ssHCP ssimmediately sswhen ssdeveloping ssa sslow-grade ssfever. ss3.
ssSome ssdyspnea ssis ssexpected ssand ssdoes ssnot ssneed ssimmediate ssattention. ss
4. ssThe sshands ssand ssfeet ssmay sschange sscolor ssif ssexposed ssto sscold ssor ssheat. ss5.
ssExplain ssthe ssclient sscan ssbe sscured sswith sscontinued sstherapy. ss- ssAnswer ss1.
ssSunlight ssor ssUV sslight ssexposure sshas ssbeen ssshown ssto ssinitiate ssan
ssexacerbation ssof ssSLE, ssso ssthe ssclient ssshould ssbe sstaught ssto ssprotect ssthe ssskin
sswhen ssin ssthe sssun.
2. ssA ssfever ssmay ssbe ssthe ssfirst ssindication ssof ssan ssexacerbation ssof ssSLE
4. ssRaynaud's ssphenomenon ssis ssa sscondition ssin sswhich ssthe ssdigits ssof ssthe sshands
ssand ssfeet ssturn ssred, ssblue, ssor sswhite ssin ssresponse ssto ssheat ssor sscold ssand
ssstress. ssIt ssoccurs sswith sssome ssimmune ssinflammatory ssprocesses.
The ssnurse ssis ssdeveloping ssa sscare ssplan ssfor ssa ssclient ssdiagnosed sswith ssSLE.
ssWhich ssgoal ssis sspriority ssfor ssthis ssclient? ss
1. ssThe ssclient sswill ssmaintain ssreproductive ssability. ss
2. ssThe ssclient sswill ssverbalize ssfeelings ssof ssbody-image sschanges. ss
3. ssThe ssclient sswill sshave ssno ssdeterioration ssof ssorgan ssfunction. ss
QUESTIONS WITH COMPLETE
ANSWERS
The ss26-year-old ssfemale ssclient ssis sscomplaining ssof ssa sslow-grade ssfever,
ssarthralgias, ssfatigue, ssand ssa ssfacial ssrash. ssWhich sslaboratory sstests ssshould ssthe
ssnurse ssexpect ssthe ssHCP ssto ssorder ssif ssSLE ssis sssuspected? ss
1. ssComplete ssmetabolic sspanel ssand ssliver ssfunction sstests. ss
2. ssComplete ssblood sscount ssand ssantinuclear ssantibody sstests. ss
3. ssCholesterol ssand sslipid ssprofile sstests. ss
4. ssBlood ssurea ssnitrogen ssand ssglomerular ssfiltration sstests. ss- ssAnswer ss2. ssNo
sssingle sslaboratory sstest ssdiagnoses ssSLE, ssbut ssthe ssclient ssusually sspresents sswith
ssmoderate ssto sssevere ssanemia, ssthrombocytopenia, ssleukopenia, ssand ssa sspositive
ssantinuclear ssantibody.
The ssclient ssdiagnosed sswith ssSLE ssis ssbeing ssdischarged ssfrom ssthe ssmedical ssunit.
ssWhich ssdischarge ssinstructions ssare ssmost ssimportant ssfor ssthe ssnurse ssto ssinclude?
ssSelect ssall ssthat ssapply. ss
1. ssUse ssa sssunscreen ssof ssSPF ss30 ssor ssgreater sswhen ssin ssthe sssunlight. ss
2. ssNotify ssthe ssHCP ssimmediately sswhen ssdeveloping ssa sslow-grade ssfever. ss3.
ssSome ssdyspnea ssis ssexpected ssand ssdoes ssnot ssneed ssimmediate ssattention. ss
4. ssThe sshands ssand ssfeet ssmay sschange sscolor ssif ssexposed ssto sscold ssor ssheat. ss5.
ssExplain ssthe ssclient sscan ssbe sscured sswith sscontinued sstherapy. ss- ssAnswer ss1.
ssSunlight ssor ssUV sslight ssexposure sshas ssbeen ssshown ssto ssinitiate ssan
ssexacerbation ssof ssSLE, ssso ssthe ssclient ssshould ssbe sstaught ssto ssprotect ssthe ssskin
sswhen ssin ssthe sssun.
2. ssA ssfever ssmay ssbe ssthe ssfirst ssindication ssof ssan ssexacerbation ssof ssSLE
4. ssRaynaud's ssphenomenon ssis ssa sscondition ssin sswhich ssthe ssdigits ssof ssthe sshands
ssand ssfeet ssturn ssred, ssblue, ssor sswhite ssin ssresponse ssto ssheat ssor sscold ssand
ssstress. ssIt ssoccurs sswith sssome ssimmune ssinflammatory ssprocesses.
The ssnurse ssis ssdeveloping ssa sscare ssplan ssfor ssa ssclient ssdiagnosed sswith ssSLE.
ssWhich ssgoal ssis sspriority ssfor ssthis ssclient? ss
1. ssThe ssclient sswill ssmaintain ssreproductive ssability. ss
2. ssThe ssclient sswill ssverbalize ssfeelings ssof ssbody-image sschanges. ss
3. ssThe ssclient sswill sshave ssno ssdeterioration ssof ssorgan ssfunction. ss
