SYSTEMIC LUPUS ERYTHEMATOSUS
CASE STUDY QUESTIONS WITH
COMPLETE ANSWERS
Which ddpathophysiological ddprocess ddpromotes ddsystemic ddlupus dderythematosus
dd(SLE)? dd- ddAnswer ddD. ddProduction ddof ddautoantibodies ddagainst ddnucleic ddacids
ddand ddother ddself-components.
The ddinitial ddanticipated ddnursing ddintervention ddis ddto ddaccurately ddrecord ddthe
ddseverity ddof ddsystemic ddlupus dderythematosus dd(SLE) ddsymptoms. ddFor ddwhich
ddacute ddconditions ddshould ddthe ddnurse ddassess ddthe ddclient? dd(Select ddall ddthat
ddapply. ddOne, ddsome, ddor ddall ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddB. ddFever
ddpattern.
C. ddFatigue ddPattern
D. ddJoint ddInflammation
Which ddassessment ddfinding ddshould ddalert ddthe ddnurse ddthat ddteaching ddis ddneeded
ddto ddprevent ddskin ddbreakdown? dd- ddAnswer ddC. ddProminent ddtan ddlines ddon ddthe
ddback.
About ddwhich ddpotential ddcomplication ddof ddsystemic ddlupus dderythematosus dd(SLE)
ddshould ddthe ddnurse ddwarn ddthe ddclient? dd- ddAnswer ddC. ddIncreased ddrisk ddfor
ddbleeding ddor ddblood ddclotting
The ddhealthcare ddprovider ddhas ddwritten ddseveral ddadmission ddprescriptions ddfor ddthe
ddclient. ddWhich ddprescription ddshould ddthe ddnurse ddask ddthe ddhealthcare ddprovider
ddto ddclarify? dd- ddAnswer ddD. ddPrednisone ddPO dddaily.
The ddhealthcare ddprovider ddclarifies ddthe ddprescription ddas ddprednisone dd30mg ddPO
dddaily. ddThe ddnurse ddprepares ddto ddgive ddthe ddfirst dddose ddof ddprednisone. ddWhich
ddeducation ddelements ddshould ddthe ddnurse ddhighlight ddwith ddthe ddclient? dd(Select
ddall ddthat ddapply. ddOne, ddsome, ddor ddall ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer
ddA. ddDo ddnot ddsuddenly ddstop ddtaking ddthis ddmedication; ddit ddshould ddbe ddtapered.
B. ddDo ddnot ddhave ddany ddlive ddvirus ddvaccinations ddwhile ddtaking ddthis ddmedication.
C. ddTake ddthis ddmedication ddin ddthe ddmorning ddwith ddfood ddto ddavoid ddGI
dddisturbance.
, After ddgiving ddthe ddprednisone ddas ddprescribed, ddwhat ddshould ddthe ddnurse dddo
ddfirst? dd- ddAnswer ddD. ddSign ddthe dddrug ddoff ddin ddthe ddelectronic ddhealth ddrecord.
The ddnurse ddreturns ddto ddthe ddclient's ddroom ddto ddassess ddthe ddphysical ddresponse
ddto ddthe ddmedication ddtaken ddan ddhour ddago. ddThe ddclient ddis ddvery ddquiet. ddThe
ddnurse ddasks ddif ddthe ddclient ddis ddfeeling ddalright ddafter ddtaking ddthe ddprednisone,
ddand ddthere ddis dda ddhesitation ddfor dda ddmoment ddand ddthen ddsays, dd"yes." ddWhich
ddaction ddis ddthe ddbest ddresponse ddby ddthe ddnurse? dd- ddAnswer ddC. ddAsk ddthe
ddclient ddabout ddfeelings ddin ddgeneral ddright ddnow.
The ddnurse ddis ddconcerned ddthat ddthe ddclient ddis ddnot ddcoping ddvery ddwell ddwith ddthe
ddchronic ddillness ddand ddis ddvery ddquiet. ddWhich ddresponses ddare ddhelpful ddfor ddthe
ddnurse ddto ddgive ddthis ddclient? dd(Select ddall ddthat ddapply. ddOne, ddsome, ddor ddall
ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddA. ddHow ddare ddyou dddoing ddthis
ddafternoon?
D. ddWhat ddyou ddare ddexperiencing ddis ddvery ddhard.
The ddnurse ddis ddpreparing ddto dddevelop dda ddpersonalized ddcare ddplan ddfor ddthe
ddclient. ddWhich ddapproach ddto ddinitiating ddthis ddprocess ddwould ddbe ddmost
ddeffective? dd- ddAnswer ddA. ddAsk ddthe ddclient ddto dddescribe dda ddtypical ddday ddand
ddhow ddhealth ddfits ddinto ddthat.
The ddnurse ddis ddassessing ddthe ddimportance ddof ddclient ddculture ddand ddethnicity
ddwhile ddplanning ddcare ddwith ddthe ddclient. ddWhich ddquestions ddwould ddbe ddhelpful
ddfor ddgathering ddthis ddinformation? dd(Select ddall ddthat ddapply. ddOne, ddsome, ddor ddall
ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddA. ddWhat ddlanguages ddare ddtypically
ddspoken ddin ddyour ddhome?
B. ddAre ddthere ddany ddspecial ddfoods ddthat ddyou ddlike ddto ddeat?
C. ddHow ddare ddmedical dddecisions ddmade ddin ddyour ddfamily?
D. ddWhat ddare ddsome ddactivities ddthat ddyou ddenjoy dddoing?
The ddnurse ddcomes ddto ddthe ddclient's ddroom, ddwhich ddis ddcrowded ddwith ddpeople.
ddSeveral ddconversations ddare ddgoing ddsimultaneously. ddTwo ddschool ddaged
ddchildren ddare ddquietly ddsitting ddon ddthe ddfloor ddplaying dda ddgame. ddWhich ddaction
ddshould ddthe ddnurse ddperform ddnext? dd- ddAnswer ddD. ddEstablish dda ddfamily
ddinformation ddand dddecision-making ddprotocol.
A ddfew ddhours ddlater, ddthe ddunlicensed ddassistive ddpersonnel dd(UAP) ddinforms ddthe
ddnurse ddthat ddthe ddclient ddhas ddrefused ddthe dddinner ddtray. ddAs ddthe ddnurse ddcomes
ddto ddthe ddclient's ddroom, ddthe ddmother ddopens dda ddsealed ddplastic ddbowl ddfull ddof
ddsoup ddand ddgives ddthe ddclient dda ddspoon. ddWhich ddintervention ddis ddthe ddmost
CASE STUDY QUESTIONS WITH
COMPLETE ANSWERS
Which ddpathophysiological ddprocess ddpromotes ddsystemic ddlupus dderythematosus
dd(SLE)? dd- ddAnswer ddD. ddProduction ddof ddautoantibodies ddagainst ddnucleic ddacids
ddand ddother ddself-components.
The ddinitial ddanticipated ddnursing ddintervention ddis ddto ddaccurately ddrecord ddthe
ddseverity ddof ddsystemic ddlupus dderythematosus dd(SLE) ddsymptoms. ddFor ddwhich
ddacute ddconditions ddshould ddthe ddnurse ddassess ddthe ddclient? dd(Select ddall ddthat
ddapply. ddOne, ddsome, ddor ddall ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddB. ddFever
ddpattern.
C. ddFatigue ddPattern
D. ddJoint ddInflammation
Which ddassessment ddfinding ddshould ddalert ddthe ddnurse ddthat ddteaching ddis ddneeded
ddto ddprevent ddskin ddbreakdown? dd- ddAnswer ddC. ddProminent ddtan ddlines ddon ddthe
ddback.
About ddwhich ddpotential ddcomplication ddof ddsystemic ddlupus dderythematosus dd(SLE)
ddshould ddthe ddnurse ddwarn ddthe ddclient? dd- ddAnswer ddC. ddIncreased ddrisk ddfor
ddbleeding ddor ddblood ddclotting
The ddhealthcare ddprovider ddhas ddwritten ddseveral ddadmission ddprescriptions ddfor ddthe
ddclient. ddWhich ddprescription ddshould ddthe ddnurse ddask ddthe ddhealthcare ddprovider
ddto ddclarify? dd- ddAnswer ddD. ddPrednisone ddPO dddaily.
The ddhealthcare ddprovider ddclarifies ddthe ddprescription ddas ddprednisone dd30mg ddPO
dddaily. ddThe ddnurse ddprepares ddto ddgive ddthe ddfirst dddose ddof ddprednisone. ddWhich
ddeducation ddelements ddshould ddthe ddnurse ddhighlight ddwith ddthe ddclient? dd(Select
ddall ddthat ddapply. ddOne, ddsome, ddor ddall ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer
ddA. ddDo ddnot ddsuddenly ddstop ddtaking ddthis ddmedication; ddit ddshould ddbe ddtapered.
B. ddDo ddnot ddhave ddany ddlive ddvirus ddvaccinations ddwhile ddtaking ddthis ddmedication.
C. ddTake ddthis ddmedication ddin ddthe ddmorning ddwith ddfood ddto ddavoid ddGI
dddisturbance.
, After ddgiving ddthe ddprednisone ddas ddprescribed, ddwhat ddshould ddthe ddnurse dddo
ddfirst? dd- ddAnswer ddD. ddSign ddthe dddrug ddoff ddin ddthe ddelectronic ddhealth ddrecord.
The ddnurse ddreturns ddto ddthe ddclient's ddroom ddto ddassess ddthe ddphysical ddresponse
ddto ddthe ddmedication ddtaken ddan ddhour ddago. ddThe ddclient ddis ddvery ddquiet. ddThe
ddnurse ddasks ddif ddthe ddclient ddis ddfeeling ddalright ddafter ddtaking ddthe ddprednisone,
ddand ddthere ddis dda ddhesitation ddfor dda ddmoment ddand ddthen ddsays, dd"yes." ddWhich
ddaction ddis ddthe ddbest ddresponse ddby ddthe ddnurse? dd- ddAnswer ddC. ddAsk ddthe
ddclient ddabout ddfeelings ddin ddgeneral ddright ddnow.
The ddnurse ddis ddconcerned ddthat ddthe ddclient ddis ddnot ddcoping ddvery ddwell ddwith ddthe
ddchronic ddillness ddand ddis ddvery ddquiet. ddWhich ddresponses ddare ddhelpful ddfor ddthe
ddnurse ddto ddgive ddthis ddclient? dd(Select ddall ddthat ddapply. ddOne, ddsome, ddor ddall
ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddA. ddHow ddare ddyou dddoing ddthis
ddafternoon?
D. ddWhat ddyou ddare ddexperiencing ddis ddvery ddhard.
The ddnurse ddis ddpreparing ddto dddevelop dda ddpersonalized ddcare ddplan ddfor ddthe
ddclient. ddWhich ddapproach ddto ddinitiating ddthis ddprocess ddwould ddbe ddmost
ddeffective? dd- ddAnswer ddA. ddAsk ddthe ddclient ddto dddescribe dda ddtypical ddday ddand
ddhow ddhealth ddfits ddinto ddthat.
The ddnurse ddis ddassessing ddthe ddimportance ddof ddclient ddculture ddand ddethnicity
ddwhile ddplanning ddcare ddwith ddthe ddclient. ddWhich ddquestions ddwould ddbe ddhelpful
ddfor ddgathering ddthis ddinformation? dd(Select ddall ddthat ddapply. ddOne, ddsome, ddor ddall
ddoptions ddmay ddbe ddcorrect.) dd- ddAnswer ddA. ddWhat ddlanguages ddare ddtypically
ddspoken ddin ddyour ddhome?
B. ddAre ddthere ddany ddspecial ddfoods ddthat ddyou ddlike ddto ddeat?
C. ddHow ddare ddmedical dddecisions ddmade ddin ddyour ddfamily?
D. ddWhat ddare ddsome ddactivities ddthat ddyou ddenjoy dddoing?
The ddnurse ddcomes ddto ddthe ddclient's ddroom, ddwhich ddis ddcrowded ddwith ddpeople.
ddSeveral ddconversations ddare ddgoing ddsimultaneously. ddTwo ddschool ddaged
ddchildren ddare ddquietly ddsitting ddon ddthe ddfloor ddplaying dda ddgame. ddWhich ddaction
ddshould ddthe ddnurse ddperform ddnext? dd- ddAnswer ddD. ddEstablish dda ddfamily
ddinformation ddand dddecision-making ddprotocol.
A ddfew ddhours ddlater, ddthe ddunlicensed ddassistive ddpersonnel dd(UAP) ddinforms ddthe
ddnurse ddthat ddthe ddclient ddhas ddrefused ddthe dddinner ddtray. ddAs ddthe ddnurse ddcomes
ddto ddthe ddclient's ddroom, ddthe ddmother ddopens dda ddsealed ddplastic ddbowl ddfull ddof
ddsoup ddand ddgives ddthe ddclient dda ddspoon. ddWhich ddintervention ddis ddthe ddmost
