ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO
PASS NURS 211 EXAM//GRADED A+
A Nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following
findings should the nurse expect?
Facial rash
Thickened skin
Chronic back pain
Iritis - ANSWER-Facial rash
Rationale: SLE causes a characteristic facial "butterfly" rash that is dry, scaly, red, and raised
A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE).
Which of the following instructions should the nurse include?
Avoid using moisturizing lotions on the skin
Wash the hair with a mild protein shampoo.
Apply powder liberally to sensitive skin areas.
Use a sun-blocking agent with a sun protection of at least 15. - ANSWER-Use a sun-blocking agent
with a sun protection of at least 15.
Rationale: Clients who have SLE are prone to hair loss. They should use a mild protein shampoo and
... avoid treatments that can damage the hair and scalp, such as dyes and permanents.
Clients who have SLE should not use powder or other drying skin products on their skin. Clients who
have SLE should apply non-perfumed moisturizing lotions liberally to the skin
A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks
where this disease originates within the body. The nurse should tell the client that SLE originates in
which of the following locations in the body?
Connective tissue
,Muscle tissue
Peripheral vascular system - ANSWER-Connective tissue
Rationale: SLE originates in the connective tissues of the body and affects all organ systems.
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following
findings is the highest priority for the nurse to report to the provider?
Client reports mild feelings of depression
Dry, raised rash on the face.
Presence of sudden peripheral edema.
Joint pain in hands and knees. - ANSWER-Presence of sudden peripheral edema.
Rationale: The client who has SLE is at greatest risk for death from lupus nephritis. Therefore,
according to the safety and risk reduction priority setting framework, findings that indicate an
impairment of renal function are the highest priority to report.
Rationale: The client who has SLE commonly reports joint pain and rash. However, according to
Rationale: The client who has SLE commonly reports feelings of depression. However, according to
the safety and risk reduction priority setting framework, these other findings are not the highest
priority.
A nurse is assessing a client who is taking hydroxychloroquine. The nurse should report which of the
following adverse effects to the provider immediately?
Blurry vision
Diarrhea
Fatigue
Pruritus - ANSWER-Blurry Vision
Rationale: When using the urgent vs non-urgent approach to client care, the nurse should determine
that the priority finding to report to the provider is blurred vision, as this is a manifestation of
hydroxychloroquine toxicity and can be an indication of retinal damage.
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE).
The nurse should recognize the need for further teaching when the client identifies which of the
following as a factor that can exacerbate SLE?
, Exercise
Infection
Pregnancy
Sunlight - ANSWER-Exercise
Rationale: Deconditioning and muscle atrophy occurs as a result of lack of mobility. The nurse should
encourage client to engage in conditioning exercises alternated with periods of rest.
Rationale:Exposure to sunlight and artificial ultraviolet light can cause for an exacerbation of SLE
manifestations, especially the characteristic skin manifestations of lesions and butterfly rash.
Rationale:Pregnancy can cause an exacerbation of SLE, probably due to hormonal changes. The client
should be advised of the risks and must be monitored closely for effects on the renal and
cardiovascular systems if she decides to get pregnant.
Rationale:Infection is a major stressor on the body and can trigger an exacerbation of the SLE disease
process. In addition, many clients who have SLE take steroid medications that place them at higher
risk for infection.
A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the
following findings is a late manifestation of this condition?
Anorexia
Knuckle deformity
Low-grade fever - ANSWER-Knuckle deformity
Rationale: Joint deformity is a late manifestation of RA.
A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by
intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site
itches and that he feels dizzy and short of breath. Which of the following actions should the nurse
take first?
Stop the infusion.
Call the client's provider.
Elevate the head of the bed