NUR 504 Exam 2 Study Set with Questions and Answers

NUR 504 Exam 2 Study Set with Questions and Answers A nurse is teaching a client with systemic lupus erythematosus (SLE) about self-care strategies. Which client statement indicates a need for further teaching? A) "I should avoid prolonged sun exposure." B) "I will take my corticosteroids even when my symptoms improve." C) "I should drink more fluids when I have a fever." D) "I can stop taking my hydroxychloroquine when my symptoms go away." ANSWER D) INCORRECT. Clients with SLE should not stop hydroxychloroquine even if symptoms improve, as it helps prevent disease flares. A, B, and C are CORRECT. Avoiding sun exposure reduces skin flares, corticosteroids should be continued as prescribed, and staying hydrated is essential during febrile episodes. A nurse is reviewing a client's lab results. Which of the following findings is most concerning in a client diagnosed with HIV? A) CD4+ T-cell count of 650/mm³ B) White blood cell (WBC) count of 6,000/mm³ C) Platelet count of 200,000/mm³ D) CD4+ T-cell count of 180/mm³ ANSWER D) INCORRECT. A CD4+ T-cell count below 200/mm³ is diagnostic of AIDS, increasing susceptibility to opportunistic infections. A, B, and C are NORMAL values for clients with HIV and do not indicate immediate concern. The nurse is caring for a client newly diagnosed with HIV. Which statement by the client requires immediate follow-up?