MSN 277 final/exam4 Sakai Self-Assessment Quizzes Questions With Complete Solutions

(rheumatic) A 24 year old female patient with SLE tells the nurse she wants to have a baby and is considering getting pregnant. Which response by the nurse is most appropriate? A. "Temporary remission of your signs and symptoms are common during pregnancy." B. "SLE symptoms usually peak during the first trimester." C. "Autoantibodies transferred to the baby during pregnancy will cause congenital heart defects." D. "The best time to plan pregnancy is during a remission when the symptoms are a minimum." correct answer: D. "The best time to plan pregnancy is during a remission when the symptoms are a minimum." (rheumatic) A patient being seen in the clinic has rheumatoid nodules on the elbows. Which action will the nurse take? A. Draw blood for rheumatoid factor analysis B. Teach the patient about injections for the nodules C. Assess the nodules for skin breakdown or infection D. Discuss the need for surgical removal of the nodules correct answer: C. Assess the nodules for skin breakdown or infection Feedback:Skin breakdown is common with RA and the skin provides an immune barrier preventing pathogens from entering the body. The skin should be assessed and S/S of infection should be noted if present.