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Lupus NCLEX Practice Questions with Correct Answers The nurse is preparing a presentation on systemic lupus erythematosus (SLE). Which statement should the nurse include? (Select all that apply.) A. The etiology is known to be linked to environmental factors. B. Manifestations can be mild to f...

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  • November 11, 2024
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Lupus NCLEX Practice Questions with

Correct Answers


The nurse is preparing a presentation on systemic lupus erythematosus (SLE). Which statement should

the nurse include? (Select all that apply.)


A. The etiology is known to be linked to environmental factors.


B. Manifestations can be mild to fatal, with remissions and exacerbations.


C. The immune complex deposits trigger an inflammatory response.


D. SLE is a result of deposition of antigen-antibody complexes in connective tissues.


E. The inflammatory response leads to anaphylactic shock. - ANSWER✔✔-B. Manifestations can be mild

to fatal, with remissions and exacerbations.


C. The immune complex deposits trigger an inflammatory response.


D. SLE is a result of deposition of antigen-antibody complexes in connective tissues.




The pathophysiology of systemic lupus erythematosus is a result of the formation of


antigen-antibody immunocomplexes that are deposited in the connective tissue and trigger an

inflammatory response. The manifestations of the disease can be mild to fatal, and remissions are

followed by exacerbations. The inflammatory response leads to tissue damage but not anaphylactic




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shock (allergic reaction). Although the exact etiology of SLE is unknown, genetic, ethnic, environmental,

and hormonal factors play a role in its development.


The nurse is assessing a client with systemic lupus erythematosus (SLE). Which clinical manifestation

should the nurse expect to observe? (Select all that apply.)




A. Red butterfly rash on the face


B. Alopecia


C. Psoriatic lesions


D. Painful or swollen joints


E. Leg and eye edema - ANSWER✔✔-A. Red butterfly rash on the face


B. Alopecia


D. Painful or swollen joints


E. Leg and eye edema




Rationale: Painful swollen joints, alopecia, red butterfly rash on the face, and leg and eye edema are all

characteristics of SLE. Psoriatic lesions are caused by psoriasis, which is an autoimmune disease

characterized by patches of abnormal skin.


The nurse is assessing a client with systemic lupus erythematosus (SLE). Which manifestation should the

nurse recognize as a result of inflammation? (Select all that apply.)




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A. Cough


B. Malaise


C. Maculopapular rash


D. Joint pain


E.Fever - ANSWER✔✔-B. Malaise


C. Maculopapular rash


D. Joint pain


E. Fever




In SLE, the immunocomplexes that are deposited in the connective tissue trigger an inflammatory

response. Joint pain, fever, malaise, and maculopapular rash are all signs of the inflammation that result

from local tissue damage. A cough is a sign of infection, not of inflammation resulting from tissue

damage.


A client diagnosed with systemic lupus erythematosus (SLE) is experiencing pulmonary interstitial

fibrosis. Which classification of lupus should the nurse suspect?




A. Systemic


B. Drug-induced


C. Discoid


D. Cutaneous - ANSWER✔✔-A. Systemic

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