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NUR 211 Quiz 5 With Verified Answers
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NUR 211 Quiz 5 With Verified Answers 2024-2025A Nurse is evaluating a client with systemic lupus erythematosus. Which of the following
findings should the nurse anticipate?
Facial rash
Thickened skin
Chronic back pain
Iritis - ANSWER Facial rash
Rationale: SLE produces a classic facial "butterfly" rash that is dry, scaly, red, and
raised
A nurse is preparing a client for discharge after a diagnosis of systemic lupus
erythematosus. Which of the following instructions should the nurse give?
This will help in avoiding the application of moisturizing lotions on the skin
Wash hair with a mild protein shampoo.
Apply powder liberally to tenderized skin.
Sun-blocking agent to be applied should at least be sun protection factor 15. - ANS Use
a sun-blocking agent of at least sun protection factor 15.
,Rationale: SLE clients are at risk for alopecia. They should be suggested a mild protein
shampoo and. avoid treatments that can damage the hair and scalp such as dyes and
permanents.
Skin should not be treated with powder or other drying products. Nonperfumed
moisturizing lotions should be liberally applied to the skin.
A nurse is caring for a client who is newly diagnosed with systemic lupus
erythematosus. The client asks the nurse where in the body this disease originates. The
nurse should respond that SLE originates in which of the following areas of the body?
Connective tissue
Muscle tissue
Peripheral vascular system - ANSWER Connective tissue
Rationale: SLE is initiated in the connective tissues of the body and involves all body
systems.
A nurse is assessing a client with systemic lupus erythematosus SLE. Among the
following, which is the priority finding that the nurse should notify the provider about?
Client reports mild depression
Red, scaly rash across the bridge of the face
Acute onset of peripheral edema.
Painful joints of hands and knees. - ANSWER Acute onset of peripheral edema.
, Rationale: A client with SLE has the highest risk for death related to lupus nephritis. The
safety and risk reduction priority setting framework prioritizes findings that indicate
impairment of renal function.
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 Blurred Vision
Rationale: Using the urgent vs non-urgent approach to client care, the nurse should
recognize that the priority finding to communicate to the provider is blurred vision,
because this is a symptom of hydroxychloroquine toxicity and may be indicative of
damage to the retina.
A nurse is performing teaching for a female client who was recently diagnosed with
systemic lupus erythematosus. The nurse should recognize that the client needs
additional teaching when the client identifies which of the following as exacerbating
SLE?
Exercise
Infection
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