What are the symptoms of systemic lupus erythematosus (SLE)?
Rationale: SLE is a chronic, autoimmune disease that affects connective tissue; joint pain is common. A butterfly rash is characteristic of SLE. Pericarditis is the most common cardiac indicator of SLE. Weight loss, not gain, is a classic sign of SLE because of gastrointestinal effects.
What clinical manifestations does a nurse expect a client with SLE to exhibit?
1. Dyspnea 2. Chest pain 3. Tachypnea 4. Increased pulse rate 5. Elevated blood pressure 3. Tachypnea 4. Increased pulse rate What clinical manifestations does a nurse expect a client with systemic lupus erythematosus (SLE) most likely to exhibit? (Select all that apply.) 1. Joint pain 2. Facial rash 3. Pericarditis 4. Weight gain 5. Hypotension 1.
What does a nurse plan to do for a SLE patient?
A nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is to begin treatment for systemic manifestations. Which of the following types of medications should the nurse plan to administer?
What is not a major nursing concern for clients with tetanus (lockjaw)?
Monitoring urinary output is not a major nursing concern for clients with tetanus. Body alignment is not an important consideration for clients with tetanus. Oral intake of fluids may not be possible because of excessive secretions and laryngospasms. The nurse is caring for a client with sepsis, who is hemodynamically stable.
How does an IUD work?
The IUD works by changing the lining of the uterus and fallopian tubes, making fertilization in the uterus more difficult. Consequently, an IUD increases the risk for ectopic pregnancy.] A nurse is assessing a preschooler who has recurrent and persistent otitis media.
What should a nurse monitor for during pregnancy?
Therefore, the nurse should monitor the client for crackles in the lung fields, which is an indication of aspiration.] A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy.
How old is a nurse when she is assessing a client?
A nurse is assessing a 66-year-old client during a routine physical examination at her first clinic visit and does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at least 5 years since I had any immunizations.".
What is hemothorax in nursing?
Hemothorax [The nurse should apply the survival potential priority-setting framework. The nurse should reserve the use of this framework for mass casualty situations, when resources are scarce and he must allocate resources to save the greatest number of lives.
What is the priority for a nurse to report to the provider?
r- [The nurse should apply the urgent versus non-urgent priority-setting framework. hyperkalemia, which can cause life-threatening cardiac dysrhythmias, is the priority for the nurse to report to the provider. A nurse is facilitating a group discussion with preschool teachers about child abuse.
What is a nurse teaching a parent?
A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent?
What is a nasal cannula?
A nasal cannula [A nasal cannula delivers precise concentrations of oxygen; therefore, it is an appropriate device for a client who has COPD and requires a precise percentage of inspired oxygen.] A nurse is caring for a client who has dehydration and has developed hypovolemic shock.
How many units of insulin do nurses need?
A nurse is caring for a client who has a prescription 5 units of regular insulin and 10 units of NPH insulin to mix together and to administer subcutaneously. Determine the correct order of steps for this procedure. 1. Inject 5 units of air into the bottle of regular insulin. 2.
What is a charge nurse?
A charge nurse is discussing the responsibility of nurses caring for clients who have a C. diff infection Which of the following information should the nurse include in the teaching?
What does a chronically ill client tell the home care nurse?
A chronically ill, older client tells the home care nurse that the daughter with whom the client lives seems run-down and disinterested in her own health, as well as the health of her children, who are 5, 7, and 12 years old. The client tells the nurse that the daughter coughs a good deal and sleeps a lot. Why is it important that the nurse pursue ...
What is a nurse caring for?
If the baby is breastfeeding. A nurse is caring for a client who has been taking several antibiotic medications for a prolonged time. Because long-term use of antibiotics interferes with the absorption of fat, the nurse anticipates a prescription for: 1.
What is the meaning of "sensitivity test"?
Sedimentation rate. 2. Sensitivity test. A nurse is caring for a client who has been taking several antibiotic medications for a prolonged time. Because long-term use of antibiotics interferes with the absorption of fat, the nurse anticipates a prescription.
What is a priority intervention in nursing?
A priority nursing intervention is to: 1. Administer the prescribed antipyretic and notify the charge nurse or primary health care provider. 2. Obtain the respirations, pulse, and blood pressure; recheck the temperature in one hour. 3. Assess the amount and color of urine; obtain a specimen for a urinalysis. 4.
Is tuberculosis decreasing in the US?
Death from tuberculosis has been generally on the decrease in the United States. 1. Older adults with chronic illness are more susceptible to tuberculosis. A nurse is caring for a client with a diagnosis of acute salpingitis.
What causes grotesque facial expressions?
Toxins from bacilli invade nervous tissue, causing spastic contraction of voluntary muscles. Tetanus causes spasms of facial muscles, resulting in a grotesque grinning expression (risus sardonicus) and spasms of masticatory muscles (trismus), not atony of facial muscles.
What is the most common cardiac indicator of SLE?
Pericarditis is the most common cardiac indicator of SLE. Weight loss, not gain, is a classic sign of SLE because of gastrointestinal effects. Renal impairment with SLE may cause hypertension, not hypotension. A client is admitted with the diagnosis of tetanus.
Why is my neck stiff?
Rationale: Rabies, an acute infectious disease affecting the central nervous system (CNS), causes stiffness of the back of the neck (nuchal rigidity). Painful pharyngeal spasms when swallowing or even looking at water are responsible for the use of the term hydrophobia to refer to rabies.
How many exchanges of air per hour?
The client should be placed in a room that has at least six exchanges of air per hour and is ventilated to the outside. Care givers should wear a high-efficiency particulate air respirator. A chest x-ray study is the quickest way to determine the presence of suspicious lesions in the lung.
What is active immunity?
Rationale: Active immunity occurs when the individual's cells produce antibodies in response to an agent or its products; these antibodies will destroy the agent (antigen) should it enter the body again. Antigens do not fight antibodies; they trigger antibody formation that in turn attacks the antigen.
What to do when WBC is low?
When the WBC is low, the client should avoid changing the litter box, and cups and glasses should not be reused.
What is a nurse caring for?
A nurse is caring for a client with a negative-pressure wound treatment device. What should the nurse explain to the client about how this system helps prevent a wound infection?