Systemic Lupus Erythematosus
Quiz by rhianna dunn
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- Q1
The nurse is preparing a presentation on systemic lupus erythematosus (SLE). Which statement should the nurse include?
The immune complex deposits trigger an inflammatory response.
The inflammatory response leads to anaphylactic shock.
The etiology is known to be linked to environmental factors.
60s - Q2
A client diagnosed with lupus erythematosus is experiencing pulmonary interstitial fibrosis. Which classification of lupus should the nurse suspect?
drug-induced
cutaneous
discoid
systemic
60s - Q3
The nurse is caring for a client with systemic lupus erythematosus (SLE). Which system should the nurse consider as being most affected by the formation of immune complexes and tissue damage?
Integumentary
Respiratory
Cardiac
Renal
60s - Q4
The laboratory results of a client with systemic lupus erythematosus (SLE) indicates anemia. Which collaborative therapy should the nurse anticipate?
Administering erythropoietin
Administering corticosteroids
Treating the underlying cause
Performing a splenectomy
60s - Q5
A client with a history of systemic lupus erythematosus (SLE) anxiously states, "My chest hurts when I lie down. I think it is from coughing so much. Please sit me up." Which condition should the nurse first suspect?
Myocardial infarction
Pericarditis
Anemia
Thrombocytopenia
60s - Q6
The nurse is caring for a pregnant client with systemic lupus erythematosus (SLE). Which neonatal complication related to maternal lupus should the nurse anticipate the fetus to be tested for during the second trimester of pregnancy?
Congenital heart block (CHB)
Liver involvement
Anemia
Renal anomalies
60s - Q7
An older adult client is experiencing an acute episode of systemic lupus erythematosus (SLE). Which primary concern should the nurse consider when administering newly prescribed medications?
Renal function
Neurological function
Respiratory function
Cardiovascular function
60s - Q8
The nurse is teaching a client newly diagnosed with systemic lupus erythematosus (SLE). Which information should the nurse include in the client's teaching?
Avoiding large crowds
Using high-dose birth control pills
Using only acetaminophen for pain relief
Increasing daily sun exposure
60s - Q9
The nurse is reviewing medications ordered for a newly admitted female client with systemic lupus erythematosus (SLE). Which medication order should the nurse question?
Immunosuppressive
Corticosteroid
Oral contraceptive
Antineoplastic
60s - Q10
Which laboratory test is NOT used in the diagnosis of systemic lupus erythematosus (SLE)?
Triglyceride levels
Erythrocyte sedimentation rate (ESR)
Urinalysis
Complete blood count (CBC)
Anti-DNA antibody testing
60s - Q11
The nurse is teaching a new colleague the effects of drugs used for clients with systemic lupus erythematosus (SLE). Which statement by the colleague indicates the need for further teaching?
"Corticosteroid therapy can cause cushingoid effects."
"If a cytotoxic agent is prescribed, infection may occur."
"Thrombosis prevention is a positive side effect with aspirin therapy."
"When the client is on aspirin therapy, I should monitor for renal toxicity."
60s - Q12
A client diagnosed with systemic lupus erythematosus (SLE) presents with fatigue, joint pain, oral ulcers, and a red rash over the face and upper trunk. Which collaborative therapy should the nurse expect to implement?
Antibiotic therapy
Corticosteroid therapy
Surgical drainage of affected joints
Physical therapy to improve mobility
60s - Q13
The nurse is planning care for an adolescent client with systemic lupus erythematosus (SLE). Which nursing diagnosis is a special consideration for this client?
Memory, Impaired
Body Image, Disturbed
Infection, Risk for
Fluid Volume: Imbalanced, Risk for
60s - Q14
The nurse is admitting a client with systemic lupus erythematosus (SLE) for an upper respiratory infection. Which nursing goal is the priority?
The client can verbalize the impact of the diagnosis to the healthcare provider.
The client can verbalize the importance of oral care.
The client can verbalize skin care needs to reduce the risk of altered skin integrity.
The client demonstrates proper hand hygiene.
60s - Q15
The nurse is providing teaching for a client diagnosed with systemic lupus erythematosus (SLE) experiencing alterations in skin integrity. Which client statement indicates effective teaching?
"I will limit the use of cosmetics."
"I will cover the lesions on my head with a wig."
"I will use fluorescent lighting."
"I will apply sunscreen immediately prior to going outdoors."
60s