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Week 12 BSN246
Week 12 Systemic Lupus Erythematosus
| Question | Answer |
|---|---|
| Which factor could trigger an exacerbation of systemic lupus erythematosus (SLE)? | Ultraviolet (UV) light exposure |
| Which plasma proteins and blood cells are affected by the autoimmune response in systemic lupus erythematosus (SLE)? | - Platelets -Lymphocytes - Clotting factors |
| A patient with suspected systemic lupus erythematosus (SLE) asks the nurse which symptoms of the disease are likely to occur. Which manifestations should the nurse include? | - Blood in the urine - Facial butterfly rash |
| A patient is undergoing diagnostic testing for suspected systemic lupus erythematosus (SLE). Which assessment findings may help confirm the diagnosis? | - Malar rash - Photosensitivity - Multiple swollen and painful joints |
| A female patient presents to the primary care clinic with a reddened, raised rash over her nose and cheeks. Which laboratory test would the nurse anticipate being ordered by the provider to confirm a diagnosis of systemic lupus eythematosus (SLE)? | - Anti-DNA antibody test - Antiphospholipid antibody test - Antinuclear antibody (ANA) test |
| A patient with systemic lupus erythematosus (SLE) is receiving nonsteroidal anti-inflammatory drug (NSAID) therapy. Which side effect of NSAID therapy should the nurse immediately report to the health care provider? | - Melena |
| Which instructions should the nurse include in the teaching plan when educating a patient and his or her caregiver about systemic lupus erythematosus (SLE)? | "Avoid excessive exercise in order to conserve your energy." |
| A patient with systemic lupus erythematosus (SLE) presents with a malar and discoid rash. As the nurse is assessing the patient, which question should the nurse ask? | "Have you spent time outside during the day lately?" |
| The nurse is caring for a newly admitted patient with an exacerbation of systemic lupus erythematosus (SLE). Which interventions should the nurse perform? | - Collect frequent urine samples - Check patient for signs of hemorrhage - Monitor the patient's intake and output. |
| The nurse is caring for a patient with a new diagnosis of systemic lupus erythematosus (SLE). The patient denies a family history of this disease. Which information in the patient's history identifies a likely cause of the onset of symptoms? | Use of prescribed procainamide |
| A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during an exacerbation of SLE. Which response from the nurse is appropriate? | “Your body is making antibodies that attack the proteins in your DNA.” |
| Which finding in a patient with systemic lupus erythematosus (SLE) would indicate possible kidney damage? | Protein in the urine |
| A patient diagnosed with systemic lupus erythematosus (SLE) is taking methotrexate. Which instruction should the nurse provide to the patient? | “You need to take a folic acid supplement.” |
| A nurse is caring for a patient with systemic lupus erythematosus (SLE) who reports having mild pain and swelling in the hands. Which medication would the nurse anticipate the health care provider to prescribe? | Celecoxib |
| A female patient comes to the emergency department with a butterfly rash and tests positive for antin Which additional tests would the nurse anticipate to be ordered by the health care provider to confirm a diagnosis of systemic lupus erythematosus (SLE)? | - Urinalysis - Serum Complement test |
| The nurse has established a goal of verbalizing an understanding of activities to prevent exacerbations with a female patient with systemic lupus erythematosus (SLE). Which statement made by the patient would support this goal? | “I plan to do meditation daily and take time for myself.” |
| A nurse is caring for a patient diagnosed with systemic lupus erythematosus (SLE) who has been on a long-term regimen of methylprednisolone. Which precautions should the nurse take to prevent complications of the treatment? | - Assess the patient’s mental status - Monitor the patient’s blood glucose levels |
| A patient with systemic lupus erythematosus (SLE) mentions to the nurse that she is trying to conceive. Which questions should the nurse ask to address potential pregnancy complications? | - “Are you currently taking methotrexate?” - “Have you had an antiphospholipid antibody test?” - “Have you and your partner started pregnancy counseling?” |
Created by:
Brandi Sizemore
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