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concept of nursing 1
systemic lupus erythematosus
Question | Answer |
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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 a 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 antinuclear antibodies. 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?” |