FREE NURSING AND STUDY GAMES ABOUT WEEK 12

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FREE NURSING AND STUDY GAMES ABOUT WEEK 12

BSN246 EXAM QUESTIONS

Qs and Ans Expert- Explanation

This Exam contains:

-Guarantee passing score -18 Questions and Answers -format set of multiple-choice -Expert- Explanation Question 1: 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?

Answer:

• Assess the patient's mental status
• Monitor the patient's blood glucose levels

Question 2: 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?

Answer:

Use of prescribed procainamide Question 3: 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?

Answer:

• "Are you currently taking methotrexate?" - "Have you had an antiphospholipid antibody test?" - "Have

you and your partner started pregnancy counseling?"

Question 4: 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?

Answer:

• Melena

Question 5: 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?

Answer:

Celecoxib Question 6: 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)?

Answer:

• Urinalysis - Serum Complement test

Question 7: The nurse is caring for a newly admitted patient with an exacerbation of systemic lupus erythematosus (SLE). Which interventions should the nurse perform?

Answer:

• Collect frequent urine samples - Check patient for signs of hemorrhage - Monitor the patient's intake

and output.Question 8: 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?

Answer:

"Have you spent time outside during the day lately?" Question 9: 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?

Answer:

"I plan to do meditation daily and take time for myself."

Question 10: A patient is undergoing diagnostic testing for suspected systemic lupus erythematosus (SLE). Which assessment findings may help confirm the diagnosis?

Answer:

• Malar rash - Photosensitivity - Multiple swollen and painful joints

Question 11: A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during an exacerbation of SLE. Which response from the nurse is appropriate?

Answer:

"Your body is making antibodies that attack the proteins in your DNA." Question 12: Which finding in a patient with systemic lupus erythematosus (SLE) would indicate possible kidney damage?

Answer:

Protein in the urine Question 13: Which factor could trigger an exacerbation of systemic lupus erythematosus

(SLE)?

Answer:

Ultraviolet (UV) light exposure Question 14: Which plasma proteins and blood cells are affected by the autoimmune response in systemic lupus erythematosus (SLE)?

Answer:

• Platelets -Lymphocytes - Clotting factors

Question 15: A patient diagnosed with systemic lupus erythematosus (SLE) is taking methotrexate. Which instruction should the nurse provide to the patient?

Answer:

"You need to take a folic acid supplement." Question 16: 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)?

Answer:

• Anti-DNA antibody test - Antiphospholipid antibody test - Antinuclear antibody (ANA) test

Question 17: 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?

Answer:

• Blood in the urine - Facial butterfly rash

Question 18: Which instructions should the nurse include in the teaching plan when educating a patient and his or her caregiver about systemic lupus erythematosus (SLE)?

Answer:

"Avoid excessive exercise in order to conserve your energy."