COMPLETE STUDY GUIDE WITH
ACCURATE ANSWERS
⩥ 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."
SLE is an autoimmune disease. An individual with SLE develops
antibodies that attack the proteins found in his or her DNA.
⩥ Which finding in a patient with systemic lupus erythematosus (SLE)
would indicate possible kidney damage? Answer: Protein in the urine
Proteinuria is a common finding in patients with SLE and indicates
possible kidney damage.
⩥ 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."
Methotrexate depletes folic acid. Therefore supplementation is required.
, ⩥ 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
Celecoxib is a nonsteroidal antiinflammatory drug that is prescribed to
treat arthritic pain related to SLE.
⩥ 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)? Answer:
Urinalysis-
Urinalysis can confirm whether there is protein or any other indicator of
kidney disease in the urine, which is a positive indicator of SLE.
Serum complement test-
A serum complement test will confirm serositis, which is a positive
indicator of SLE.
⩥ 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."