NR 603 WEEK 7 EXAM QUESTIONS &
ACCURATE COMPLETE SOLUTIONS
ALL PASSED
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? - Correct Answer
✔✔ Use of prescribed procainamide
At least 40 prescription medications, including procainamide, can lead to the
development of SLE.
A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during
an exacerbation of SLE. Which response from the nurse is appropriate? - Correct
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? - Correct 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? - Correct 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? - Correct 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)? - Correct 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? - Correct Answer ✔✔ "I plan to
do meditation daily and take time for myself."
The patient's statement that she plans to meditate and set aside time for herself every
day indicates that she understands the impact of stress on the disease process.
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? - Correct Answer ✔✔ Assess the
patient's mental status-
The patient is taking methylprednisolone, which can cause psychosis in high doses.
Therefore the nurse should carefully monitor the patient's mental status and report any
changes, such as confusion, to the health care provider.
Monitor the patient's blood glucose levels-
A patient taking methylprednisolone can have a long-term complication of
hyperglycemia, so the nurse should carefully monitor this 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? - Correct Answer ✔✔ "Are you currently taking
methotrexate?"
Methotrexate is a medication used to manage SLE symptoms that can cause birth
defects or miscarriages. The patient should know about the side effects of methotrexate
if she is trying to become pregnant and should speak to the health care provider about
steps that can be taken.
"Are you currently taking methotrexate?"
Methotrexate is a medication used to manage SLE symptoms that can cause birth
defects or miscarriages. The patient should know about the side effects of methotrexate
if she is trying to become pregnant and should speak to the health care provider about
steps that can be taken.
"Have you and your partner started pregnancy counseling?"
The nurse should ask the patient about pregnancy counseling because counseling will
help the patient identify potential complications that may affect pregnancy.
ACCURATE COMPLETE SOLUTIONS
ALL PASSED
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? - Correct Answer
✔✔ Use of prescribed procainamide
At least 40 prescription medications, including procainamide, can lead to the
development of SLE.
A patient with systemic lupus erythematosus (SLE) asks the nurse what happens during
an exacerbation of SLE. Which response from the nurse is appropriate? - Correct
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? - Correct 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? - Correct 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? - Correct 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)? - Correct 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? - Correct Answer ✔✔ "I plan to
do meditation daily and take time for myself."
The patient's statement that she plans to meditate and set aside time for herself every
day indicates that she understands the impact of stress on the disease process.
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? - Correct Answer ✔✔ Assess the
patient's mental status-
The patient is taking methylprednisolone, which can cause psychosis in high doses.
Therefore the nurse should carefully monitor the patient's mental status and report any
changes, such as confusion, to the health care provider.
Monitor the patient's blood glucose levels-
A patient taking methylprednisolone can have a long-term complication of
hyperglycemia, so the nurse should carefully monitor this 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? - Correct Answer ✔✔ "Are you currently taking
methotrexate?"
Methotrexate is a medication used to manage SLE symptoms that can cause birth
defects or miscarriages. The patient should know about the side effects of methotrexate
if she is trying to become pregnant and should speak to the health care provider about
steps that can be taken.
"Are you currently taking methotrexate?"
Methotrexate is a medication used to manage SLE symptoms that can cause birth
defects or miscarriages. The patient should know about the side effects of methotrexate
if she is trying to become pregnant and should speak to the health care provider about
steps that can be taken.
"Have you and your partner started pregnancy counseling?"
The nurse should ask the patient about pregnancy counseling because counseling will
help the patient identify potential complications that may affect pregnancy.
