NR 464 Exam 3 – Study Guide, Practice Questions & Revision Notes
A client is hospitalized with Systemic Lupus Erythematosus (SLE). Which of the following
findings, if found in this client, is the most important sign that may precede or indicate an acute
exacerbation or "flare" of SLE?
a. Heart rate of 60 beats per minute
a. Core body temperature of 38.5 degrees Celsius (101.3 degrees Fahrenheit)
c. Discoid lesions on chest
d. Client complains of numbness and tingling in legs - ANS ✔✔a. Core body temperature of 38.5
degrees Celsius (101.3 degrees Fahrenheit)
fever, weight loss, arthralgia, excessive fatigue = flare up symptoms
Which statement by a new client newly diagnosed with Systemic Lupus Erythematosus (SLE)
indicates that the client has understood the nurse's teaching about the condition?
a. "I will exercise even if I am tired."
b. "I will use sunscreen when I am outside."
c. "I should avoid taking nonsteroidal antiinflammatory drugs (NSAIDS) for my joint pain."
d. "'I know that I should never get pregnant." - ANS ✔✔b. "I will use sunscreen when I am
outside."
,they get photophobia and UV light can cause exacerbation of SLE
The nurse is caring for a client with Systemic Lupus Erythematosus (SLE) who is suspected of
lupus nephritis. Which of the following lab assessment findings would indicate to the nurse that
the client is experiencing this serious complication?
a. Hemoglobin in high normal range
b. Decreased serum blood urea nitrogen.
c. Increased serum red blood cells (RBCs).
d. Proteinuria. - ANS ✔✔d. Proteinuria.
Early sign of Lupus Nephritis (GN), leads to ESKD
A client has presented to the clinic with the diagnosis of Systemic Lupus Erythematosus (SLE) w/
joint pain + fatigue. What other s/sx are often noted in clients with SLE? (Select all that apply).
a. Alopecia
b. Oral ulcers
c. Hyperactivity
d. Butterfly (or malar) rash - ANS ✔✔a. Alopecia
, b. Oral ulcers
d. Butterfly (or malar) rash
A nurse is providing home care instructions to a client with Systemic Lupus Erythematosus (SLE).
Which of the following would not be on the list of instructions for the client about methods to
manage fatigue?
a. Avoid working long hours out of the home
b. Rest whenever possible
c. Engage in rigorous workout every day until you are fatigued
d. Learn how to pace your daily activities to prevent flare-ups. - ANS ✔✔c. Engage in rigorous
workout every day until you are fatigued
need to rest chronically and that it is unpredictable in flaring
What will the nurse include in a teaching plan for a client with rheumatoid arthritis to help the
client manage morning stiffness?
a. Instruct the client to purchase a soft mattress.
b. Suggest exercise with light weights several times daily.
A client is hospitalized with Systemic Lupus Erythematosus (SLE). Which of the following
findings, if found in this client, is the most important sign that may precede or indicate an acute
exacerbation or "flare" of SLE?
a. Heart rate of 60 beats per minute
a. Core body temperature of 38.5 degrees Celsius (101.3 degrees Fahrenheit)
c. Discoid lesions on chest
d. Client complains of numbness and tingling in legs - ANS ✔✔a. Core body temperature of 38.5
degrees Celsius (101.3 degrees Fahrenheit)
fever, weight loss, arthralgia, excessive fatigue = flare up symptoms
Which statement by a new client newly diagnosed with Systemic Lupus Erythematosus (SLE)
indicates that the client has understood the nurse's teaching about the condition?
a. "I will exercise even if I am tired."
b. "I will use sunscreen when I am outside."
c. "I should avoid taking nonsteroidal antiinflammatory drugs (NSAIDS) for my joint pain."
d. "'I know that I should never get pregnant." - ANS ✔✔b. "I will use sunscreen when I am
outside."
,they get photophobia and UV light can cause exacerbation of SLE
The nurse is caring for a client with Systemic Lupus Erythematosus (SLE) who is suspected of
lupus nephritis. Which of the following lab assessment findings would indicate to the nurse that
the client is experiencing this serious complication?
a. Hemoglobin in high normal range
b. Decreased serum blood urea nitrogen.
c. Increased serum red blood cells (RBCs).
d. Proteinuria. - ANS ✔✔d. Proteinuria.
Early sign of Lupus Nephritis (GN), leads to ESKD
A client has presented to the clinic with the diagnosis of Systemic Lupus Erythematosus (SLE) w/
joint pain + fatigue. What other s/sx are often noted in clients with SLE? (Select all that apply).
a. Alopecia
b. Oral ulcers
c. Hyperactivity
d. Butterfly (or malar) rash - ANS ✔✔a. Alopecia
, b. Oral ulcers
d. Butterfly (or malar) rash
A nurse is providing home care instructions to a client with Systemic Lupus Erythematosus (SLE).
Which of the following would not be on the list of instructions for the client about methods to
manage fatigue?
a. Avoid working long hours out of the home
b. Rest whenever possible
c. Engage in rigorous workout every day until you are fatigued
d. Learn how to pace your daily activities to prevent flare-ups. - ANS ✔✔c. Engage in rigorous
workout every day until you are fatigued
need to rest chronically and that it is unpredictable in flaring
What will the nurse include in a teaching plan for a client with rheumatoid arthritis to help the
client manage morning stiffness?
a. Instruct the client to purchase a soft mattress.
b. Suggest exercise with light weights several times daily.
