NUR 211 EXAM 2022/2023 ACCURATE FINAL EXAM QUESTIONS GUARANTEED PASS RATE WITH RATIONALES LATEST UPDATE

NUR 211 EXAM 2022/2023 ACCURATE FINAL EXAM QUESTIONS GUARANTEED PASS RATE WITH RATIONALES LATEST UPDATE A Nurse is assess ing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? Facial rash Thickened skin Chronic back pain Iritis Facial rash Rationale: SLE causes a characteristic facial "butterfly" rash that is dr y, scaly, red, and raised A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include? Avoid using moisturizing lotions on the skin Wash the hair with a mild protein shampoo. Apply powder liberally to sensitive skin areas. Use a sun -blocking agent with a sun protection of at least 15. Use a sun -blocking agent with a sun protection of at least 15. Rationale: Clients who have SLE are prone to hair loss. They should use a mild protein shampoo and ... avoid treatments that can damage the hair and scalp, such as dyes and permanents. Clients who have SLE should not use powder or other drying skin product s on their skin. Clients who have SLE should apply non -perfumed moisturizing lotions liberally to the skin A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body? Connective tissue Muscle tissue Peripheral vascular system Connective tissue Rationale: SLE originates in the connective tissues of the body and affec ts all organ systems. A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider? Client reports mild feelings of depression Dry, raised rash on the face. Presence of sudden peripheral edema. Joint pain in hands and knees. Presence of sudden peripheral edema. Rationale: The client who has SLE is at greatest risk for death from lupus nephritis. Therefore, according to the safe ty and risk reduction priority setting framework, findings that indicate an impairment of renal function are the highest priority to report. Rationale: The client who has SLE commonly reports joint pain and rash. However, according to Rationale: The client who has SLE commonly reports feelings of depression. However, according to the safety and risk reduction priority setting framework, these other findings are not the highest priority. A nurse is assessing a client who is taking hydroxychloroquine. The nur se should report which of the following adverse effects to the provider immediately? Blurry vision Diarrhea Fatigue Pruritus Blurry Vision Rationale: When using the urgent vs non -urgent approach to client care, the nurse should determine that the pri ority finding to report to the provider is blurred vision, as this is a manifestation of hydroxychloroquine toxicity and can be an indication of retinal damage. A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE? Exercise Infection Pregnancy Sunlight Exercise Rationale: Deconditioning and muscle atrophy occurs as a result of lack of mobility. The nurse should encourage client to engage in conditioning exercises alternated with periods of rest. Rationale:Exposure to sunlight and artificial ultraviolet light can cause for an exacerbation of SLE manifestations, especi ally the characteristic skin manifestations of lesions and butterfly rash. Rationale:Pregnancy can cause an exacerbation of SLE, probably due to hormonal changes. The client should be advised of the risks and must be monitored closely for effects on the re nal and cardiovascular systems if she decides to get pregnant. Rationale:Infection is a major stressor on the body and can trigger an exacerbation of the SLE disease process. In addition, many clients who have SLE take steroid medications that place them a t higher risk for infection. A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the client's renal function? Serum creatinine Blood u rea nitrogen (BUN) Serum sodium