Fowler | 2025 with complete solutions-WVJC.
Which pathophysiological process promotes systemic lupus erythematosus
(SLE)?
Production of autoantibodies against nucleic acids and other self-components.
The initial anticipated nursing intervention is to accurately record the severity
of systemic lupus erythematosus (SLE) symptoms. For which acute conditions
should the nurse assess Ms. Santos? (Select all that apply.)
-joint inflammation
-fatigue level
-fever pattern
Which assessment finding should alert the nurse that teaching is needed to
prevent skin breakdown?
Prominent tan lines on the back.
About which potential complication of systemic lupus erythematosus (SLE)
should the nurse warn the client?
Increased risk for bleeding or blood clotting.
The healthcare provider has written several admission prescriptions for Ms.
Santos. Which prescription should the nurse ask the healthcare provider to
clarify?
Prednisone PO daily.
The healthcare provider clarifies the prescription as Prednisone 30 mg PO
daily. The nurse prepares to give the first dose of prednisone. Which client
education elements should the nurse highlight with Ms. Santos? (Select all that
apply.)
, -Do not suddenly stop taking this medication; it should be tapered.
-Take this medication in the morning with food to avoid GI disturbance.
-Do not have any live virus vaccinations while taking this medication.
After giving the prednisone as prescribed, what should the nurse do first?
Sign the drug off in the electronic health record.
The nurse returns to Ms. Santos's room to assess her physical response to the
medication she took an hour ago. Ms. Santos is very quiet. The nurse asks Ms.
Santos if she is feeling alright after taking the prednisone, and she hesitates for
a moment and then says, "yes." Which action is the best response by the
nurse?
Ask the client about how she is feeling in general right now.
The nurse is concerned that Ms. Santos is not coping very well with her chronic
illness and that she is very quiet. Which responses are helpful for the nurse
give to this client? (Select all that apply.)
-What you are experiencing is very hard.
-How are you doing this afternoon, Ms. Santos?
The nurse is preparing to develop a personalized care plan for Ms. Santos.
Which approach to initiating this process would be most effective?
Ask the client about what her daily life and what health means to her.
The nurse is assessing the importance of client culture and ethnicity while
planning care with Ms. Santos. Which questions would be helpful for gathering
this information? (Select all that apply.)
-How are medical decisions made in your family?
-What are some activities that you enjoy doing?
-Are there any special foods that you like to eat?
-Do you believe in and worship a supreme being?
-What languages are typically spoken in your home?
The nurse comes to Ms. Santos’s room, which is crowded with people. Several
conversations are going simultaneously. Two school aged children are quietly