the nurse is most concerned about which of these findings in a client with systemic lupus erythematous

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

A. The client reports chronic fatigue
B. The client has a butterfly rash
C. Blood pressure of 126/85 mm Hg
D. Urine output of 20 mL/hour

Correct answer: D

Rationale:

2. What steps are NOT included in preparing a sterile field?

A. Do not turn away from the sterile field
B. Obtain PAPR mask
C. Prepare the client before setting up the sterile field
D. Cover the sterile field once it is set up

Correct answer: B

Rationale:

3. The nurses assess the client's pain prior to completing a dressing change. The client says his current pain is 5/10, but he has pain of 10/10 when his dressing is changed. What is the priority intervention for this client?

A. Offer the client protein with meals to promote healing
B. Remove the old dressing with clean gloves
C. Teach the client about nonpharmacological pain control methods
D. Check medication administration record (MAR)for as needed orders (PRN)

Correct answer: C

Rationale:

4. Which test is used in the diagnosis of osteoporosis?

A. Phalen's maneuver
B. Dual-energy X-ray absorptiometry (DXA) scan
C. Proprioception
D. Blood culture

Correct answer: B

Rationale: The correct answer is B, Dual-energy X-ray absorptiometry (DXA) scan, which is commonly used to diagnose osteoporosis by measuring bone mineral density. Phalen's maneuver (choice A) is a test used to assess for carpal tunnel syndrome and is not related to osteoporosis. Proprioception (choice C) refers to the sense of body position and is not a diagnostic test for osteoporosis. Blood culture (choice D) is used to detect infections caused by bacteria in the bloodstream and is not relevant to the diagnosis of osteoporosis.