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. Why is traction used?

A. It allows the bones to realign
B. It decreases the risk of misalignment
C. It promotes wound healing
D. It allows the client to rest longer

Correct answer: A

Rationale: Traction is used to help align the bones properly during the healing process. Choice A is correct because traction assists in allowing the bones to realign correctly, promoting proper healing. Choice B is incorrect as traction does not decrease the risk of misalignment; instead, it helps reduce misalignment by aiding in bone alignment. Choice C is incorrect because while traction indirectly supports wound healing by ensuring proper bone alignment, its primary purpose is not wound healing. Choice D is incorrect as the primary purpose of traction is not to allow the client to rest longer, but rather to aid in bone alignment for optimal healing.

3. A client is in the emergency room in critical condition and hypotensive. Her spouse is distraught. What is the priority nursing action?

A. Maintain the client's blood pressure
B. Call a chaplain
C. Provide the spouse a chair
D. Ask the client's spouse to explain what happened

Correct answer: A

Rationale:

4. What is correct health promotion education for vision? (Select all that apply)

A. Wear sunglasses to filter ultraviolet (UV) light
B. Avoid nonsteroidal anti-inflammatory drug (NSAID) use
C. Wash your hands before touching your eyelids
D. All of The Above

Correct answer: D

Rationale: Wearing sunglasses, washing hands before touching eyelids, and wearing eye protection when working with fluids are important health promotion activities for vision.