what nursing intervention is appropriate for a client with systemic lupus erythematous sle

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

A. Intense cold therapy to the extremities
B. Encourage ultraviolet (UV) light exposure
C. Administer topical hydrocortisone
D. Administer antibiotics

Correct answer: C

Rationale:

2. An area of erythema on the child's skin is being assessed by the nurse. The nurse presses down on the area, and the area becomes white. What time does the nurse document for this finding?

A. Non-blanching
B. Blanching
C. Redness
D. Warmth

Correct answer: B

Rationale:

3. What health teaching would not help an older adult avoid a musculoskeletal injury?

A. Avoid home modification
B. Wear a helmet when riding a bicycle
C. Osteoporosis screening
D. Fall prevention

Correct answer: A

Rationale: Avoiding home modifications can increase the risk of falls and injuries in older adults.

4. What level of Maslow's Hierarchy of needs does shelter belong to?

A. Love and belonging
B. Physiological
C. Safety and security
D. Esteem

Correct answer: C

Rationale:

5. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.