The nurse is contributing to the plan of care for a patient who has systemic lupus erythematosus and recommends including Disturbed Body Image. Which of the following would be the appropriate long-term patient outcome for this diagnosis?
a. Verbalizes feelings about body changes
b. Returns to previous social involvement
c. Uses normal coping mechanisms
d. Engages in diversional activities.
ANS: B
The ultimate outcome is for the patient to return to previous social involvement in spite of body image issues such as the butterfly rash.
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The nurse is examining a client with a history of benign breast disease (sometimes referred to as fibrocystic breast disease). The nurse would expect which of the following findings during this assessment? Standard Text: Select all that apply
1. Straw-colored discharge from the nipples 2. Freely movable masses 3. Hard, fixed nodules 4. Thickened breast tissue 5. Masses with well defined boundaries
The nurse rates a patient's biceps muscle strength at 3. Another nurse reading this rating would expect the patient's best movement of the muscle to be at which functional level?
1. Passive ROM 2. Active ROM with gravity and moderate weakness 3. Complete active ROM with minimal weakness 4. Complete ROM with no weakness
When speaking with a family about their 9-year-old daughter's nightmares, it is important to ask:
1. If the child has a history of daytime napping. 2. What medications the child takes during the day. 3. How often the child consumes caffeine. 4. All of the above should be part of the assessment.
The nurse is caring for a 6-year-old boy diagnosed with mumps. Which of the following teaching points would be appropriate for the parents of this client?
A) "Protect your other children from close contact with your son." B) "The swelling should disappear within a week." C) "The disease may cause sterility in your child." D) "Your son will need IV antibiotics to cure the disease."