Which body system is at highest risk for tissue destruction in a large percentage of clients who have systemic lupus erythematosus (SLE)?
a. cardiac c. pulmonary
b. neurological d. renal
D
Medical management of clients with SLE focuses on decreasing tissue inflammation and destruction, including monitoring for any damage to cardiac, neurological, renal, pulmonary, and hematologic systems. The renal system has the highest risk for tissue destruction in most clients with SLE.
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The client makes the statement: "I'm afraid to take the baby home tomorrow." Which re-sponse by the nurse would be the most therapeutic?
a. "You're afraid to take the baby home?" b. "I was scared when I took my first baby home, but everything worked out." c. "You should read the literature I gave you before you leave." d. "Don't you have a mother who can come and help?"
Which antifungal drug causes some degree of renal impairment in everyone who receives it?
a. Amphotericin (Amphocin) b. Terbinafine (Lamisil) c. Caspofungin (Cancidas) d. Fluconazole (Diflucan)
Which nursing action can the registered nurse (RN) delegate to experienced unlicensed assistive personnel (UAP) working as a telemetry technician on the cardiac care unit?
a. Decide whether a patient's heart rate of 116 requires urgent treatment. b. Monitor a patient's level of consciousness during synchronized cardioversion. c. Observe cardiac rhythms for multiple patients who have telemetry monitoring. d. Select the best lead for monitoring a patient admitted with acute coronary syndrome.
A 25-year-old woman has an induced abortion with suction curettage at an ambulatory surgical center. Which instructions will the nurse include when discharging the patient?
a. "Heavy vaginal bleeding is expected for about 2 weeks." b. "You should abstain from sexual intercourse for 2 weeks." c. "Contraceptives should be avoided until your reexamination." d. "Irregular menstrual periods are expected for the next few months."