A 40-year-old female is diagnosed with SLE. Which of the following findings would be consid-ered a symptom of this disease?
a. Gastrointestinal ulcers
b. Decreased glomerular filtration rate
c. Rash on trunk and extremities
d. Photosensitivity
ANS: D
Photosensitivity is one of the 11 common clinical findings in SLE. Gastrointestinal ulcers are not a finding in SLE. Proteinuria is a symptom of SLE. A rash on the face is a symptom, but not a rash on the body.
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1. Developing and coordinating care 2. Treatment of uncomplicated illness 3. Aspects of client care that do not require nursing judgment 4. Monitoring effects of medication on clients 5.
The nurse providing care to the community has the philosophy that nursing care should be provided to individuals, families, and groups:
A) ?in their homes. B) ?in a clinic or Emergency Department. C) ?where they work, live, play, pray, or attend school. D) ?in the hospital or acute-care setting.
Successful implementation of each step of the nursing process requires high-level skills in critical thinking. Which of the following statements accurately describe a guideline for using this process?
A) Trust clinical judgment and experience over asking for help. B) Respect clinical intuition, but never allow it to determine a diagnosis. C) Recognize personal biases as a strength in formulating diagnoses. D) Keep an open mind and trust your intuition when formulating diagnoses.
The nurse has decided to add a nursing diagnosis to the client's drug therapy plan of care that represents wellness/health promotion. What is the most appropriate diagnosis to add to promote these areas?
a. Ineffective health maintenance related to not having recommended preventive care b. Risk for injury related to side effect if drugs c. Therapeutic regimen management, readiness for enhanced d. Ineffective therapeutic regimen management related to lack of finances