A client with systemic lupus erythematosus (SLE) was recently discharged from the hospital after an acute exacerbation. The client is in the clinic for a follow-up visit and is distraught about the possibility of another hospitalization disrupting
the family. What action by the nurse is best?
a.
Explain to the client that SLE is an unpredictable disease.
b.
Help the client create backup plans to minimize disruption.
c.
Offer to talk to the family and educate them about SLE.
d.
Tell the client to remain compliant with treatment plans.
ANS: B
SLE is an unpredictable disease and acute exacerbations can occur without warning, creating chaos in the family. Helping the client make backup plans for this event not only will decrease the disruption but will give the client a sense of having more control. Explaining facts about the disease is helpful as well but does not engage the client in problem solving. The family may need education, but again this does not help the client to problem-solve. Remaining compliant may help decrease exacerbations, but is not as powerful an intervention as helping the client plan for such events.
You might also like to view...
When instructing a client in the use of spermicidal foams or gels, it is important to include which of the following?
a. Insert 1 to 2 hours before intercourse. b. One application is effective for several hours. c. Avoid douching for at least 6 hours. d. Effectiveness is about 85%.
When change results from cognitive dissonance, why does the change come about?
1. The desire to regain feelings of consistency and balance 2. Recognition by the organization 3. Social diffusion of a new idea 4. Monetary reward
The nurse is caring for a patient diagnosed with hypothyroidism secondary to Hashimoto's thyroiditis. When assessing this patient, what sign or symptom would the nurse expect?
A) Fatigue B) Bulging eyes C) Palpitations D) Flushed skin
Isoproterenol is an effective bronchodilator. It also produces adverse cardiovascular effects because of its effect on which receptors?
1. Alpha-2 receptors 2. Beta-1 receptors 3. Alpha-1 receptors 4. Dopamine receptors