A client with systemic lupus erythematosus (SLE) tells the nurse that she is afraid that her husband will leave her because her skin is disfigured with lesions
Which of the following interventions does the nurse plan to teach this couple to minimize skin infections associated with SLE? 1. Avoid sun exposure between 3:00 p.m. and 5:00 p.m.
2. Avoid swimming in a pool or the ocean
3. Use sunscreen with an SPF of 15 or greater
4. Remain indoors on sunny days
3. Use sunscreen with an SPF of 15 or greater
Rationale:
The nurse teaches the couple that the client may live normally with a few extra precautions. There is a relationship between sun exposure and infection, so the client is taught to use sunscreen with an SPF of at least 15and to avoid the sun between 10:00 a.m. and 3:00 p.m. The client may swim but should reapply sunscreen after swimming. The client does not need to stay indoors on sunny days.
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A patient has chronic, severe asthma and takes many medications during the day. The patient reports difficulty falling asleep at night. What medication does the nurse ask about the patient taking?
a. Barbiturates b. Theophylline (Theo-24) c. Furosemide (Lasix) d. Haloperidol (Haldol)
The nurse would select Impaired swallowing as a nursing diagnosis if the client exhibited which of the following defining characteristics?
1. choking and coughing while eating 2. history of paralysis on the right side from a stroke 3. slow eating 4. dry, hacking cough
When educating families on fire safety, it is important to
A) Have a meeting place outside the home B) Account for all members and then exit C) Use extension cords to prevent shock D) Keep a fire extinguisher in a closet
When starting an IV on an elderly patient, you should be aware that:
A. larger IV catheters minimize the risk of extravasation. B. varicose veins are often the easiest veins to cannulate. C. the patient's skin is often thick and difficult to puncture. D. certain medications can create fragile skin and veins.