Nokea
A client is admitted to the floor with Systemic Lupus Erythematosus (SLE). Which of the following teaching points does the nurse stress to the client with SLE?
- A. Apply ice as instructed
- B. Avoid sunlight and ultraviolet radiation
- C. Use assistive devices appropriately
- D. Change dressing as prescribed
Correct Answer: B
Rationale: Sunlight can exacerbate lupus symptoms.
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In the initial nursing assessment of Mr. Singer it is important to remember that malignant rheumatoid arthritis
- A. is limited to the synovial joints
- B. may also involve the heart, lungs, and other body systems
- C. is primarily an episodic disease
- D. affects primarily the proximal joints
Correct Answer: B
Rationale: Malignant rheumatoid arthritis can affect multiple organ systems beyond the joints.
The ability to respond to a stimulus is termed:
- A. polarized
- B. irritability
- C. depolarized
- D. conductivity
Correct Answer: B
Rationale: Irritability is the ability of a neuron or cell to respond to a stimulus. Polarization and depolarization refer to the electrical state of the membrane, conductivity refers to the ability to transmit signals, and all-or-none response refers to the nature of action potentials. Therefore, B is the correct answer.
What is the major focus for care today for a patient who is 1 day post-operative after a left below-the-knee amputation?
- A. To attain pain control for phantom pain.
- B. To monitor for signs of sufficient tissue perfusion.
- C. To assist the patient to ambulate as soon as possible.
- D. To elevate the residual limb when the patient is supine.
Correct Answer: B
Rationale: Ensuring adequate tissue perfusion is critical in the immediate post-operative period to prevent complications.
Which part of the neuron has the highest concentration of Na.
- A. dendrites
- B. cell body
- C. synaptic knobs
- D. none of them
Correct Answer: D
Rationale: The intracellular concentration of Na+ is generally low in all parts of the neuron due to the action of the Na+, K+ ATPase pump, which actively transports Na+ out of the cell. Therefore, none of the listed parts have a high concentration of Na+.
What measures can help control the client's body temperature related to brain infection?
- A. Administering prescribed antipyretics.
- B. Reducing body hydration.
- C. Applying ice packs.
- D. Keeping the room temperature warm.
Correct Answer: A
Rationale: Antipyretics directly address fever, reducing cerebral irritation.