Author Question: The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE). Which ... (Read 26 times)

joe · **on:** Jun 25, 2018

The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE). Which client statement indicates an appropriate understanding of the plan of care?

A) I will take birth control pills while I am taking cytotoxic medications.
B) I do not need to contact the doctor if I develop a fever or rash.
C) I plan to go to the movies this weekend so that I get out of the house.
D) I can take aspirin as indicated for pain.

Question 2

The nurse is planning care for an adolescent client who has systemic lupus erythematosus (SLE). Which action by the client indicates the implemented plan of care is appropriate?

A) Refusing to attend school
B) Refraining from attending any social functions
C) Discussing skin changes with the healthcare provider
D) Discussing skin changes with a good friend

zenzy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Treatment for SLE can include cytotoxic drugs. The client is taught to avoid pregnancy by using contraceptives, as these drugs can cause birth defects. The client is taught to avoid crowds, as they are potential sources of infection. Client with SLE should contact their primary care providers should signs of infection occur, as the immune system is compromised. Aspirin can cause bleeding and should be taken with extreme care.

Answer to Question 2

Answer: D

Peer interaction is important to teens. Being able to discuss the physical changes related to SLE with a friend indicates acceptance of the change in body image. Refusing to go to school or attend social functions indicates nonacceptance of the changes to body image. Discussing changes only with healthcare personnel does not indicate the teen has adjusted to the body image changes.