A nurse is caring for a client with systemic sclerosis. The ...

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A nurse is caring for a client with systemic sclerosis. The client's facial skin is very taut, limiting the client's ability to open the mouth. After consulting with a registered dietitian for appropriate nutrition, what other consultation should the nurs
 
  a. Dentist
  b. Massage therapist
  c. Occupational therapy
  d. Physical therapy

Question 2

A client who has had systemic lupus erythematosus (SLE) for many years is in the clinic reporting hip pain with ambulation. Which action by the nurse is best?
 
  a. Assess medication records for steroid use.
  b. Facilitate a consultation with physical therapy.
  c. Measure the range of motion in both hips.
  d. Notify the health care provider immediately.

[coyin]

Answer to Question 1

ANS: A
With limited ability to open the mouth, dental hygiene may be lacking. The nurse should encourage the client to see a dentist. The other referrals are not related to the mouth.

Answer to Question 2

ANS: A
Chronic steroid use is seen in clients with SLE and can lead to osteonecrosis (bone necrosis). The nurse should determine if the client has been taking a steroid. Physical therapy may be beneficial, but there is not enough information about the client yet. Measuring range of motion is best done by the physical therapist. Notifying the provider immediately is not warranted.

[misspop]

TYSM

[xiaomengxian]

Excellent