A client with systemic lupus erythematosus (SLE) was recently ...

[tingc95]

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.

Question 2

A client is started on etanercept (Enbrel). What teaching by the nurse is most appropriate?
 
  a. Giving subcutaneous injections
  b. Having a chest x-ray once a year
  c. Taking the medication with food
  d. Using heat on the injection site

[Fayaz00962]

Answer to Question 1

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.

Answer to Question 2

ANS: A
Etanercept is given as a subcutaneous injection twice a week. The nurse should teach the client how to self-administer the medication. The other options are not appropriate for etanercept.

[tingc95]

TYSM

[ghepp]

Excellent