Adult Medical Surgical Practice A |2033| Questions and Answers A nurse is reviewing the medical record of a client who has systemic lupus erythematosus. Which of the following findings should the nur... se expect? {{Ans- Facial butterfly rash. R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and nose and can disappear during times of remission. A nurse is caring for a client who is receiving plasmapheresis through a venous access site. Which of the following actions should the nurse take? {{Ans- Check electrolyte levels before and after therapy. R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should monitor the clients electrolyte levels before and after therapy. A nurse is assessing a client who has Graves’ disease. Which of the following images should indicate to the nurse that the client has exophthalmos? {{Ans- The nurse should identify an outward protrusion of the eyes is exophthalmos a common finding of graves’ disease. An overproduction of the thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision including focusing on objects as well as pressure on the optic nerve. [Show More]
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