Question

Alice is a 24-year old female recently diagnosed with Systemic Lupus Erythematosus (SLE). She was recently married and is considering starting a family. When counseling her about the disease, you might include all of the following EXCEPT: SLE is very rare in women of childbearing age b. Symptoms may worsen with the use of oral contraceptives Symptoms may worsen during or after pregnancy d. There is a strong genetic component to the incidence of SLE Some patients with RA develop extra-articular manifestations of the disease. One such condition IS Sjogren's Syndrome. A patient with Sjogren's Syndrome will exhibit: low WBC count and increased susceptibility to infection b. dry mouth, burning, itchy eyes with decreased tearing, and photosensitivity pericarditis and cardiomyopathy _flexion contractures and deformities of the hands d. In what condition are you likely to see the nail formation pictured below? tuberculosis b. COPD vitamin deficiency d. fungal infection After change-of-shift report, which patient will the nurse assess first? a A 19-yr-old patient with type 2 diabetes who was admitted with possible dawn phenomenon A 35-yr-old patient with type 1 diabetes with a blood glucose reading of 230 mg/dL c.- A 60-yr-old patient with hyperosmolar hyperglycemic syndrome with poor skin turgor and dry oral mucosa A 68-yr-old patient with type 2 diabetes who has severe peripheral neuropathy and complains of burning foot pain A natient who smokes a pack of cigarettes per day tells the nurse, "I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate? Health-seeking behaviors related to cigarette use Ineffective health maintenance related to tobacco use Readiness for enhanced self-health management related to smoking

Answer 1

●Systemic lupus erythematous is genetic.It can be passed from mother to new born. When a women plans for pregnancy it is very important to keep her symptoms under control for at least six month.Use of contraceptive is contraindicated because it can aggrevate the symptoms.The symptoms can flare up by 30% during pregnancy and especially after the delivery of the baby.It can affect anyone with the genetic cause and not particularly women of child bearing age

Ans:a.SLE is very rare in women of child bearing age

●Rheumatoid arthritis is a condition which affects the joints as a immune system disorder. Sjogren syndrome is a result of This disease.In this condition it affects the tears glands and salivary glands resulting in dry eyes ,itchy eyes,burning sensation ,dry mouth and welling of the oral cavity.The othersymptoms like continuous cough,tiredness, joint pain can also occur

Ans:b.dry mouth, burning itchy eyes with decreased tearing and photosensitivity

●A decrease of oxygen supply may lead to clubbing of nails lIt can occur in heart and lung diseases.It is a early sign of a major disease

Clubbing occurs in the pulmonary tuberculosis for about 21% and pften indicates a severity ofbthe condition.But it doesn't occurs in patients with TB

Clubbed nail doesn't occurs in COPD ,of happens it can be a sign of tumor in lungs

The deficiency of iodine causes nail clubbing

All fungal infection doesn't causes clubbing but temporary of pseudo clubbing can be seen

Ans:c.vitamin deficiency

●Hyperosmolar hyperglycemia is a state when the blood glucose level is very high and item a sign of diabetes complication,Here patient will be having a very severe dehydration ,extreme fatigue,vision problem, altered level of consciousness. This patient needs an immediate attention to control in glucose level or else can lead to irreversible damage

The other symptoms like neuropathy,,230 blood glucose can be controlled effectively ,dawn phenomenon is rise of blood sugar in ,orning and can be seen in most diabetics

Ans:c.A 60 year old patient with hyperosmolar hyperglycemia with poor skin turgor and dry