Etiology/Pathophysiology - Signs and Symptoms
What is the characteristic rash normally associated with Lupus?
A. Red, butterfly shaped rash found on the face
B. Red, splotchy rash on palms of hands
C. Red, itchy rash on abdomen
D. Red, dry rash on back of neck
How many manifestations must a patient exhibit to be diagnosed with Lupus?
A. Four
B. Three
C. Five
D. Seven
Which of these drugs is an antimalarial drug that aids in the long term control of Lupus?
A. Hydroxychloroquine
B. Naproxen
C. Oseltamivir Phosphate
D. Aciclovir
Your patient with Lupus complains of joint stiffness and pain. What is the best response by the nurse?
A. Try taking a scalding hot shower to reduce the stiffness.
B. Get outside in the sun, it's warmth with loosen up your joints.
C. Try taking a 15 minute warm shower or bath. The water should be warm, but not hot
D. Ice your joints, it will promote blood flow and reduce stiffness.
Patients with Lupus often take immunosuppressant agents. Which precautions should be taught to the client to avoid illness?
A. Neutropenic precautions
B. Contact precautions
C. Integumentary precautions
D. Social precautions
Which form of Lupus affects the skin only?
A. Systemic Lupus
B. Drug induced Lupus
C. Discoid Lupus
D. Epidermal Lupus
Which laboratory test can indicate inflammation?
A. Urinalysis
B. Skin biopsy
C. Erythrocyte Sedimentation Rate
D. Hemoglobin A1C
This class of drug that includes Prednisone are taken to reduce symptoms experienced during major flare-ups:
A. Non-steroidal Anti-inflammatory drugs
B. Diuretics
C. Glucocorticoids
D. Mydriatics
A new patient has admitted with Lupus. They are having trouble performing ADLs. What department should you refer to assist the patient?
A. Social Services
B. Physical / Occupational Therapy
C. Genetic counseling
D. Dietitian
Clients with Lupus may have oral ulcers. Which foods should they avoid because the might irritate the ulcers or mucous membranes?
A. Dairy products
B. Foods high in protein
C. Popsicles
D. Spicy or citrusy foods
Which form of Lupus involves internal organs?
A. Discoid Lupus
B. Systemic Lupus
C. Visceral Lupus
D. Drug induced Lupus
Which test measures antiphospholipid antibodies in the blood, which are known to be present in Lupus?
A. Syphilis test
B. Erythrocyte Sedimentation Rate
C. Complete Blood Count
D. Lipid Panel
What are some non-pharmacologic therapies for patients with Lupus?
A. Exposure to sun to dry out rashes
B. Vigorous exercise for no less than one hour daily
C. Use alcohol based skin products to ensure that skin is disinfected thoroughly
D. Rest, balanced diet, and exercise
You are discharging a patient with a new diagnosis of Lupus. Which statement indicates a clear understanding of the disease?
A. If I take my medications as prescribed I should be cured within a year.
B. I should wear protective clothing, and wear an SPF 30 or higher sunblock when outdoors.
C. This is a genetic disease. I should have my children tested as soon as possible.
D. Lupus only affects women
Each patient with Lupus may exhibit slightly different presentations of pain. What is the best indicator of the level of pain in a patient with Lupus?
A. How swollen the joints in the hand are
B. Always trust the client's stated level of pain
C. The ability to sleep for 6 hours straight
D. How oud the patient screams when you touch the rash on their skin
Lupus is classified as what type of disease?
A. Hereditary disease
B. Sexually transmitted disease
C. Autoimmune disease
D. Viral disease
Lupus can affect all body systems. Hematuria, proteinuria, and pyuria indicate involvement of which body system?
A. Lymphatic system
B. Renal system
C. Hepatic system
D. Pulmonary system
This type of drug can be taken for mild joint pain, muscle pain, and fever associated with Lupus:
A. Antiviral drugs
B. Bronchodilators
C. Non-steroidal anti-inflammatory drugs
D. Antihistamines
Your client with Lupus asks how it could have been prevented. What is the best response?
A. Unfortunately, you did not exercise enough in the past few years, and Lupus is the result.
B. Lupus cannot be prevented, but you can avoid the factors the trigger your symptoms.
C. You got Lupus because you have used a tanning bed for years.
D. I really do not know, you should ask your doctor.
Patients with Lupus experience an unusual sensitivity to sunlight that can trigger symptoms such as skin rashes, itching, and burning. This is best described as:
A. UV intolerance
B. Albinism
C. Heat hypersensitivity
D. Photosensitivity
Which sign or symptom is not a physical symptom of Lupus?
A. Fatigue
B. Exophthalmos
C. Arthritis
D. Mouth sores
Patients with Lupus may also develop pleurisy, which is defined as:
A. Frequent urination
B. Multiple rashes on the skin
C. Inflammation of the tissues that line the lungs and chest cavity
D. Numbness or tingling in the hands and feet
This can increase your risk of cardiovascular disease and can worsen the effects of lupus on your heart and blood vessels:
A. Getting eight hours of sleep daily
B. Eating a well balanced diet
C. Smoking
D. Moderate daily exercise
A client with Lupus reports flu like symptoms that have lasted for 5 days. What is this an indication of?
A. COVID-19 virus
B. A urinary tract infection
C. A Lupus flare-up
D. Time to switch the medications
Your patient with Lupus states that she is frustrated because she cannot perform any of the tasks she used to, not even the simple ones. What is the best response by the nurse?
A. Your life is different now, better get used to it.
B. Allow sufficient time to complete your tasks and take rest breaks as needed.
C. You should visit Nursing Homes, you will likely need one soon.
D. Take extra medications to get you through the rough spots.