the nurse is most concerned about which of these findings in a client with systemic lupus erythematous
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Nursing Elites

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

Correct answer: D

Rationale:

2. What is a negative effect of immobility on the musculoskeletal system?

Correct answer: B

Rationale: Contractures are a negative effect of immobility on the musculoskeletal system.

3. The medical record for a client states that the client has hemiplegia. What does this mean?

Correct answer: D

Rationale: Hemiplegia refers to paralysis on one side of the body, affecting either the right or left side. Choice A is incorrect because it describes selective paralysis of specific limbs, not one side of the body. Choice B is incorrect as hemiplegia does not involve paralysis of all four extremities. Choice C is also incorrect as decreased vision in one eye is not indicative of hemiplegia.

4. The nurse is assessing a client who had a cast placed 4 hours ago. What assessment finding is cause for concern?

Correct answer: B

Rationale: Inability to insert a finger between the cast and skin indicates the cast is too tight, risking circulation problems.

5. What steps are NOT included in preparing a sterile field?

Correct answer: B

Rationale:

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