A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?
Connective tissue.
Peripheral vascular system.
Lymphatic system.
Skeletal tissue.
The Correct Answer is A
Choice A rationale
Systemic lupus erythematosus (SLE) is an autoimmune disease that primarily affects connective tissue. The immune system mistakenly attacks healthy tissue, leading to inflammation and damage.
Choice B rationale
SLE does not originate in the peripheral vascular system, although it can cause complications in blood vessels.
Choice C rationale
While the lymphatic system is involved in immune responses, SLE primarily targets connective tissue.
Choice D rationale
SLE does not originate in skeletal tissue, though it can cause joint pain and arthritis.
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Correct Answer is D
Explanation
Choice A rationale
Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.
Choice B rationale
Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.
Choice C rationale
Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.
Choice D rationale
Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.
Correct Answer is B
Explanation
Choice A rationale
Vision may be temporarily blurred after intraocular lens surgery, but significant vision reduction for 48 hours is not typical and should be reported to a healthcare provider.
Choice B rationale
Restricting lifting objects greater than 10 pounds is crucial to prevent increased intraocular pressure and potential complications after surgery.
Choice C rationale
Aspirin should be avoided as it can increase the risk of bleeding. Alternative pain relief methods should be used.
Choice D rationale
Warm compresses are not recommended as they can increase inflammation and discomfort. Cold compresses may be more appropriate.