LUPUS!

A 26 year-old female patient is complaining of low-grade fever and a facial rash.

Which laboratory tests should the nurse expect the HCP to order?

Complete metabolic panel and liver function tests.

Complete blood count and antinuclear antibody tests
Cholesterol and lipid profile
Blood urea nitrogen and glomerular filtration tests.

The steroids will suppress tissue inflammation which reduces damage to organs
The patient diagnosed with an exacerbation of SLE is prescribed high dose steroids.
Which statement best explains the rationale for using high dose steroids in SLE?

The steroids will increase the body’s ability to fight infection

The steroids will decrease the chance of the SLE spreading to other organs
The steroids will suppress tissue inflammation which reduces damage to organs
The steroids will prevent scarring of the skin tissue associated with SLE

a. The HIV virus is a retrovirus, which means it does not dies as long as it has a
host to live in.
The nurse is describing the HIV virus infection to patient who has been told he is
HIV positive. Which information is important to teach?

a. The HIV virus is a retrovirus, which means it does not dies as long as it has a
host to live in.
b. The HIV virus can be eradicated from the host body with the correct medical
regimen.
c. It is difficult for the virus to replicate in the human body because it is a
monkey virus.
d. The HIV virus uses the patient’s own red blood cells to reproduce the virus in
the body.

c. The patient may be in the primary infection phase of an HIV infection.

The patient who has engaged in needle sharing activities now has developed flu-like
symptoms. An HIV antibody test is negative. Which statement best describes the
rationale for this finding?

a. The patient was fortunate enough to not be exposed to an HIV infected needle.
b. The patient must be repeatedly exposed to HIV to become infected.
c. The patient may be in the primary infection phase of an HIV infection.
d. The antibody test is negative because the patient has a different flu virus.

D. Standard precautions, gown, mask, goggles

The nurse is caring for a HIV positive patient with Pneumocystis Pneumonia who is
coughing and needs suctioning. The nurse will need to institute the following:

A. Standard precautions as for all care situations

B. Standard precautions plus a gown
C. Standard precautions plus a mask and goggles
D. Standard precautions, gown, mask, goggles

B. Standard precautions
The nurse is caring for an HIV positive patient and is going to take his BP. The
correct precautions to be instituted would be:

A. Gown, gloves, mask

B. Standard precautions
C. Goggles, mask, gown
D. Gown and mask

d. Risk for injury

The patient on the medical floor is diagnosed with HIV encephalopathy. Which
patient problem is priority?

a. Altered nutrition, less than body requirements

b. Anticipatory grieving
c. Knowledge deficit, procedures and prognosis
d. Risk for injury

d. Viral load testing

An HIV-positive patient who has been started on HAART is seen in the clinic for
follow-up. Which test will be most helpful to determine the response to therapy?