A client has been newly diagnosed with systemic lupus erythematosus and is reviewing self-care measures with the nurse. Which statement by the client indicates a need to review the material?

Correct Answer: B

Rationale: The correct answer is B because using baby powder is not a recommended self-care measure for someone with lupus. The rationale is that individuals with lupus are sensitive to sunlight (choice A) and should avoid it, should manage fatigue by grouping activities (choice C), and should prioritize rest (choice D) to manage symptoms. Baby powder does not play a role in managing lupus symptoms and could potentially worsen skin irritation.

Correct Answer: B

Rationale: Bence Jones proteinuria is suggestive of multiple myeloma because it represents monoclonal free light chains in the urine, a characteristic of the disease. Howel Jolly bodies are seen in conditions affecting red blood cells, not specific to multiple myeloma. Philadelphia chromosome is associated with chronic myeloid leukemia, not multiple myeloma. Reedberg stein cells are not a recognized term in relation to multiple myeloma.

Correct Answer: A

Rationale: The correct answer is A because protecting the client from infection is the priority for someone with immunodeficiency. By minimizing exposure to pathogens, the nurse helps prevent potential serious complications. Providing emotional support (B) is important but not the priority. Encouraging discussion about lifestyle changes (C) and identifying factors that decreased immune function (D) are also important but not as critical as preventing infections in this case.

Correct Answer: D

Rationale: Step 1: The client has acquired immunodeficiency syndrome, which impairs the immune system. Step 2: Pneumocystis jiroveci infection is an opportunistic infection common in immunocompromised individuals. Step 3: Pentamidine is used to treat Pneumocystis jiroveci infection but can cause leukopenia (decreased white blood cells). Step 4: Leukopenia increases the risk of developing other infections. Step 5: Fever (temperature of 101°F) is a common sign of infection. Step 6: Therefore, the most likely condition indicated by the fever is another infection due to leukopenic effects of the medication, making choice D the correct answer. Summary: A: Incorrect. Temperature elevation is not typically related to a low dose of medication. B: Incorrect. Toxic effects of pentamidine would likely present with different symptoms. C: Incorrect. Inadequacy of thermore

Correct Answer: C

Rationale: The correct answer is C, peripheral blood smear. A peripheral blood smear is the best next diagnostic test in this case to evaluate the red blood cell morphology for signs of hemolysis, such as spherocytes or schistocytes, which could indicate hemolytic anemia. This is important given the patient's symptoms, anemia (Hb 9.0 g/dL), elevated MCV (110 fL), and icteric appearance, suggestive of hemolysis. Serum protein electrophoresis (choice A) is not indicated for the evaluation of anemia. Flow cytometry (choice B) is not typically used in the initial workup of hemolytic anemia. Glucose-6-PD level (choice D) may be useful in diagnosing certain types of hemolytic anemia but is not the best initial test in this case.