Teaching with a female client who has a new diagnosis of systemic lupus erythematosus (SLE) about factors that can trigger an exacerbation of SLE- determine that the client requires further teaching when she identifies which of the following as a factor that can exacerbate SLE?

Correct Answer: B

Rationale: Step 1: Exercise is the correct answer. Regular exercise is beneficial for individuals with SLE as it can help improve aerobic capacity and immune function, which can help manage the condition. Therefore, it is important for the client to work with her provider to develop an appropriate exercise program. Step 2: Pregnancy (choice A) can exacerbate SLE due to hormonal changes, leading to increased risk of renal and cardiovascular effects. Sunlight exposure (choice C) can trigger flare-ups in some individuals with SLE. Emotional stress (choice D) can also worsen SLE symptoms by affecting the immune system. Summary: Choice A is incorrect because pregnancy can exacerbate SLE due to hormonal changes. Choice C is incorrect because sunlight exposure can trigger flare-ups in some individuals with SLE. Choice D is incorrect because emotional stress can also worsen SLE symptoms.

Correct Answer: D

Rationale: The correct answer is D: AIDS. Secondary immunodeficiency results from external factors such as infections or medical treatments. AIDS is caused by the human immunodeficiency virus (HIV), which weakens the immune system. X-linked agammaglobulinemia and severe combined immunodeficiency are primary immunodeficiencies, present at birth. Addison disease affects the adrenal glands, not the immune system. Therefore, AIDS is the best example of secondary immunodeficiency due to its external cause impacting immune function.

Correct Answer: D

Rationale: The correct answer is D: Chronic lymphocytic leukaemia (CLL). CLL is the most common type of leukaemia in adults over 55, characterized by the slow accumulation of abnormal lymphocytes in the blood and bone marrow. This type of leukaemia typically progresses slowly and may not require immediate treatment. Rationale: 1. Age group: CLL predominantly affects older adults, making it the most common type of leukaemia in individuals over 55. 2. Chronic nature: CLL is a chronic leukaemia, characterized by a slow progression of the disease. 3. Lymphocytic origin: CLL involves abnormal lymphocytes, which are a type of white blood cell. Summary: A: Acute lymphatic leukaemia (ALL) is more common in children and young adults. B: Acute myeloid leukaemia (AML) is more common in older adults but not the most common in individuals over 55. C: Chronic myeloid

Correct Answer: D

Rationale: The correct answer is D: Women. Irritable bowel syndrome (IBS) is most common in women, with about twice as many women affected compared to men. This is due to hormonal fluctuations, as well as differences in gut motility and sensitivity to stress between genders. Women are also more likely to seek medical help for their symptoms. Choices A, B, and C are incorrect because IBS is not more common in older white males, children, or young black women compared to women in general.

Correct Answer: A

Rationale: The correct answer is A: Weigh the child daily. Daily weight monitoring is essential in detecting fluid retention in a child with nephrotic syndrome as it is a sensitive indicator of changes in fluid status. Fluid retention can lead to weight gain, indicating a worsening condition. Checking urine for blood (B) is more relevant for detecting renal issues, not fluid retention. Measuring abdominal girth weekly (C) may not be as sensitive or specific as daily weight monitoring. Counting the number of wet diapers (D) is more relevant for assessing hydration status rather than fluid retention. In summary, daily weight monitoring is the most accurate and sensitive method for detecting fluid retention in this scenario.