NCLEX-RN
Immunity NCLEX Questions Questions
Extract:
The following scenario applies to the next 6 items
The nurse in the intensive care unit (ICU) is caring for a 59-year-old female client
Item 2 of 6
Admission Note
Nurses' Notes
Physician Orders
1450 - Client was admitted directly from the primary health care physician's office for a severe exacerbation of systemic lupus erythematosus (SLE). The client was being treated outpatient with corticosteroids but was not responding. Reported intermittent chest pain at the physician's office and became pale and
Diaphoretic. The 12-lead electrocardiogram (ECG) showed normal sinus rhythm with no ST-elevations. Point of care (POC) troponin showed no elevations.
• The client was directly admitted to the intensive care unit for observation and medical management. • Cardiac consultation has been placed, and laboratory work is pending. The client has a medical history of systemic lupus erythematosus (SLE), dyslipidemia, and pulmonary hypertension
Question 1 of 5
Which of the following issues is the client at risk of developing? Select all that apply.
Correct Answer: A,B,C,E
Rationale: SLE increases the risk of cardiac tamponade (
A) due to pericarditis, cardiogenic shock (
B) from cardiac involvement, stroke (
C) from antiphospholipid syndrome, and acute coronary syndrome (E) from accelerated atherosclerosis. Pneumothorax (
D) is not a typical SLE complication.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
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Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: