Log out Go to App
Go to App

Learning Materials

Features

Discover

Chapter 23: Problem 21

A client with systematic lupus erythematosus has been admitted to a medical unit. Emergency room diagnostic exams are assessed by the nurse. Which exam result indicates the most negative affect? A. Heart ejection fraction of \(25 \%\) B. \(\mathrm{HCT}\) of \(38 \%\) C. Scant proteinuria D. Resolving pleural effusion

Short Answer

Expert verified
A) Heart ejection fraction of \(25 \% \) B) HCT of \(38 \% \) C) Scant proteinuria D) Resolving pleural effusion Answer: A) Heart ejection fraction of \(25 \%\)

Step by step solution

01

Understanding Option A

A heart ejection fraction of \(25 \%\) refers to the percentage of blood being pumped out of the heart with each heartbeat. A normal value ranges between \(50 \%\) and \(70 \%\). An ejection fraction of \(25 \%\) indicates that the heart is unable to pump enough blood, which can lead to heart failure and other complications in a person with SLE.
02

Understanding Option B

\(\mathrm{HCT}\), or hematocrit, measures the percentage of red blood cells in a person's blood. A \(\mathrm{HCT}\) of \(38 \%\) is slightly below the normal range for adults, which is \(40 \%\) to \(50 \%\) for men and \(36 \%\) to \(48 \%\) for women. A low \(\mathrm{HCT}\) may indicate anemia, which can affect the oxygen-carrying capacity of the blood, but it is not as serious as low ejection fraction in a person with SLE.
03

Understanding Option C

Scant proteinuria refers to the presence of small amounts of protein in the urine, which is common in clients with SLE due to kidney involvement. Although proteinuria is an indicator of kidney damage, scant proteinuria suggests that the kidney damage is mild.
04

Understanding Option D

Resolving pleural effusion refers to the clearing or improvement of excess fluid built up around the lungs, due to inflammation or other causes. This indicates that the client's pleural effusion is likely getting better, which is a positive sign in a person with SLE.
05

Determining the Most Negative Effect

After evaluating all the options, we can see that Option A (heart ejection fraction of \(25 \%\)) has the most negative effect on the client's health with SLE, as it indicates a significantly reduced heart function and can lead to serious complications like heart failure.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Start your free trial

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A client with an ulcer had a Billroth II procedure performed 2 days ago. Which intervention would the nurse employ to prevent dumping syndrome? A. Elevate the head of the bed \(45^{\circ}\) after meals B. Encourage at least \(500 \mathrm{~mL}\) of fluids with meals C. Provide a low-carbohydrate, high-protein, and high-fat diet D. Serve high-volume meal contents

A client with hepatitis \(\mathrm{C}\) has just arrived after a liver biopsy. Which action does the nurse perform first? A. Assess preprocedure coagulation studies B. Provide pressure at the site by positioning the client on the right side C. Do a detailed chest and abdominal assessment D. Perform discharge teaching of allowed activities

A client presents to the clinic exhibiting symptoms of pernicious anemia. Which diagnostic test would the nurse expect the physician to order that would most likely confirm the diagnosis? A. Urine analysis B. White blood cell count C. Prothrombin time test D. Schilling test

A client has been scheduled for a lumbar puncture. Which would the nurse include in the implementation plans? A. Get the consent form signed for the lumbar puncture procedure B. Place the client in the prone position during the procedure C. Instruct the client that there will be no pain or discomfort D. Encourage fluid intake to assure a full bladder

The nurse is preparing to make a home visit to a client with hepatitis \(\mathrm{A}\). Which plan would the nurse include to prevent the family from contracting hepatitis \(\mathrm{A}\) from the client? A. Emphasize the need for good hand-washing and personal hygiene B. Inform the family to place the client in isolation C. Avoid contact with the client's blood D. Tell the client to wear a mask at all times
See all solutions

Recommended explanations on Biology Textbooks

Energy Transfers

Read Explanation

Ecology

Read Explanation

Biology Experiments

Read Explanation

Bioenergetics

Read Explanation

Cells

Read Explanation

Cell Communication

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free