A nurse is caring for a client with systemic lupus erythematosus (SLE)who is prescribed immunosuppressive therapy. When providing teaching for this client, which statements are appropriate for the nurse to include? Select all that apply.
A)"Avoid large crowds and situations that increase your exposure to infection."
B)"Report any cough or difficulty breathing to the physician if you are taking cyclophosphamide."
C)"Use aspirin instead of acetaminophen if you develop a fever."
D)"Heavy menstrual bleeding may occur during therapy."
E)"Be sure to drink plenty of liquids."

Question

Quizplus · Accepted Answer

A)Clients who are on immunosuppressant therapy for SLE should be advised to avoid large crowds and situations that increase their exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, but aspirin should not be used, as this may increase the risk for bleeding. Also, women may have an absence of menstruation, not heavy bleeding, during therapy.
B)Clients who are on immunosuppressant therapy for SLE should be advised to avoid large crowds and situations that increase their exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, but aspirin should not be used, as this may increase the risk for bleeding. Also, women may have an absence of menstruation, not heavy bleeding, during therapy.
C)Clients who are on immunosuppressant therapy for SLE should be advised to avoid large crowds and situations that increase their exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, but aspirin should not be used, as this may increase the risk for bleeding. Also, women may have an absence of menstruation, not heavy bleeding, during therapy.
D)Clients who are on immunosuppressant therapy for SLE should be advised to avoid large crowds and situations that increase their exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, but aspirin should not be used, as this may increase the risk for bleeding. Also, women may have an absence of menstruation, not heavy bleeding, during therapy.
E)Clients who are on immunosuppressant therapy for SLE should be advised to avoid large crowds and situations that increase their exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, but aspirin should not be used, as this may increase the risk for bleeding. Also, women may have an absence of menstruation, not heavy bleeding, during therapy.

A Nurse Is Caring for a Client with Systemic Lupus