Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
54. A client with Sjögren's syndrome, an autoimmune disorder in women, is scheduled for surgery. The correct nursing action would be:
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
54. A client with Sjögren's syndrome, an autoimmune disorder in women, is scheduled for surgery. The correct nursing action would be:
. Have a humidifier at the bedside when the client returns from surgery.
. Lubricate the client's eyes with ointment before surgery.
. Tell the client that nothing can be taken by mouth for 12 hours.
. Withhold antidepressant therapy for 6 hours after surgery.
Test-Taking Tip
Note that three options focus on after surgery ( Answers 1, 3, and 4 ). Select the option that is "before surgery." Review Sjögren's syndrome—remember dry eyes and mouth.
Content Area: Adult Health, Immunological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Therapeutic Procedures
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
.
Answer 1 is incorrect because pulmonary dryness is not the problem. Answer 2 is correct because, with Sjögren's syndrome, lacrimal glands are destroyed, resulting in dry eyes (keratoconjunctivitis). Answer 3 is incorrect because dry mouth is a problem. Twelve hours is too long. Answer 4 is incorrect because antidepressants are not a treatment for Sjögren's syndrome.