UPDATE | WITH COMPLETE SOLUTION
A Nurse is assessing a client who has systemic lupus erythematosus (SLE).
Which of the following findings should the nurse expect?
Facial rash
Thickened skin
Chronic back pain
Iritis Answer - Facial rash
Rationale: SLE causes a characteristic facial "butterfly" rash that is dry, scaly,
red, and raised
A nurse is providing discharge teaching to a client who has systemic lupus
erythematosus (SLE). Which of the following instructions should the nurse
include?
Avoid using moisturizing lotions on the skin
Wash the hair with a mild protein shampoo.
,Apply powder liberally to sensitive skin areas.
Use a sun-blocking agent with a sun protection of at least 15. Answer - Use a
sun-blocking agent with a sun protection of at least 15.
Rationale: Clients who have SLE are prone to hair loss. They should use a mild
protein shampoo and ... avoid treatments that can damage the hair and scalp,
such as dyes and permanents.
Clients who have SLE should not use powder or other drying skin products on
their skin. Clients who have SLE should apply non-perfumed moisturizing
lotions liberally to the skin
A nurse is caring for a client who has a new diagnosis of systemic lupus
erythematosus (SLE) and asks where this disease originates within the body.
The nurse should tell the client that SLE originates in which of the following
locations in the body?
Connective tissue
Muscle tissue
Peripheral vascular system Answer - Connective tissue
Rationale: SLE originates in the connective tissues of the body and affects all
organ systems.
A nurse is assessing a client who has systemic lupus erythematosus (SLE).
Which of the following findings is the highest priority for the nurse to report to
the provider?
, Client reports mild feelings of depression
Dry, raised rash on the face.
Presence of sudden peripheral edema.
Joint pain in hands and knees. Answer - Presence of sudden peripheral edema.
Rationale: The client who has SLE is at greatest risk for death from lupus
nephritis. Therefore, according to the safety and risk reduction priority setting
framework, findings that indicate an impairment of renal function are the
highest priority to report.
Rationale: The client who has SLE commonly reports joint pain and rash.
However, according to Rationale: The client who has SLE commonly reports
feelings of depression. However, according to the safety and risk reduction
priority setting framework, these other findings are not the highest priority.
A nurse is assessing a client who is taking hydroxychloroquine. The nurse
should report which of the following adverse effects to the provider
immediately?
Blurry vision
Diarrhea
Fatigue