A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit.
The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.).
Tophi presentation on the joints.
Heberden's nodes.
Butterfly rash on the face.
Raynaud's phenomenon.
Photosensitive skin.
Correct Answer : C,D,E
Choice A rationale:
Tophi presentation on the joints is associated with gout, not SLE1.
Choice B rationale:
Heberden’s nodes are associated with osteoarthritis, not SLE1.
Choice C rationale:
A butterfly rash on the face is a common manifestation of SLE1.
Choice D rationale:
Raynaud’s phenomenon can occur in SLE1.
Choice E rationale:
Photosensitive skin is a common symptom of SLE1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale:
High veal diet should be avoided as it is high in purines which can exacerbate gout.
Choice B rationale:
High bacon diet should be avoided as it is high in purines and sodium which can exacerbate gout.
Choice C rationale:
Increasing alcohol intake is not recommended as it can increase uric acid production, worsening gout.
Choice D rationale:
High fish diet should be avoided as it is high in purines which can exacerbate gout.
Choice E rationale:
Starvation diet is not recommended as rapid weight loss can increase uric acid levels, triggering a gout attack.
Correct Answer is D
Explanation
Choice A rationale:
Elevating the legs can help reduce swelling, but placing pillows under the knees can potentially increase knee stiffness, which is not beneficial for osteoarthritis.
Choice B rationale:
While ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that can help reduce pain and inflammation in osteoarthritis, it is not necessarily the first step in medication therapy. This can vary based on the individual’s condition and doctor’s recommendation.
Choice C rationale:
Physical activity is actually beneficial for osteoarthritis as it strengthens the muscles around the joints and improves joint flexibility. Limiting physical activity may lead to joint stiffness.
Choice D rationale:
Using heat or ice can help relieve discomfort caused by osteoarthritis. Heat can relax muscles and help lubricate the joint, and ice can help reduce joint swelling.
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