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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Symmetrical joint pain that is relieved with rest. Rheumatoid arthritis (RA) is characterized by symmetrical joint pain, but the pain is not typically relieved with rest.
Choice B rationale:
Symmetrical joint pain. This is a common symptom of RA, as the disease often affects the same joints on both sides of the body.
Choice C rationale:
Bouchard’s nodes in the middle joints. Bouchard’s nodes are more commonly associated with osteoarthritis, not RA123.
Choice D rationale:
Unilateral pain in the weight-bearing joints. RA typically causes symmetrical joint pain, not unilateral.
Correct Answer is B
Explanation
Choice A rationale:
A dry, raised rash on the face is a common symptom of SLE, but it’s not the highest priority.
Choice B rationale:
Pitting edema in the ankles and feet could indicate kidney involvement, a serious complication of SLE that requires immediate medical attention.
Choice C rationale:
Joint pain is a common symptom of SLE, but it’s not the highest priority.
Choice D rationale:
Feelings of depression should be addressed, but they are not the highest priority in this context.
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