A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the following should the nurse expect to find?

Joint inflammation

Tophi

Esophagitis

"Bull's eye" lesion

Answer and Explanation

The Correct Answer is A

A. Joint inflammation(arthritis) is a common manifestation of systemic lupus erythematosus. SLE can cause inflammation in the joints, leading to symptoms such as pain, swelling, stiffness, and decreased range of motion. It often affects the small joints of the hands, wrists, and knees.

B.   Tophi are deposits of uric acid crystals that form under the skin in people with chronic gout.
C.   Esophagitis, or inflammation of the esophagus, can occur in systemic lupus erythematosus as part of gastrointestinal involvement. However, it is not one of the most common manifestations of SLE.
D.   "Bull's eye" lesion, also known as erythema multiforme, is a skin manifestation seen in conditions such as Lyme disease and certain drug reactions. It is not typically associated with systemic lupus erythematosus.

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Correct Answer is B

Explanation

B. Ensuring that there is space for one finger to fit between the vest and the client's skin helps prevent skin breakdown and pressure injuries. The halo vest should fit snugly but not too tight to allow for proper circulation and comfort.
A. Moving the client by holding onto the halo traction device can disrupt the device's stability and potentially cause harm to the client.
C. Applying medicated powder under the vest can introduce foreign substances to the skin and may increase the risk of skin irritation or infection.
D. This should only be performed under the guidance of a healthcare provider.

A. Hgb 18 g/dL (12 to 16 g/dl) B. WBC 12.000/mm3 (5,000 to 10,000/mm3) C. 25-Hydroxyvitamin D 92 ng/ml. (25 to 80 ng/mL) D. Albumin 3.1 g/dL (3.5 to 5 g/dL)

Correct Answer is D

Explanation

Albumin is a protein that plays a crucial role in maintaining skin health. Low albumin levels (hypoalbuminemia) can lead to poor wound healing and skin vulnerability.

Hemoglobin level, white cell count and 25-hydroxyvitamin have no direct role in skin breakdown.

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A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the following should the nurse expect to find?

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