A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?

Choice A rationale
Weighing a client with heart failure is a non-invasive and routine task that can be performed by an assistive personnel (AP). Accurate daily weights are essential for monitoring fluid balance in these clients.
Choice B rationale
Incorrect, as providing discharge instructions for a client requires professional nursing judgment and assessment, tasks outside the scope of practice for APs.
Choice C rationale
Incorrect, as performing an admission assessment requires critical thinking and clinical judgment, which are responsibilities of a licensed nurse.
Choice D rationale
Ambulating an older adult client with hypertension can be safely done by an AP. This helps in maintaining the client's mobility and preventing complications such as blood clots and muscle atrophy.
Choice E rationale
Incorrect, as checking a blood product with another nurse prior to administration involves a critical safety check that must be performed by licensed nurses to ensure the right blood is given to the right patient.

Choice A rationale
Hyperpigmentation is a common manifestation of Addison's disease due to increased production of melanocyte-stimulating hormone along with adrenocorticotropic hormone (ACTH).
Choice B rationale
Purple striations are more characteristic of Cushing's syndrome, not Addison's disease; they result from prolonged exposure to high cortisol levels.
Choice C rationale
Intention tremors are not associated with Addison's disease; they are more commonly related to neurological conditions such as multiple sclerosis or cerebellar disorders.
Choice D rationale
Hirsutism is not typical of Addison's disease but is more related to conditions involving excess androgen production, such as polycystic ovary syndrome (PCOS).