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What is not an expected assessment finding in a client with inflammation? (Select all that apply.)

Choice A reason: Administering topical hydrocortisone is the appropriate nursing intervention, because it can help reduce the inflammation and itching of the skin lesions that are common in SLE. SLE is a chronic autoimmune disease that causes the immune system to attack various organs and tissues, such as the skin, joints, kidneys, heart, and blood vessels. Hydrocortisone is a type of corticosteroid that can suppress the immune response and relieve the symptoms of SLE.

Choice B reason: Applying cold therapy to the extremities is not the appropriate nursing intervention, because it can worsen the circulation and sensation of the fingers and toes that are affected by Raynaud's phenomenon, which is a complication of SLE. Raynaud's phenomenon is a condition that causes the blood vessels in the extremities to narrow and spasm in response to cold or stress, resulting in numbness, pain, and color changes. Cold therapy can trigger or aggravate Raynaud's phenomenon.

Choice C reason: Administering antibiotics is not the appropriate nursing intervention, because it is not indicated for SLE, unless there is a secondary infection. SLE is not caused by bacteria, but by the abnormal activity of the immune system. Antibiotics are drugs that can kill or inhibit the growth of bacteria, but they have no effect on the underlying cause of SLE. Antibiotics can also have side effects, such as allergic reactions, gastrointestinal disturbances, or resistance.

Choice D reason: Encouraging ultraviolet (UV) light exposure is not the appropriate nursing intervention, because it can trigger or worsen the skin lesions and the disease activity of SLE. UV light is a type of radiation that can damage the DNA and the cells of the skin, causing inflammation, redness, and blistering. UV light can also stimulate the production of antibodies and cytokines that can attack the organs and tissues of the body.

Choice A reason: "I will need to limit the number of fruit servings each day." is not a statement that indicates a correct understanding of the teaching, because it is irrelevant and inaccurate. Limiting the number of fruit servings each day is not a part of the lowpurine diet, as fruits are low in purine and do not affect the uric acid levels. Fruits are also beneficial for the health, as they provide vitamins, antioxidants, and fiber.

Choice B reason: "I should avoid eating liver and other organ meats." is a statement that indicates a correct understanding of the teaching, because it is relevant and accurate. Avoiding eating liver and other organ meats is a part of the lowpurine diet, as organ meats are high in purine and can increase the uric acid levels. Uric acid is a waste product that is formed when purine is broken down in the body. High uric acid levels can cause gout, which is a type of arthritis that occurs when uric acid crystals accumulate in the joints, causing pain, inflammation, and swelling.

Choice C reason: "I can drink only white wine." is not a statement that indicates a correct understanding of the teaching, because it is incorrect and misleading. Drinking only white wine is not a part of the lowpurine diet, as white wine is not low in purine and can increase the uric acid levels. Alcohol, in general, can interfere with the excretion of uric acid by the kidneys, and can also trigger or worsen the gout attacks. Therefore, people with gout should limit or avoid alcohol consumption, regardless of the type or color of the wine.

Choice D reason: "I should choose red meat instead of poultry." is not a statement that indicates a correct understanding of the teaching, because it is incorrect and misleading. Choosing red meat instead of poultry is not a part of the lowpurine diet, as red meat is not low in purine and can increase the uric acid levels. Red meat, such as beef, pork, or lamb, is high in purine and can aggravate the gout symptoms. Therefore, people with gout should limit or avoid red meat consumption, and choose poultry, fish, or plantbased proteins instead.