A patient diagnosed with systemic lupus erythematosis is ...

[WWatsford]

A patient diagnosed with systemic lupus erythematosis is experiencing a facial rash. What should the nurse instruct the patient regarding skin care?
 
  Select all that apply.
  1. Avoid being out of doors during hours of greatest sun intensity.
  2. Use sunscreen with an SPF of 15 or higher.
  3. Apply hydrocortisone cream 1 to the rash 46 times/day.
  4. Reapply sunscreen after swimming, exercising, or bathing.
  5. Wear a wide-brimmed hat when outside.

Question 2

The nurse is providing discharge instructions to a patient recovering from a total hip replacement. What should the nurse include in these instructions?
 
  Select all that apply.
  1. use and weight bearing of affected limb
  2. not to do exercises if experiencing discomfort
  3. possible complications such as infection or dislocation
  4. continuing pain medications for only two days after discharge
  5. full recovery in up to six months

[leannegxo]

Answer to Question 1

Correct Answer: 1, 2, 4, 5
The patient should be instructed on the relationship between sun exposure and disease activity, both dermatologic and systemic. The patient should avoid being out of doors during peak sun hours and always use sun screen with SPF of 15 or higher. Do not use hydrocortisone cream regularly to the face. It can cause skin atrophy and will not provide rash relief. Always reapply sunscreen after perspiring or being exposed to water. Wear loose clothing with long sleeves and wide-brimmed hat when out of doors.

Answer to Question 2

Correct Answer: 1, 3, 5
Patient education should focus on the continued progression of exercise and ambulation. There will be some degree of discomfort when exercising the affected limb but this can be controlled with mild analgesics. Patient should be instructed to report increasing pain, redness, swelling, fever, or deformity of hip. Postoperative pain medication will be necessary for longer than two days. Without proper pain control, the patient may not progress with exercise and ambulation. Recovery from total hip replacement is 80 complete in 4 weeks and 100 complete in six months.