Author Question: The nurse is caring for a 14-year-old child with systemic lupus erythematous (SLE). What clinical ... (Read 56 times)

newbem · **on:** Jun 28, 2018

The nurse is caring for a 14-year-old child with systemic lupus erythematous (SLE). What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Arthralgia
b. Weight gain
c. Polycythemia
d. Abdominal pain
e. Glomerulonephritis

Question 2

The nurse is caring for a 14-year-old child with juvenile idiopathic arthritis (JIA). What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Erythema over joints
b. Soft tissue contractures
c. Swelling in multiple joints
d. Morning stiffness of the joints
e. Loss of motion in the affected joints

Meganchabluk · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A, D, E
Clinical manifestations of SLE include arthralgia, abdominal pain, and glomerulonephritis. Weight loss, not gain, and anemia, not polycythemia, are manifestations of SLE.

Answer to Question 2

ANS: B, C, D, E
Whether single or multiple joints are involved, stiffness, swelling, and loss of motion develop in the affected joints in JIA. The swelling results from soft tissue edema, joint effusion, and synovial thickening. The affected joints may be warm and tender to the touch, but it is not uncommon for pain not to be reported. The limited motion early in the disease is a result of muscle spasm and joint inflammation; later it is caused by ankylosis or soft tissue contracture. Morning stiffness of the joint(s) is characteristic and present on arising in the morning or after inactivity. Erythema is not typical, and a warm, painful, red joint is always suspect for infection.