The nurse planning care for a client with discoid lupus ...

[Mr. Wonderful]

The nurse planning care for a client with discoid lupus erythematosus is setting goals in collaboration with the client. One goal is that the client will:
 
  1. Work through the stages of death and dying.
   2. Gain weight to within 10 pounds of normal for height.
   3. Comply 100 of the time with sun protection plan.
   4. Report pain no higher than four on a scale of 1-10.

Question 2

The nurse is obtaining a health history on a client complaining of recent-onset impotence. During the interview, which of the following questions will be most beneficial in identifying a potential cause of the manifestation?
 
  1. Does this occur often?
   2. How does your partner feel about this problem?
   3. For what diseases and disorders have you been treated?
   4. Are you on any medications?

[helenmarkerine]

Answer to Question 1

3. Comply 100 of the time with sun protection plan.

Rationale:
Discoid lupus erythematosus is an autoimmune disorder of the skin, so the client must protect against the sun to avoid skin cancers and other complications. It is not fatal, is not related to weight, and is rarely painful unless complications arise.

Answer to Question 2

3. For what diseases and disorders have you been treated?

Rationale:
A client's health history can provide clues to the underlying cause of impotence. The question for what diseases and disorders have you been treated would provide the nurse with information as to possible causes for the recent onset of the disorder. Asking the client if the impotence occurs often will not help identify the cause of the problem. Asking the client how their partner feels about the problem also will not help identify a possible cause. The question are you on any medication? would be beneficial to ask however should be an open-ended question and not a closed-ended question as identified. The nurse should ask the client to list any medications instead of asking are you on any medication? which could be answered as a yes or no.

[Mr. Wonderful]

Gracias!

[xoxo123]

TYSM