Author Question: The client enters the outpatient clinic and states to the triage nurse, I think I have the flu. I'm ... (Read 60 times)

Tirant22 · **on:** Jun 25, 2018

The client enters the outpatient clinic and states to the triage nurse, I think I have the flu. I'm so tired, I have no appetite, and everything hurts.

The triage nurse assesses the client and finds a butterfly rash over the bridge of nose and on the cheeks. Based on this data, which diagnosis does the nurse anticipate?
A) Systemic lupus erythematosus
B) Fibromyalgia
C) Lyme disease
D) Gout

Question 2

A client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE). Which response by the nurse is the most appropriate?

A) Conditions that cause hypotension can often exacerbate SLE.
B) GI upset is often associated with SLE exacerbation.
C) Pregnancy is often associated with an SLE exacerbation.
D) Fever is a known trigger for an SLE exacerbation.

nguyenhoanhat · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The rash over the nose and cheeks is sometimes called a butterfly rash and is classic for the diagnosis of systemic lupus erythematosus (SLE). While fibromyalgia, Lyme's disease, and gout share some symptoms of SLE, they do not cause a rash over the nose and cheeks.

Answer to Question 2

Answer: C

Pregnancy can be associated with an exacerbation of SLE due to the rise of estrogen levels. Hypotension, fever, and GI upset are not factors that risk exacerbation of SLE.