A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?
Kaposi's sarcoma lesions
Hemangiomas
Psoriasis
Raised facial rash
The Correct Answer is D
A) Kaposi's sarcoma lesions: Kaposi's sarcoma is a cancer that commonly appears in individuals with immunocompromised states, such as those with HIV/AIDS. It is not associated with systemic lupus erythematosus (SLE). Therefore, finding Kaposi's sarcoma lesions would not be expected in a client with SLE.
B) Hemangiomas: Hemangiomas are benign vascular tumors typically seen in infants and children. While they can occur in various skin conditions, they are not characteristic of systemic lupus erythematosus. Thus, finding hemangiomas would not be relevant in this context.
C) Psoriasis: Psoriasis is a chronic autoimmune condition that causes red, scaly patches on the skin. While both psoriasis and lupus are autoimmune disorders, the specific skin manifestations of lupus differ from those of psoriasis. Therefore, a nurse would not expect to find psoriasis in a client with systemic lupus erythematosus.
D) Raised facial rash: A raised facial rash, often described as a "butterfly rash," is a classic manifestation of systemic lupus erythematosus. This rash typically appears across the cheeks and nose and is associated with photosensitivity, making it a key finding when assessing clients with SLE. Thus, the presence of a raised facial rash is an expected and significant finding in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
No explanation
Correct Answer is B
Explanation
A) Limit intake of nuts and legumes: This is incorrect. Nuts and legumes are essential components of a vegan diet, providing important protein, healthy fats, and other nutrients. They should not be limited.
B) Choose foods high in vitamin B12: This is the correct answer. Vitamin B12 is primarily found in animal products, so vegans must seek fortified foods (such as plant-based milks and cereals) or consider supplements to meet their B12 needs, as deficiency can lead to serious health issues.
C) Choose high-fat cheese as a meat substitute: This is misleading. Vegans do not consume cheese, as it is an animal product. Instead, they should look for plant-based alternatives to meet their dietary needs.
D) Limit intake of foods high in vitamin C: This is incorrect. Foods high in vitamin C, such as fruits and vegetables, are encouraged in a vegan diet for overall health and to support the immune system. There is no reason to limit these foods.
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