A young adult patient has come into a dermatology clinic and reports having had a single 1-in lesion that was scaly with a raised border and a pink center on the chest. Now, a little more than a week later, there are smaller matching spots of the rash on both sides of the chest. The nurse observes pink, oval-shaped spots that are 1⁄4 to 1⁄2 in across. What condition does the nurse suspect the health care provider will diagnose?

A. Increase activity to promote mobility. While moderate activity is beneficial, excessive activity can exacerbate symptoms of SLE.
B. Increase exposure to the sun to increase vitamin D absorption. Sun exposure can trigger lupus flares, so it should be minimized.
C. Increase sodium consumption. Increased sodium intake is not recommended as it can lead to hypertension, a common concern in SLE patients.
D. Maintain a balance between rest and activity. Balancing rest and activity helps manage fatigue and prevent symptom exacerbation in SLE.

A. Grieving related to loss of son: The recent loss of his son is a significant and primary concern, leading to social withdrawal and other behaviours.
B. Social isolation related to depression: While social isolation is a concern, it stems from the primary issue of grieving.
C. Ineffective coping related to the number of recent losses: Ineffective coping is important but addressing the grieving process is more immediate and central.
D. Hopelessness related to relocation to a nursing home: Hopelessness due to relocation may contribute but is not the immediate primary issue in light of the recent death.