Which of the following is a common nursing diagnosis that the nurse will include in the plan of care for a patient with systemic lupus erythematosus (SLE)?
Impaired Physical Mobility
Fatigue
Impaired Cognition
Impaired Swallowing
The Correct Answer is B
A. Impaired Physical Mobility: although possible, it is not as common as fatigue in SLE patients.
B. Fatigue: Persistent fatigue is a hallmark symptom of SLE due to inflammation, anemia, and immune system dysregulation.
C. Impaired Cognition: While cognitive issues may occur, they are not the primary concern in most patients.
D. Impaired Swallowing: This is not a typical issue associated with SLE.
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Related Questions
Correct Answer is C
Explanation
A. Liver Failure: Lymph node enlargement is not a typical finding in liver failure. Common signs of liver failure include jaundice and ascites.
B. Thyroid Disorder: Thyroid disorders typically present with changes in metabolism, thyroid enlargement (goiter), or thyroid hormone imbalances rather than lymphadenopathy.
C. Infection: Painful, movable lymph nodes are commonly associated with bacterial or viral infections.
D. Cancer: Cancer-related lymphadenopathy is typically painless and associated with firm, fixed lymph nodes.
Correct Answer is A
Explanation
A. Antigen-antibody complexes: These are involved in Type III hypersensitivity reactions, not in Hashimoto thyroiditis.
B. Autoantibodies: Hashimoto thyroiditis is an autoimmune disorder where autoantibodies target thyroid peroxidase (TPO) and thyroglobulin, leading to inflammation and destruction of thyroid cells.
C. Viral infection: Although some autoimmune conditions may have viral triggers, Hashimoto's is not directly caused by a viral infection.
D. Bacterial infection: Bacterial infections do not cause Hashimoto thyroiditis.
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