A patient diagnosed with systemic lupus erythematosis is experiencing a facial rash. What should the nurse instruct the patient regarding skin care?
Select all that apply.
1. Avoid being out of doors during hours of greatest sun intensity.
2. Use sunscreen with an SPF of 15 or higher.
3. Apply hydrocortisone cream 1% to the rash 4?6 times/day.
4. Reapply sunscreen after swimming, exercising, or bathing.
5. Wear a wide-brimmed hat when outside.
Correct Answer: 1, 2, 4, 5
The patient should be instructed on the relationship between sun exposure and disease activity, both dermatologic and systemic. The patient should avoid being out of doors during peak sun hours and always use sun screen with SPF of 15 or higher. Do not use hydrocortisone cream regularly to the face. It can cause skin atrophy and will not provide rash relief. Always reapply sunscreen after perspiring or being exposed to water. Wear loose clothing with long sleeves and wide-brimmed hat when out of doors.
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