A patient is admitted to the hospital with weight loss, fatigue, and an enlarged liver, and several diagnostic tests are performed. After reviewing the patient's chart, the nurse educates the patient about the health problem
1. "It sounds like my risk of dying from this is really high."
2. "This disease could just disappear all by itself."
3. "Okay, I am finally going to stop smoking."
4. "I should take my steroids with a meal."
Correct Answer: 1
This patient has developed sarcoidosis. Sarcoidosis has a low mortality rate but a relatively high rate of serious disability. It often resolves spontaneously, so treatment is indicated only when symptoms are severe or disabling. Patients should avoid respiratory irritants and stop smoking. The patient should take corticosteroids with food or milk to minimize gastric irritation.
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