A client has newly diagnosed systemic lupus erythematosus (SLE). What instruction by the nurse is most important?
a. "Be sure you get enough sleep at night."
b. "Eat plenty of high-protein, high-iron foods."
c. "Notify your provider at once if you get a fever."
d. "Weigh yourself every day on the same scale."
ANS: C
Fever is the classic sign of a lupus flare and should be reported immediately. Rest and nutrition are important but do not take priority over teaching the client what to do if he or she develops an elevated temperature. Daily weights may or may not be important depending on renal involvement.
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