The nurse is providing care for a young mother with systemic lupus erythematosus (SLE). Which of the following statements indicates to the nurse that the client understands the plan of care?
1. "I will use contraceptive measures while I am taking cytotoxic medications.".
2. "I plan to go to the movies this weekend.".
3. "I do not need to contact the doctor if I develop a fever.".
4. "I can take ibuprophen whenever I have pain.".
1. "I will use contraceptive measures while I am taking cytotoxic medications.".
Rationale:
Treatment for SLE can include cytotoxic drugs. The client is taught to avoid pregnancy as these drugs can cause birth defects. The client is taught to avoid crowds as they are potential sources of infection. Clients with SLE should contact their primary care providers should signs of infection occur as the immune system is compromised. Taking aspirin and ibuproben can cause bleeding and should be taken with extreme care.
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