A physician is attempting a differential diagnosis of a 30-year-old female who is suspected of having systemic lupus erythematosus (SLE)

Which of the following aspects of the physician's assessment and the client's history would be considered potentially indicative of SLE? Select all that apply.
A)
The client has a "butterfly rash" on her nose and cheeks.
B)
She complains of intermittent joint pain.
C)
The woman states that she has numerous environmental allergies.
D)
The client has been hospitalized twice in the past for pleural effusions.
E)
Blood work indicates low red cells, white cells, and platelets.


Ans:
A, B, D, E

Feedback:

A butterfly rash, joint pain, pleural effusion, and low levels of blood cellular components are all associated with SLE. Environmental allergies are not noted to be risk factors or associated symptoms of the disease.

Nursing

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