The nurse is performing a skin assessment on a client diagnosed with systemic lupus erythematosus (SLE). Which assessment findings does the nurse anticipate? Select all that apply.
A) Paronychia
B) Facial butterfly rash
C) Discoid lesions
D) Alopecia
E) Contact dermatitis
B) Facial butterfly rash
C) Discoid lesions
D) Alopecia
Explanation: A) Integumentary assessment findings associated with systemic lupus erythematosus (SLE) include the presence of a facial butterfly rash, discoid lesions, alopecia, photosensitivity, maculopapular rash on exposed body surfaces, erythematous fingertip lesions, splinter hemorrhages, and ulcers. Paronychia is a soft tissue infection of the fingernail as is not associated with SLE. Contact dermatitis refers to a local hypersensitivity reaction that occurs when an allergen comes into contact with the skin.
B) Integumentary assessment findings associated with systemic lupus erythematosus (SLE) include the presence of a facial butterfly rash, discoid lesions, alopecia, photosensitivity, maculopapular rash on exposed body surfaces, erythematous fingertip lesions, splinter hemorrhages, and ulcers. Paronychia is a soft tissue infection of the fingernail as is not associated with SLE. Contact dermatitis refers to a local hypersensitivity reaction that occurs when an allergen comes into contact with the skin.
C) Integumentary assessment findings associated with systemic lupus erythematosus (SLE) include the presence of a facial butterfly rash, discoid lesions, alopecia, photosensitivity, maculopapular rash on exposed body surfaces, erythematous fingertip lesions, splinter hemorrhages, and ulcers. Paronychia is a soft tissue infection of the fingernail as is not associated with SLE. Contact dermatitis refers to a local hypersensitivity reaction that occurs when an allergen comes into contact with the skin.
D) Integumentary assessment findings associated with systemic lupus erythematosus (SLE) include the presence of a facial butterfly rash, discoid lesions, alopecia, photosensitivity, maculopapular rash on exposed body surfaces, erythematous fingertip lesions, splinter hemorrhages, and ulcers. Paronychia is a soft tissue infection of the fingernail as is not associated with SLE. Contact dermatitis refers to a local hypersensitivity reaction that occurs when an allergen comes into contact with the skin.
E) Integumentary assessment findings associated with systemic lupus erythematosus (SLE) include the presence of a facial butterfly rash, discoid lesions, alopecia, photosensitivity, maculopapular rash on exposed body surfaces, erythematous fingertip lesions, splinter hemorrhages, and ulcers. Paronychia is a soft tissue infection of the fingernail as is not associated with SLE. Contact dermatitis refers to a local hypersensitivity reaction that occurs when an allergen comes into contact with the skin.
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What is the role of The Joint Commission in regard to patient assessment? The Joint Commission
1) States what assessments are collected by individuals with different credentials. 2) Regulates the time frames for when assessments should be completed. 3) Identifies how data are to be collected and documented. 4) Sets standards for what and when to assess the patient.
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a. remove the patient's nail polish to get a pulse oximetry reading. b. use a forehead probe to get a pulse oximetry reading. c. use a finger probe to get a pulse oximetry reading. d. check the color of the patient's nail polish before attempting a reading.