A teenage girl is diagnosed with systemic lupus erythematosus (SLE). Which health promotion guidance is important for the nurse to provide?
A.
"Acetaminophen (Tylenol) is best for daily pain."
B.
"Consider adding vitamin D to your daily routine."
C.
"Plan to choose a career that is sedentary."
D.
"You should consider elective sterilization."
ANS: B
Sun exposure is a frequent cause of SLE exacerbations, so patients with SLE must use sunscreen and avoid prolonged time in the sun. This decreases vitamin D synthesis, which is required to metabolize and utilize calcium, leading to increased risk of osteoporosis. A side effect of steroid use is also osteoporosis, so patients with SLE (women especially) need to guard against this occurrence by adding supplemental vitamin D. NSAIDs are best for the pain and inflammation that accompany SLE. The patient does not have to be sedentary; a balance of rest and activity is needed. Pregnancy is not absolutely contraindicated in the patient with SLE; however, it must be considered cautiously in consultation with the health-care provider.
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