You are doing the initial assessment of a patient admitted to your unit with systemic lupus erythematosus. What skin manifestation would the nurse expect to find on this patient?
A) Petechiae
B) Butterfly rash across bridge of nose and cheeks
C) Absence of wrinkles
D) Weight gain
Ans: B
Feedback: An acute cutaneous lesion consisting of a butterfly-shaped rash across the bridge of the nose and cheeks occurs in systemic lupus erythematosus (SLE). Petechiae are pinpoint skin hemorrhages, which are not a clinical manifestation of SLE. Wrinkles and lines are obliterated in scleroderma. Weight loss is a classic symptom of SLE.
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The nurse is working with a client who is obese and reports having a sedentary lifestyle. What is the nurse's first action to promote this client's health?
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A nurse explains to a family that research supports that the last sense to leave a dying patient is
1. Sight. 2. Hearing. 3. Taste. 4. Vision.