A patient with systemic lupus erythematosus (SLE) is preparing for discharge. The nurse knows that the patient has understood health education when the patient makes what statement?
A) "I'll make sure I get enough exposure to sunlight to keep up my vitamin D levels."
B) "I'll try to be as physically active as possible between flare-ups."
C) "I'll make sure to monitor my body temperature on a regular basis."
D) "I'll stop taking my steroids when I get relief from my symptoms."
Ans: C
Feedback:
Fever can signal an exacerbation and should be reported to the physician. Sunlight and other sources of ultraviolet light may precipitate severe skin reactions and exacerbate the disease. Fatigue can cause a flare-up of SLE. Patients should be encouraged to pace activities and plan rest periods. Corticosteroids must be gradually tapered because they can suppress the function of the adrenal gland. As well, these drugs should not be independently adjusted by the patient.
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