The client enters the outpatient clinic and says, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts."
The nurse assesses the client and finds a rash over the nose and on the cheeks and suspects a diagnosis of which of the following? 1. Fibromyalgia
2. Systemic lupus erythematosus
3. Lyme's disease
4. Gout
2. Systemic lupus erythematosus
Rationale:
The rash over the nose and cheeks is sometimes called a butterfly rash and is classic for the diagnosis of systemic lupus erythematosus (SLE), although not every client diagnosed with this disorder will have this rash. While fibromyalgia, Lyme's disease, and gout share some symptoms of SLE, they do not cause a rash over the nose and cheeks.
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