The client enters the outpatient clinic and states to the triage nurse, "I think I have the flu. I'm so tired, I have no appetite, and everything hurts."

The triage nurse assesses the client and finds a butterfly rash over the bridge of nose and on the cheeks. Based on this data, which diagnosis does the nurse anticipate?
A) Systemic lupus erythematosus
B) Fibromyalgia
C) Lyme disease
D) Gout


Answer: A

The rash over the nose and cheeks is sometimes called a butterfly rash and is classic for the diagnosis of systemic lupus erythematosus (SLE). While fibromyalgia, Lyme's disease, and gout share some symptoms of SLE, they do not cause a rash over the nose and cheeks.

Nursing

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A nurse is admitting a patient who has been diagnosed as having confusion. What is the most important observation that the nurse should make regarding this patient?

a. Eating, drinking, and sleeping patterns b. Behavior, orientation, memory, and sleeping habits c. Urinary and bowel elimination habits d. Talking, walking, and sleeping patterns

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Telehealth has caused officials concern about the privacy of information as it crosses state lines. Which of the following statements can be considered a resolution by health care professionals?

1. Experts have called for the discontinuation of telehealth. 2. Experts have called for the creation of standards for e-health, particularly for security and identity management. 3. Experts have enacted a number of bills stopping the growth of telehealth. 4. Experts have called for a limit in the number of telehealth patient encounters.

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The nurse describes the initial diagnostic test for HIV as the enzyme-linked immunosorbent assay (ELISA), which is performed to detect:

a. human immunodeficiency virus. b. depleted phagocytes. c. numbers of T helper cells. d. HIV antibodies.

Nursing

The nurse is caring for a client who is in a state of consciousness yet insensitive to pain and unaware of the surroundings, caused by combining the opioid fentanyl (Sublimaze) with the antipsychotic agent droperidol (Inapsine)

What state of consciousness is this client experiencing? 1. Neurolept analgesia 2. Surface analgesia 3. Dissociative analgesia 4. Regional analgesia

Nursing