A nurse caring for a client with systemic lupus erythematous (SLE) who is prescribed immunosuppressive therapy. When providing teaching for this client, which topics are appropriate for the nurse to include?
Select all that apply.
A) Avoid large crowds and situations that increase exposure to infection.
B) Report difficulty breathing or cough to the physician if taking cyclophosphamide.
C) Use aspirin instead of acetaminophen if fever develops.
D) Heavy menstrual bleeding may occur during therapy.
E) Maintain appropriate oral hydration.
Answer: A, B, E
When teaching a client with SLE who is receiving immunosuppressant therapy, the nurse will tell the client to avoiding large crowds and situations that increase exposure to infection; to report difficulty breathing or a cough; and to maintain adequate oral hydration. The client should report a fever if it develops, and aspirin should not be used, as this may increase the risk for bleeding. Women may have an absence of menstruation, not heavy bleeding, during therapy.
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