The nurse is contributing to the plan of care for a patient with systemic lupus erythematosus (SLE). Which of the following interventions would be appropriate for the nurse to recommend? (Select all that apply.)
a. Take cool showers or baths to relieve joint stiffness.
b. Report "foamy urine" to physician.
c. Exercise when pain and inflammation in joints is increased.
d. Use a daily personal schedule to plan activities to reduce fatigue.
e. Avoid naps and obtain a minimum of 6 hours of sleep.
f. Eat a balanced diet.
ANS: B, D, F
Fatigue during activities of daily living is minimized through the use of a daily personal schedule. Additionally, a minimum of 8 hours of sleep per night with naps as necessary are important to combat fatigue. Because the majority of patients with SLE develop transitory arthralgia, maintaining fitness and joint range of motion through a regular fitness program while decreasing activity during flares is vital. Warm baths may help with morning stiffness. Because renal disease is a major complication of SLE, patients must learn the signs of impending problems that need to be relayed to the physician immediately. These are such findings as facial puffiness and "foamy" urine or "coke-colored" urine indicative of proteinuria and hematuria, respectively. Eating a well-balanced diet will also influence level of fatigue and weight gain from the corticosteroids
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