A patient who has been newly diagnosed with systemic lupus erythematosus (SLE) has been admitted to the medical unit. Which of the following nursing diagnoses is the most plausible inclusion in the plan of care?
A) Fatigue Related to Anemia
B) Risk for Ineffective Tissue Perfusion Related to Venous Thromboembolism
C) Acute Confusion Related to Increased Serum Ammonia Levels
D) Risk for Ineffective Tissue Perfusion Related to Increased Hematocrit
Ans: A
Feedback:
Patients with SLE nearly always experience fatigue, which is partly attributable to anemia. Ammonia levels are not affected and hematocrit is typically low, not high. VTE is not one of the central complications of SLE.
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