Question

ou are caring for a patient with systemic lupus erythematous. Based on the pathophysiology of this disease, what clinical manifestations would you expect? Correlate three nursing interventions with the chosen diagnosis.

Answer 1

Clinical Manifestations to be expected in a case of Systemic Lupus Erythematous:

• Butterfly rashes in the areas of nose is
• Arthritis of proximal interphalangeal and meta carpophalangeal joints of hands and also wrist are seen
• Malar rash
• Discoid rash
• Photosensitivity
• Oral ulcers
• Fever, fatigue, weight loss
• Nausea, vomiting, abdominal pain
• Muscle ache
• Inflammation of pleura, pericardium, kidney
• Arthralgia, myalgia
• Hepatosplenomegaly
• Palmar erythema
• Maculopapular rashes
• Depression
• Seizures
• Cranial nerve palsy

These are some main manifestations seen.

Three nursing interventions are:

1. Assess and monitor skin for rashes: malar rash over the cheeks and nose bridge is a common symptom of SLE. Thereofore the skin should be closesly monitored for any developments
2. Assess and manage pain: There stels to be take to manage pain:

• Give analgesics
• Make a comfortable position to rest and avoid contractures
• Apply warm or cold compresses to the joints

3. Administer proper medications:

• Antimalarials(chlorquin)
• Corticosteroids
• NSAIDs
• Immunosuppressants (cyclophosphamide)
• Opioids