Client Complains Rash Question & Answer Guide (With Explanation)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to client complains rash and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves client complains rash. A strong answer should include explanation, application, and examples.
Original Question
Client complains of rash on arms, legs, and face after sun exposure despite always wearing sun protection. Client states this rash has occurred multiple times over the past 6 months but is getting worse. Client also complains of extreme fatigue, also getting worse over the past 6 months. Client has no past medical history, no allergies, and does not smoke. Client AAOx4, denies nausea, vomiting, diarrhea, headache, or recent illness. Malar rash noted to nose and cheeks of face in the shape of a butterfly, also noted to arms and legs. Client states it does itch but she has been trying not to scratch it. Lungs clear to auscultation bilaterally. No evidence of enlarged lymph nodes. Cardiac auscultation demonstrates normal sinus rhythm with no rubs, murmurs, or gallops. Abdomen soft, nontender, nondistended with bowel sounds auscultated in all four quadrants. Neuromuscular system intact in all four extremities, no edema, full ROM. Client does state she has some muscle and joint pain occasionally, right now rating it a 4/10 in fingers and arms. Lab work completed this week demonstrates anemia, elevated ESR, and positive ANA test.Which diagnostics should the nurse practitioner (NP) order to confirm a systemic lupus erythematosus (SLE) diagnosis based on the information provided? Select all that apply.​Urinalysis Tissue biopsy: skin rash Complete metabolic panel (CMP) Blood cultures​Computed tomography (CT) scan of the brain​
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