A nurse is assessing a client who has systemic lupus erythematous (SLE). Which of the following is an expected finding?
Explanation & Rationale
A. Dry raised facial rash: A classic manifestation of systemic lupus erythematosus is the malar or “butterfly” rash, which appears across the cheeks and bridge of the nose. It is typically dry, raised, and erythematous, often triggered or worsened by sunlight. B. Subcutaneous nodules: Subcutaneous nodules are more commonly associated with rheumatoid arthritis rather than SLE. They are firm, non-tender lumps over bony prominences or extensor surfaces. C. Hyperuricemia: Elevated uric acid levels are characteristic of gout, not SLE. Clients with SLE may experience kidney involvement, but hyperuricemia is not a defining feature. D. Polycythemia: SLE is more commonly associated with anemia (especially hemolytic or anemia of chronic disease) rather than polycythemia. Increased red blood cell counts are not expected in this autoimmune condition.