A nurse is planning care for a client who was recently admitted to the medical-surgical unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Explanation & Rationale
Potential condition: Systemic lupus erythematosus Based on the provided information, the client is most likely experiencing Systemic Lupus Erythematosus (SLE). This is suggested by the presence of a macular rash on the cheeks, joint discomfort, fever, and elevated erythrocyte sedimentation rate (ESR). Actions to Take Anticipate administering prescribed immunosuppressant medication: This helps manage the autoimmune response and reduce inflammation. Encourage client to avoid direct sunlight: Sun exposure can exacerbate lupus symptoms and trigger flares. Parameters to Monitor Vital signs every 4 hr: Monitoring vital signs helps track the client's overall condition and detect any changes that may indicate complications. Erythrocyte sedimentation rate: Monitoring ESR helps assess the level of inflammation and the effectiveness of treatment.