A nurse is providing care for a client who is experiencing an acute exacerbation of systemic lupus erythematosus. Which of the following findings should the nurse anticipate?

A. Esophagitis: Esophagitis is not a typical manifestation of systemic lupus erythematosus (SLE). While SLE can affect multiple organ systems, gastrointestinal involvement usually presents as abdominal pain, nausea, or pancreatitis, rather than inflammation of the esophagus. B. Fever: Fever is a common systemic manifestation during an acute SLE exacerbation due to immune system activation and widespread inflammation. It reflects the inflammatory response and cytokine release associated with disease flare-ups. C. Diplopia: Diplopia (double vision) is not a common feature of SLE exacerbations. Neurologic involvement in SLE more frequently presents as headache, seizures, cognitive dysfunction, or peripheral neuropathy rather than isolated visual disturbances. D. Bradykinesia: Bradykinesia, or slowness of movement, is characteristic of Parkinson’s disease and other movement disorders, not SLE. Musculoskeletal manifestations of SLE typically include joint pain, stiffness, and swelling without the motor deficits seen in bradykinesia.