A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

Choice A reason: Exposure to ultraviolet light, especially sunlight, is a well-known trigger for SLE flares. It can exacerbate skin manifestations and systemic symptoms due to immune system activation. Choice B reason: Pregnancy can exacerbate SLE due to hormonal changes and increased immune system demands. It also increases the risk of complications such as preeclampsia and preterm labor in women with active disease. Choice C reason: Moderate, regular exercise is generally encouraged for clients with SLE to maintain joint mobility, reduce fatigue, and improve cardiovascular health. It is not a known trigger for disease exacerbation, so identifying it as such indicates a misunderstanding. Choice D reason: Infections can trigger SLE flares by stimulating the immune system. Clients with SLE are also more susceptible to infections due to immunosuppressive therapy, making infection a significant concern.