Patho
Cause of SLE.
What is SLE doesn't have an exact known cause and varies in progression.
Most common symptoms of SLE.
What is fever, fatigue, skin rash, joint pain, and swelling?
Monitoring test for osteoporosis.
What is bone density test?
The medications used to treat SLE.
What is NSAIDs, corticosteroids, and immunosuppressant agents (ie. methotrexate, azathioprine, belimumab)?
The nurse is assessing a client and observes a butterfly rash. The nurse knows that this is a sign of which of the following conditions?
A. Multiple sclerosis
B. Sickle cell crisis
C. Systemic lupus erythematosis
D. Rheumatoid arthritis
What is C?
Triggers of SLE.
What is UV rays, cigarette smoke, medications, viral infections, emotional stress, and silica dust exposure?
What is kidney, heart, lungs, GI tract, and vasculature?
Goal of SLE management.
What is preventing progressive loss of organ function?
Patient education for corticosteroids.
What is do not stop taking abruptly?
A 71 year old client presents for care of exacerbation of lupus symptoms. Which of the following cardiac abnormalities should the nurse assess for those that are most closely associated with lupus?
A. Pericarditis
B. Ventricular tachycardia
C. Sinus bradycardia
D. Cardiomyopathy
Part of body that SLE impacts.
What is connective tissues of various organ systems that can eventually lead to organ failure?
Other symptoms associated with SLE.
What is alopecia, blurry vision, depression, weight loss, weakness, swollen lymph nodes, Raynaud's syndrome, and erythematous rash?
Common nursing diagnoses associated with SLE.
What is impaired skin integrity, fatigue, and body image disturbance?
Patient education for immunosuppressant therapy.
What is avoid live vaccine administration 30 days before?
A patient with SLE takes the medication Azathioprine. Which statement by the patient requires re-education?
A. "I've made sure all my vaccines are up-to-date, and I'm getting the shingles vaccine next week."
B. "This medication can increase my chances for developing infection."
C. "This medication is "steroid-sparing" meaning it can help lower the amount of steroids I may need to manage my lupus."
D. "this medication lowers my immune system."
What is A?
Complications of SLE.
What are lupus nephritis, pericarditis, and myocarditis.
Expected findings for UA in SLE.
What is + protein and RBC?
Increased risks as a result of SLE.
What is cardiovascular disease (hypertension and atherosclerosis), cancer, and kidney disease?
Contraindication for NSAIDs.
What is clients with impaired kidney function?
A patient with an acute exacerbation of SLE is hospitalized with fatigue, acute hand and wrist pain, and proteinuria. The HCP prescribes prednisone 40 mg twice daily. Which nursing action should be included in the plan of care?
A. institute seizure precautions
B. Reorient to time and place PRN.
C. Monitor input and output.
D. Place on cardiac monitor.
What is C?
Immune system involvement in SLE.
What is the body's B-cells overproduce antibodies and cytokines which form antigen-antibody complexes which get trapped in capillaries destroying host cells.
Diagnostic tests for SLE.
What is CBC, UA, BUN, serum creatinine, ESR, serum complement, antinuclear antibodies, anti-SS-a, anti-SS-B, anti-smith, and extractable nuclear antigens?
Patient education for SLE.
Monitoring for corticosteroids.
What is fluid retention, hypertension, and impaired kidney function?
A patient is undergoing test for the evaluation of SLE. What lab findings are associated with SLE? SATA.
A. Decreased ESR and CRP
B. Positive ANA
C. Positive Anti-dsDNA
D. Negative Anti-Sm
E. Low C3 and C4
What is B, C, and E?