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A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?

A.

Connective tissue.

B.

Peripheral vascular system.

C.

Lymphatic system.

D.

Skeletal tissue.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Systemic lupus erythematosus (SLE) is an autoimmune disease that primarily affects connective tissue. The immune system mistakenly attacks healthy tissue, leading to inflammation and damage.

 

Choice B rationale

 

SLE does not originate in the peripheral vascular system, although it can cause complications in blood vessels.

 

Choice C rationale

 

While the lymphatic system is involved in immune responses, SLE primarily targets connective tissue.

 

Choice D rationale

 

SLE does not originate in skeletal tissue, though it can cause joint pain and arthritis.


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View Related questions

Correct Answer is C

Explanation

Choice A rationale

Pitting edema of the hands and fingers is not a typical finding in clients with systemic lupus erythematosus (SLE). Edema can occur in SLE, but it is more commonly associated with renal involvement and not specifically pitting edema of the hands and fingers.

Choice B rationale

Subcutaneous nodules on the ulnar side of the arm are more commonly associated with rheumatoid arthritis rather than SLE. SLE does not typically present with subcutaneous nodules.

Choice C rationale

A dry, red rash across the bridge of the nose and on the cheeks, known as a “butterfly rash,” is a classic sign of SLE. This rash is caused by inflammation of the small blood vessels in the skin and is often exacerbated by sun exposure.

Choice D rationale

A grey-colored, non-purpuric papular rash is not characteristic of SLE. The typical rash in SLE is the butterfly rash, which is dry, red, and raised.

Correct Answer is D

Explanation

Choice A rationale

Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.

Choice B rationale

Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.

Choice C rationale

Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.

Choice D rationale

Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.

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