護理師評估一位疑似全身性紅斑狼瘡(SLE)的病人。下列哪些臨床發現符合此診斷?(選所有適合的)
A nurse is evaluating a client for signs of systemic lupus erythematosus (SLE). Which clinical findings are consistent with this diagnosis? (Select all that apply.)
- AButterfly rash across the nose and cheeks✓ 正解跨越鼻樑與臉頰的蝴蝶斑
- BJoint pain and swelling✓ 正解關節疼痛與腫脹
- CSensitivity to sunlight✓ 正解對陽光敏感
- DWeight gain of 10 lbs in 2 days2天內體重增加10磅
- EExtreme fatigue✓ 正解極度疲倦
全身性紅斑狼瘡(SLE)是一種慢性自身免疫疾病,涉及多器官發炎。典型臨床表現包括皮膚、關節、血液及免疫系統的異常。診斷通常依據臨床症狀與實驗室檢驗。護理評估應涵蓋皮膚(蝴蝶斑)、骨骼肌肉(關節炎)、系統性炎症(疲勞)及光敏感。體重快速增加與 SLE 的急性臨床表現無直接關聯,通常指向心衰竭或腎病症候群引起的體液滯留。
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that involves inflammation of multiple organs. Typical clinical features include abnormalities of the skin, joints, blood, and immune system. Diagnosis is usually based on clinical signs and laboratory findings. Nursing assessment should cover the skin (butterfly rash), musculoskeletal system (arthritis), systemic inflammation (fatigue), and photosensitivity. Rapid weight gain is not directly related to the acute presentation of SLE; it more typically points to fluid retention from heart failure or nephrotic syndrome.