Questions: Question 31 A nurse practitioner is assessing four patients who are suspected of having systemic lupus erythematosus. Which patient does the NP recognize as having developed the disease? - Patient 1: Fever, butterfly rash on face, discoid rash, and joint inflammation - Patient 2: Fever, swollen joints, rheumatoid nodules, and general malaise - Patient 3: Erythema nodosum, tachycardia, weight loss, and fever - Patient 4: Hypothermia, elevated red blood cell count, malaise, and weight gain Patient 2 Patient 4 Patient 1 Patient 3

Question 31

A nurse practitioner is assessing four patients who are suspected of having systemic lupus erythematosus. Which patient does the NP recognize as having developed the disease?

- Patient 1: Fever, butterfly rash on face, discoid rash, and joint inflammation
- Patient 2: Fever, swollen joints, rheumatoid nodules, and general malaise
- Patient 3: Erythema nodosum, tachycardia, weight loss, and fever
- Patient 4: Hypothermia, elevated red blood cell count, malaise, and weight gain

Patient 2
Patient 4
Patient 1
Patient 3

Transcript text: Question 31 A nurse practitioner is assessing four patients who are suspected of having systemic lupus erythematosus. Which patient does the NP recognize as having developed the disease? \begin{tabular}{|c|c|c|c|c|} \hline & Patient 1 & Patient 2 & Patient 3 & Patient 4 \\ \hline Signs and symptoms & Fever, butterfly rash on face, discoid rash, and joint inflammation & Fever, swollen joints, rheumatoid nodules, and general malaise & Erythema nodosum, tachycardia, weight loss, and fever & Hypothermia, elevated red blood cell count, malaise, and weight gain \\ \hline \end{tabular} Patient 2 Patient 4 Patient 1 Patient 3

Solution

The answer is Patient 1: Fever, butterfly rash on face, discoid rash, and joint inflammation.

Explanation for each option:

Patient 1: This patient exhibits a butterfly rash on the face, discoid rash, fever, and joint inflammation, which are classic signs of systemic lupus erythematosus (SLE). The butterfly rash, in particular, is a hallmark symptom of SLE.
Patient 2: While this patient has fever and swollen joints, which can be associated with SLE, the presence of rheumatoid nodules is more indicative of rheumatoid arthritis rather than lupus.
Patient 3: Erythema nodosum, tachycardia, weight loss, and fever are not typical symptoms of SLE. Erythema nodosum is more commonly associated with other conditions such as sarcoidosis or infections.
Patient 4: Hypothermia, elevated red blood cell count, malaise, and weight gain do not align with the typical presentation of SLE. SLE is more commonly associated with anemia rather than an elevated red blood cell count.

In summary, Patient 1's symptoms are most consistent with systemic lupus erythematosus.

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