Lupus: Presumptive Nursing Diagnosis and Care  Essay Assignment paper

Lupus: Presumptive Nursing Diagnosis and Care  Essay Assignment paper

Lupus: Presumptive Nursing Diagnosis and Care  Essay Assignment paper

The patient is Mary, a 35-year old female who works as an electrical engineer. She arrived with the rash that has been on her face and the bridge of her nose for one week. According to Mary, her rash first became noticeable during the hiking trip in the Appalachians. The accompanying symptoms are fatigue, loss of weight, and high fever, muscle pains (in particular, in her hand and wrist), BP 112/66 mm Hg; HR 62 BPM and regular; respiratory rate 12 breaths/min; temperature 100.3°F.Lupus: Presumptive Nursing Diagnosis and Care Essay

Presumptive nursing diagnosis

According to the symptoms, it is possible to establish a presumptive nursing diagnosis is lupus. Mayo Clinic’s definition of this condition states that “the most distinctive sign of lupus — a facial rash that resembles the wings of a butterfly unfolding across both cheeks” (2016). Mary has the butterfly rash and most of the other symptoms typical for lupus – fatigue, weight loss, and painful joints (Pietrangelo & Cherney, 2015). Most importantly, according to Mary, she noticed that spending time outdoors made her condition worse. This observation indicates that the patient has been experiencing photosensitivity, one of the most significant signs of lupus (Bartels, 2015). In addition, the patient has reported oral ulcers – another diagnostic criterion for lupus (Bartels, 2015). The final diagnosis requires lab tests because the symptoms of lupus are not easy to distinguish as they may be similar to the signs of many other diseases and conditions.Lupus: Presumptive Nursing Diagnosis and Care Essay

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