Chapter 23: Problem 21
A client with systematic lupus erythematosus has been admitted to a medical unit. Emergency room diagnostic exams are assessed by the nurse. Which exam result indicates the most negative affect? A. Heart ejection fraction of \(25 \%\) B. \(\mathrm{HCT}\) of \(38 \%\) C. Scant proteinuria D. Resolving pleural effusion
Short Answer
Step by step solution
Understanding Option A
Understanding Option B
Understanding Option C
Understanding Option D
Determining the Most Negative Effect
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Key Concepts
These are the key concepts you need to understand to accurately answer the question.
Heart Ejection Fraction
For individuals with conditions like systemic lupus erythematosus (SLE), a heart ejection fraction this low is especially concerning. SLE can already impact multiple organs, and reduced heart function compounds these challenges.
- Low ejection fraction can lead to symptoms such as shortness of breath, fatigue, and even heart failure.
- It requires immediate medical attention and often more intensive treatment options to improve heart function.
- Healthcare providers may consider medication, lifestyle changes, or even surgical interventions depending on severity.
Hematocrit
The normal hematocrit range varies by gender, generally 40% to 50% for men and 36% to 48% for women. A hematocrit level of 38% is slightly below normal for an adult male but falls within the normal range for females.
- A lower than normal hematocrit level suggests anemia or a reduced capacity to deliver oxygen throughout the body.
- Anemia can cause symptoms such as fatigue, weakness, and paleness.
- However, it is not typically life-threatening in the short term and can often be managed with dietary changes, supplements, or medications.
Proteinuria
"Scant proteinuria" suggests only a small amount of protein is present. This indicates mild kidney involvement, which is less severe compared to cases with heavy proteinuria.
- Small amounts of proteinuria may not be immediately concerning but still require attention to prevent progression.
- Treatment often includes medications to control lupus and reduce further kidney damage.
- Regular monitoring can help in adjusting treatment plans to protect kidney function.
Pleural Effusion
- Pleural effusion can cause symptoms like chest pain, coughing, and difficulty breathing.
- Resolution signifies that treatments are working and the inflammatory process is being controlled.
- Management of pleural effusion often involves addressing the underlying cause, i.e., managing SLE with medications like corticosteroids or immunosuppressants.