[Verified Answer]: Chief Complaint: Joint pain, rash, and…

Chief Complaint: Joint pain, rash, and fatigue Allergies: Non-steroidal anti-inflammatory drugs (NSAIDs) (difficulty breathing) History of Present Illness: 28-year-old female, admitted to the telemetry unit for exacerbation of systemic lupus erythematosus (SLE). Reports 102 °F (38.8 °C) fever for last 2 days Review of Systems: General: Fatigue Neurological: Alert and oriented to person, place, time, and situation (A&O x 4); Pupils equal, round, reactive to light, and accommodation (PERRLA) Cardiovascular: Sinus tachycardia on cardiac monitor; Regular rate. S1 and S2 present Respiratory: Respirations even and unlabored at rest; Lungs clear to auscultation (CTA) Gastrointestinal: Reports regular, daily bowel movements. Denies abdominal pain Genitourinary: Denies urinary symptoms. Last menstrual period (LMP) 2 weeks ago Integumentary: Skin pink, warm, and dry. Rash covering cheeks and bridge of the nose; dry red patches with purulent drainage on the face; no bruising noted Musculoskeletal: Reports muscle weakness and joint pain 5/10 on pain scale Home Medications: Phenytoin, birth control, ferrous sulfate, acetaminophen as needed (PRN) progress note: 0900 Assisting client to the restroom. Upon standing, the client became dizzy and needed to sit back down on the bed. Blood pressure taken after client sat back down was 100/58 mmHg and heart rate was in the 120s on the cardiac monitor when client stood up. Client reported feeling slight palpitations. Notified nurse practitioner. Labs: Labs Standard Values Results White Blood Cells (WBCs) 4,000-10,000 mm3 2,250 mm3 Red Blood Cells (RBCs) 4.2-5.9 cells/L 5.0 cells/L Hemoglobin (Hgb) 12.0-17.0 g/dL 10.1 g/dL Hematocrit (Hct) 36-51% 30% Platelets 150,000-350,000 mm3 175,000 mm3 Sodium 135-145 mEq/L 142 mEq/L Potassium 3.5-5.0 mEq/L 4.5 mEq/L Calcium 9-10.5 mg/dL 9.8 mg/dL Chloride 98-106 mEq/L 98 mEq/L Blood urea nitrogen (BUN) 8-20 mg/dL 15 mg/dL Creatinine 0.7-1.3 mg/dL 1.1 mg/dL Glucose 70-100 mg/dL 88 mg/dL Erythrocyte sedimentation rate (ESR) 0 to 20 mm/hr 35 mm/hr C-reactive protein (CRP) <1.0 mg/dL 2.3 mg/dl identify which are Indicated and Contraindicated IV 0.9% NS 1,000 mL at 100 ml/hr Immunotherapy injection Antipyretic Antibiotic Analgesic Corticosteroid Non-steroidal anti-inflammatory drug (NSAID) Iron supplement