Mike John, Content Explorer, MCA, Los Angeles, California, USA
Answered Nov 30, 2020
When someone is known to have melena, they had dark spots in their human waste which should be considered because they have bleeding inside theirstomachor tracts. There will also be a stronger smell in the waste. Sometimes, someone’s increase in iron can be mistaken for melena, but it should still be considered risky.
Epistaxis is another term for a nosebleed which also doesn’t seem concerning to patients but it could be depending on the cause of it. If a client with autoimmune thrombocytopenia which is a disorder involving blood. After treatment, a nurse or physician should monitor to determine if the medicine is working. If not, the patient may need a splenectomy. Autonomy may occur because people believe these symptoms are simple and they do not want surgery.
SLE is a multisystem disease that involves almost every organ of the body. The disease often presents with a characteristic rash. This rash is usually on the face and represents a butterfly. This is why it is called a butterfly rash. The severity of the rash is different in different patients.
In some it can be a malar erythema, while in others it takes the form of plaques. The other rashes mentioned in the question are not characteristic of SLE. They are associated with other diseases. For instance the bull’s eye rash is characteristic of Lyme diseases while pustular rash usually occurs with chicken pox.
Butterfly rash-rationale: in the classic lupus rash, lesions appear on the cheeks and the bridge of the nose, creating a characteristic butterfly pattern. the rash may vary in severity from malar erythema to discoid lesions (plaque). papular and pustular rashes arent associated with sle. the bulls eye rash is classic in clients with lyme disease.client needs category: physiological integrityclient needs subcategory: physiological adaptationcognitive level: comprehensionreference: smeltzer, s.c., et al. brunner and suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1911.