A nurse practitioner (NP) is evaluating a 40-year-old female named Irina Lebedev (pronouns: she/her/hers). Irina has no medical history but has been struggling with joint pain, fatigue, and a malar rash for the past few months. She is concerned because her mother had rheumatoid arthritis. Irina is in the United States on a work visa, and her pain is making it hard for her to work. The NP suspects the client may have an autoimmune disorder, such as systemic lupus erythematosus (SLE).
[Expert Solution]: A nurse practitioner (NP) is evaluating a…
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