Which action should a client with SLE avoid to manage fatigue during an exacerbation?

Taking a hot bath before bed should be avoided by a client with systemic lupus erythematosus (SLE) during an exacerbation to effectively manage fatigue. While warm baths can be relaxing, they may not be ideal during periods of fatigue due to the potential for overheating and increased exhaustion afterward. High temperatures can lead to vasodilation, which might exacerbate feelings of fatigue and contribute to a higher heart rate, thereby taxing the body further when it's already under stress from the disease.

In contrast, engaging in low-impact exercise when not fatigued, taking short rest periods, and sitting when possible are strategies that can enhance energy management and reduce overall fatigue. These actions are supportive of energy conservation and help to alleviate the workload on the body, particularly during flare-ups when symptoms may be more pronounced. Balancing activity with rest is key in managing SLE effectively, enabling the client to maintain a better quality of life despite the challenges posed by the condition.