Exam 3 NURS 370 Pt. 2 Review Questions and Correct Answers
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Course
NUR 370
Institution
NUR 370
A patient who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago arrived at the hospital for a regular checkup. The nurse anticipates the priority assessment would be performing the eye examination. Which medication in the treatment leads the nurse to this decision? A. Capsaicin B. ...
Exam 3 NURS 370 Pt. 2 Review
Questions and Correct Answers
A patient who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago
arrived at the hospital for a regular checkup. The nurse anticipates the priority
assessment would be performing the eye examination. Which medication in the
treatment leads the nurse to this decision?
A. Capsaicin
B. Naproxen
C. Hydrocodone
D. Hydroxychloroquine ✅D
Hydroxychloroquine is an antimalarial medication used to treat SLE, as the medication
may lead to retinal toxicity with long-term use, the priority assessment would be an eye
exam
Which is a biological response modifier used to treat patients with systemic lupus
erythematosus (SLE)?
A. Clobetasol
B. Belimumab
C. Azathioprine
D. Cyclophosphamide ✅B
Belimumab is a biological response modifier used to treat SLE
The registered nurse is teaching about systemic lupus erythematosus (SLE). Which
statement by the nurse is incorrect?
A. "It is important to avoid prolonged exposure to sun."
B. "It is important to avoid immunizations with live vaccines."
C. "It is important to perform vigorous exercises regularly."
D. "If you have a history of phlebitis it is important to avoid the use of oral
contraceptives." ✅C
What is the purpose of using an echocardiogram as a diagnostic tool in a patient with
systemic lupus erythematosus (SLE)?
A. To assess for pericardial involvement and elevated pulmonary artery pressure
B. To access neurological defects and cognitive dysfunction
C. To assess the kidney size if there is any sign of renal impairment
D. To assess joint pain, swelling, and stiffness ✅A
The echocardiogram diagnostic tool is used for assessing pericardial involvement and
to check if the pulmonary artery pressure has been elevated because SLE patients are
at risk for developing pulmonary artery hypertension
What medication is most likely to be prescribed to a patient with systemic lupus
erythematosus (SLE) who has this skin rash?
,A. Methotrexate
B. Topical glucocorticoids
C. High dose oral glucocorticoids
D. Azathioprine ✅B
Topical glucocorticoids are usually administered for skin rashes
Which conditions are treated with high dose oral glucocorticoids in a patient with
systemic lupus erythematosus (SLE)? Select all that apply.
A. Oral and nasal ulcers
B. Pneumonitis
C. Chronic cutaneous lupus
D. Systemic vasculitis
E. Hematologic abnormalities ✅B, D, E
Which diagnostic tool is most likely used to assess for joint damage in an older adult
with systemic lupus erythematosus (SLE)?
A. Ultrasound
B. Computed tomography (CT)
C. X-ray
D. Magnetic resonance imaging (MRI) ✅C
A registered nurse is teaching about cyclophosphamide treatment in patients with
systemic lupus erythematosus. Which complication or disease indicates a need for
further teaching?
A. Lupus nephritis
B. Pulmonary hemorrhage
C. Pneumonitis
D. Systemic vasculitis ✅C
A nurse is educating about the medications that can be administered to a patient with
lupus. Which statement indicates a need for further teaching?
A. Hydroxychloroquine
B. Glucocorticoids
C. Oral contraceptives
D. Methotrexate ✅C
The patient with systemic lupus erythematosus (SLE) is experiencing pancytopenia.
What would be the cause of this?
A. Immunosuppression
B. Medications used for treatment
C. Failing kidney function
D. Bone marrow failure ✅A
Clinical signs of pancytopenia (decreased blood counts across all cell lines) indicates
immunosuppression and would require intervention
Which assessment finding corresponds with the first stage of Parkinson's disease (PD)?
, A. Upper extremity tremors
B. Muscle rigidity
C. Shuffling gait
D. Postural instability ✅A
Which finding is used to diagnose the presence of Parkinson's disease (PD)?
A. Electroencephalogram (EEG)
B. Magnetic resonance imaging (MRI)
C. Cerebrospinal fluid (CSF) testing
D. Presence of tremors and muscular rigidity ✅D
Anticholinergics are used to reduce tremors and drooling associated with Parkinson's
disease (PD). Which side effect of this drug contraindicates it for older patients?
A. Memory impairment
B. Urinary frequency
C. Nausea and vomiting
D. Disorders of impulse control ✅A
Which surgical procedure is used to treat the patient with Parkinson's disease (PD)?
A. Vagal nerve stimulator (VNS)
B. Stereotactic pallidotomy
C. Deep brain stimulation
D. Partial corpus callosectomy ✅B
Which describes the role of the speech therapist in terms of care provided for a patient
with Parkinson's disease?
A. To maximize independence in activities of daily living (ADLs)
B. To evaluate the patient's ability to swallow
C. To provide exercises that increase strength
D. To promote home safety ✅B
Which interventions should the nurse implement for the patient with Parkinson's disease
(PD)? Select all that apply.
A. Elevate head of bed when eating and drinking.
B. Arrange speech therapy for the patient.
C. Teach the patient to take long steps while walking.
D. Teach the patient to call the healthcare provider for medical compliance.
E. Discuss and evaluate the patient's ability to drive. ✅A, B, D, E
The home healthcare nurse is caring for an elderly patient with Alzheimer's disease
(AD). Which intervention should the nurse implement for the patient?
A. Provide the patient with semi-soft diet.
B. Encourage the patient to take an afternoon nap.
C. Provide the patient with a different schedule every day.
D. Speak calmly using positive statements. ✅D
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