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MS1 EXAM 2 (200) ACTUAL EXAM STUDY GUIDE |LATEST UPDATE ()|MS1 VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS
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MS1 EXAM 2 (200) ACTUAL EXAM STUDY GUIDE |LATEST UPDATE ()|MS1 VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS ALL GRADED A+|GUARANTEED SUCCESS
A nurse is assessing a client who has systemic lupus erythematosus. which of the following findings should the nurse expect? select all that apply
...
MS1 EXAM 2 (200) ACTUAL EXAM
STUDY GUIDE |LATEST UPDATE (2024-
2025)|MS1 VERIFIED EXAM
QUESTIONS AND CORRECT ANSWERS
ALL GRADED A+|GUARANTEED
SUCCESS
A nurse is assessing a client who has systemic lupus erythematosus. which of the
following findings should the nurse expect? select all that apply
A. subcutaneous nodules
B. Decreased urine output
C. Renal calculi
D. Butterfly rash
E. Joint inflammation - ANSWER-✅B, D, E
A nurse is providing teaching to a client who has systemic lupus erythematosus.
Which of the following statements by the client indicates an understanding of the
teaching?
A. I should use a sunscreen with a SPF of at least 15
B. Long-term immunosuppressive therapy could cure this disease
C. I should wear gloves when it is cold outside
D. SLE should not affect my lungs or breathing - ANSWER-✅C. I should wear gloves
when it is cold outside
a nurse is providing discharge teaching to a client who has HIV. Which of the
following statements by the client indicates an understanding of the teaching?
A. I will clean the bathroom surfaces with full strength bleach
B. I should discard open beverages that have been unrefrigerated for 1 hr
C. I should wash laundry that is soiled with a body fluid in cool water
D. I will work in the garden for exercise - ANSWER-✅B. I should discard open
beverages that have been unrefrigerated for 1 hr
,A nurse is providing teaching to a client who has rheumatoid arthritis and reports
persistent pain. Which of the following responses should the nurse make?
A. Take a cool bath in the evening
B. Exercise every other day
C. Use pillows to support your joints while in bed
D. Ask a friend or a family member to help with household chores - ANSWER-✅D.
Ask a friend or a family member to help with household chores
Methotrexate classification - ANSWER-✅DMARD
DMARDs slow the progression of ______ ________. - ANSWER-✅rheumatoid
arthritis
A. Toxicity (even at low doses)
B. GI irritation and loss of appetite
C. Increased immune response
D. Gastrointestinal hemorrhage - ANSWER-✅A, B, D
What should you tell the patient taking methotrexate? SATA:
A. Report abnormal bleeding
B. Drink 8-12 glasses of water a day
C. Avoid alcohol
D. Increase vitamin D intake
E. Avoid NSAIDs - ANSWER-✅A, B, C, E
What is the most important supplementation with methotrexate treatment?
A. Folate
B. Vitamin B12
C. Iron
D. Testosterone - ANSWER-✅A. Folate
Methotrexate is a(n) ______ that can cause the pt. to become __________.
A. NSAID -- hypertensive
B. DMARD -- immunosuppressed
C. DMARD -- constipated
D. NSAID -- nauseous - ANSWER-✅B. DMARD -- immunosuppressed
,A nurse is providing teaching to a client who has rheumatoid arthritis and a new
prescription for methotrexate. Which of the following client statements indicates an
understanding of the teaching?
A. I will avoid being in large crowds while taking this medication
B. I should expect symptoms to subside in 1 to 2 weeks after starting this medication
C. I will increase my intake of vitamin D while taking this meedication
D. I should expect experience constipation while taking this medication - ANSWER-
✅A. I will avoid being in large crowds while taking this medication
Methotrexate is metabolized through the _________. - ANSWER-✅kidneys
A patient taking DMARDs presents with elevated creatinine and BUN levels,
decreased urine output, edema, hypertension, and SOB. What does the nurse
suspect is happening? - ANSWER-✅methotrexate toxicity
Taking DMARDs and NSAIDs together can cause ___________ ____________. -
ANSWER-✅methotrexate toxicity
Nursing actions for methotrexate: - ANSWER-✅-Increase PO intake to flush kidneys
-Rinse mouth to prevent stomatitis
-Administer antiemetics to prevent N/V
____ lab value is used to monitor response to anti-inflammatory therapy.
ESR or CRP - ANSWER-✅CRP
Sjogren's syndrome is characterized by which of the following triad?
A. generalized weakness, fatigue, AMS
B. vision changes, weight gain, and HTN
C. hyperglycemia, dizziness, syncope
D. dry eyes, mouth, and vagina - ANSWER-✅D. dry eyes, mouth, and vagina
_________ _________ is caused by obstruction of secretory ducts and glands. -
ANSWER-✅Sjogren's syndrome
Nursing actions for Sjogren's syndrome - ANSWER-✅Provide eyedrops and artificial
saliva
What disease process is butterfly rash associated with?
A. RA
B. HIV
C. SLE
D. MS - ANSWER-✅C. SLE
, A nurse provides teaching to a client who has a diagnosis of gout. Which foods
should be limited in the diet? Select all that apply.
A. Liver
B. Spinach
C. Oranges
D. Red meat
E. Yeast rolls - ANSWER-✅A, D
How would the nurse modify the gout patients diet and medication regimen?
(Select all that apply)
a. the patient should avoid salmon
b. The patient should take antacids with medications
c. The patient should avoid taking aspirin
d. The patient should avoid drinking milk
e. The patient should avoid eating legumes - ANSWER-✅A, C, E
A client is newly diagnosed with gout. Which of the following will the nurse include
in educating the client? SELECT ALL THAT APPLY
A. You can take antacids with medications
B. Aspirin should be avoided as it increases uric acid levels
C. It is important that you increase fluid intake
D. Avoid alcohol and foods high in purines
E. During exacerbations make sure you take your scheduled furosemide - ANSWER-
✅B, C, D
What medication is used to decrease pain and inflammation in acute gout?
A. Prednisone
B. Colchicine
C. Allopurinol
D. Probenecid - ANSWER-✅B. Colchicine
Allopurinol is found in which of the following classifications:
A. ACE inhibitor
B. Corticosteroid
C. Corticosteroid
D. Xanthine oxidase inhibitor - ANSWER-✅D. XOI
allopurinol (zyloprim) is the most common drug for
A. Necrotic wound
B. Psoriasis
C. Paget's Disease
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