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MS1 EXAM 2 | QUESTIONS AND ANSWERS | 100% CORRECT.

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MS1 EXAM 2 | QUESTIONS AND ANSWERS | 100% CORRECT. 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....

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MS1 EXAM 2 | QUESTIONS AND ANSWERS | 100% CORRECT.



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 - 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 - 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 - 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 - D. Ask a friend or a
family member to help with household chores

Methotrexate classification - DMARD

DMARDs slow the progression of ______ ________. - rheumatoid arthritis

, methotrexate causes __________ - immunosuppression

Adverse effects of methotrexate include: SATA

A. Toxicity (even at low doses)
B. GI irritation and loss of appetite
C. Increased immune response
D. Gastrointestinal hemorrhage - 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 - A, B, C, E

What is the most important supplementation with methotrexate treatment?

A. Folate
B. Vitamin B12
C. Iron
D. Testosterone - 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 - 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 - A. I will avoid
being in large crowds while taking this medication

Methotrexate is metabolized through the _________. - 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? - methotrexate toxicity

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