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MCA Exam 4 (All) Questions with 100% Verified Answers
UPDATED!!!
A 66-year-old man with type 2 diabetes mellitus and atrial
fibrillation has begun taking glucosamine and chondroitin for
osteoarthritis. Which question is most important for the nurse
to ask?
"Did you have any hypoglycemic reactions?"
"Have you noticed any bruising or bleeding?"
"Have you had any dizzy spells when standing up?"
"Do you have any numbness or tingling in your feet?" -
ANSWER "Have you noticed any bruising or bleeding?"
Glucosamine and chondroitin are dietary supplements
commonly used to treat osteoarthritis. Both glucosamine and
chondroitin may increase the risk of bleeding. Anticoagulant
therapy is indicated for patients with atrial fibrillation to reduce
the risk of a thromboembolism and a stroke. Use of
glucosamine and chondroitin along with an anticoagulant may
precipitate excessive bleeding. Glucosamine may decrease the
effectiveness of insulin or other drugs used to control blood
glucose levels, and hyperglycemia may occur. Peripheral
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neuropathy symptoms that can develop with prolonged
hyperglycemia include numbness and tingling in the feet.
The nurse obtains a history from a 46-year-old woman with
rheumatoid arthritis. It is most important for the nurse to follow
up on which patient statement?
"I perform range of motion exercises at least twice a day."
"I use a heating pad for 20 minutes to reduce morning
stiffness."
"I take a 20-minute nap in the afternoon even if I sleep 9 hours
at night."
"I restrict fluids to prevent edema when taking methotrexate
(Rheumatrex)." - ANSWER "I restrict fluids to prevent edema
when taking methotrexate (Rheumatrex)."
Methotrexate can affect renal function. Patients should be well
hydrated to prevent nephropathy. Heat application, range of
motion, and rest are appropriate interventions to manage
rheumatoid arthritis.
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The nurse teaches a 64-year-old man with gouty arthritis about
food that may be consumed on a low-purine diet. Which food
item, if selected by the patient, would indicate an
understanding of the instructions?
Eggs
Liver
Salmon
Chicken - ANSWER Eggs
Gout is caused by an increase in uric acid production,
underexcretion of uric acid by the kidneys, or increased intake
of foods containing purines, which are metabolized to uric acid
by the body. Liver is high in purine, and chicken and salmon are
moderately high in purine.
A 24-year-old female patient with systemic lupus
erythematosus (SLE) tells the nurse she wants to have a baby
and is considering getting pregnant. Which response by the
nurse is most appropriate?
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"Infertility can result from the medications used to control your
disease."
"Pregnancy will result in a temporary remission of your signs
and symptoms."
"Autoantibodies transferred to the baby during pregnancy will
cause heart defects."
"The baby is at high risk for neonatal lupus erythematosus
being diagnosed at birth." - ANSWER "Infertility can result from
the medications used to control your disease."
Infertility may be caused by renal involvement and the previous
use of high-dose corticosteroid and chemotherapy drugs.
Neonatal lupus erythematosus rarely occurs in infants born to
women with SLE. Exacerbation is common following pregnancy
during the postpartum period. Spontaneous abortion, stillbirth,
and intrauterine growth retardation are common problems with
pregnancy related to deposits of immune complexes in the
placenta and because of inflammatory responses in the
placental blood vessels. There is not an increased risk for heart
defects.
MCA Exam 4 (All) Questions with 100% Verified Answers
UPDATED!!!
A 66-year-old man with type 2 diabetes mellitus and atrial
fibrillation has begun taking glucosamine and chondroitin for
osteoarthritis. Which question is most important for the nurse
to ask?
"Did you have any hypoglycemic reactions?"
"Have you noticed any bruising or bleeding?"
"Have you had any dizzy spells when standing up?"
"Do you have any numbness or tingling in your feet?" -
ANSWER "Have you noticed any bruising or bleeding?"
Glucosamine and chondroitin are dietary supplements
commonly used to treat osteoarthritis. Both glucosamine and
chondroitin may increase the risk of bleeding. Anticoagulant
therapy is indicated for patients with atrial fibrillation to reduce
the risk of a thromboembolism and a stroke. Use of
glucosamine and chondroitin along with an anticoagulant may
precipitate excessive bleeding. Glucosamine may decrease the
effectiveness of insulin or other drugs used to control blood
glucose levels, and hyperglycemia may occur. Peripheral
, Page |2
neuropathy symptoms that can develop with prolonged
hyperglycemia include numbness and tingling in the feet.
The nurse obtains a history from a 46-year-old woman with
rheumatoid arthritis. It is most important for the nurse to follow
up on which patient statement?
"I perform range of motion exercises at least twice a day."
"I use a heating pad for 20 minutes to reduce morning
stiffness."
"I take a 20-minute nap in the afternoon even if I sleep 9 hours
at night."
"I restrict fluids to prevent edema when taking methotrexate
(Rheumatrex)." - ANSWER "I restrict fluids to prevent edema
when taking methotrexate (Rheumatrex)."
Methotrexate can affect renal function. Patients should be well
hydrated to prevent nephropathy. Heat application, range of
motion, and rest are appropriate interventions to manage
rheumatoid arthritis.
, Page |3
The nurse teaches a 64-year-old man with gouty arthritis about
food that may be consumed on a low-purine diet. Which food
item, if selected by the patient, would indicate an
understanding of the instructions?
Eggs
Liver
Salmon
Chicken - ANSWER Eggs
Gout is caused by an increase in uric acid production,
underexcretion of uric acid by the kidneys, or increased intake
of foods containing purines, which are metabolized to uric acid
by the body. Liver is high in purine, and chicken and salmon are
moderately high in purine.
A 24-year-old female patient with systemic lupus
erythematosus (SLE) tells the nurse she wants to have a baby
and is considering getting pregnant. Which response by the
nurse is most appropriate?
, Page |4
"Infertility can result from the medications used to control your
disease."
"Pregnancy will result in a temporary remission of your signs
and symptoms."
"Autoantibodies transferred to the baby during pregnancy will
cause heart defects."
"The baby is at high risk for neonatal lupus erythematosus
being diagnosed at birth." - ANSWER "Infertility can result from
the medications used to control your disease."
Infertility may be caused by renal involvement and the previous
use of high-dose corticosteroid and chemotherapy drugs.
Neonatal lupus erythematosus rarely occurs in infants born to
women with SLE. Exacerbation is common following pregnancy
during the postpartum period. Spontaneous abortion, stillbirth,
and intrauterine growth retardation are common problems with
pregnancy related to deposits of immune complexes in the
placenta and because of inflammatory responses in the
placental blood vessels. There is not an increased risk for heart
defects.
