and CORRECT Answers
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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT
ANSWER - D. Ask a friend or a family member to help with household chores
Methotrexate classification - CORRECT ANSWER - DMARD
DMARDs slow the progression of ______ ________. - CORRECT ANSWER -
rheumatoid arthritis
methotrexate causes __________ - CORRECT ANSWER - 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 - CORRECT 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 - CORRECT ANSWER - A, B, C, E
What is the most important supplementation with methotrexate treatment?
A. Folate
B. Vitamin B12
C. Iron
D. Testosterone - CORRECT 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 - CORRECT 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 - CORRECT
ANSWER - A. I will avoid being in large crowds while taking this medication
Methotrexate is metabolized through the _________. - CORRECT ANSWER - kidneys