health dev module 1&2

Which drug is not used in the treatment of rheumatoid arthritis?

allopurinol

The nurse is reviewing the medication administration record of the client. Which medication would lead the nurse to suspect that the client is suffering from an acute attack of gout?

colhicine

A client is being treated for hyperuricemia. Part of the treatment strategy is for the client to avoid contributing factors whenever possible. Which activities might bring on an acute attack? high carbohydrate intake frequently ingesting salicylates eating organ meats and sardines frequently drinking coffee

eating organ meats and sardines

The nursing assessment findings reveal joint swelling and tenderness in the great toe of a client. What does the nurse suspect? osteoarthritis gout ankylosing spondylitis rheumatoid arthritis

gout

Which assessment suggests to the nurse that a client with systemic lupus erythematous is having renal involvement?

hypertension

A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? Facial erythema, pericarditis, pleuritis, fever, and weight loss Photosensitivity, polyarthralgia, and painful mucous membrane ulcers Weight gain, hypervigilance, hypothermia, and edema of the legs Hypothermia, weight gain, lethargy, and edema of the arms

A

A nurse is caring for a client undergoing evaluation for possible immune system disorders. Which intervention will best help support the client throughout the diagnostic process? Accompany the client to the diagnostic tests Educate the client about the diagnostic procedures and answer their questions about the possible diagnosis Encourage the client to ask the physician for information about treatment options for the possible diagnosis Assist the client with scheduling the procedures

B

A client is taking a corticosteroid for the treatment of systemic lupus erythematosus. When the nurse is providing instructions about the medication to the client, what priority information should be included? A.)If the client experiences nausea, omit the dose. B.) The client should be alert for joint aches. C.)This medication is commonly used for many inflammatory reactions and is relatively safe. D.) Be alert for signs and symptoms of infection and report them immediately to the physician.

D Instruct the client about signs and symptoms of and the increased risk for infection. Instruct the client to report signs and symptoms of infection immediately to the physician. Early treatment promotes a shorter duration of illness and reduced complication. Tell the client to avoid high-risk activities, such as being in crowds, during periods of immunosuppression. The client should not omit a dose if nausea is experienced;he may take the medication with food. There are many side effects and required laboratory work to detect the side effects from immunosuppressive therapy. Joint aches are vague symptoms and are not a priority for reporting purposes.