EAQ Chp 19: Other Diseases

What should the nurse expect the primary health care provider to prescribe to the patient who has chronic back pain, visual disturbances, and weight loss? 1 Antibiotics and disease-modifying antirheumatic drugs 2 Nonsteroidal anti-inflammatory drugs and disease-modifying antirheumatic drugs 3 Nonsteroidal anti-inflammatory drugs, steroid therapy, and disease modifying antirheumatic drugs 4 Nonsteroidal anti-inflammatory drugs, analgesics, antibiotics and disease modifying antirheumatic drugs

2

What patient education should be provided to a patient with psoriatic arthritis who is prescribed etanercept? Select all that apply. 1 Etanercept contains a black box warning. 2 Etanercept should be self-administered cautiously. 3 Etanercept cannot be given as combination therapy. 4 Respiratory infections are the common adverse effects of etanercept. 5 Hydrocortisone cream should be used to prevent rash at the etanercept injection site

24

What laboratory testing is most important for the patient taking acitretin for psoriatic arthritis? 1 Serum electrolytes 2 Blood urea nitrogen (BUN) 3 Liver enzymes 4 Complete blood count (CBC

3

Which statement indicates to the nurse that a patient with fibromyalgia syndrome is using a complementary therapy to help relieve symptoms? 1 "My Thera-Band really helps me loosen up my arms." 2 "The brace on my lower leg is helping me walk better." 3 "Focusing on the slow stretching movements and my breathing in tai chi helps me relax." 4 "Water aerobic exercises have helped me sleep better."

3

Which antibiotics are often used for treating Lyme disease in its earlier stages? Select all that apply. 1 Doxycycline 2 Amoxicillin 3 Cefotaxime 4 Minocycline 5 Ceftriaxon

12

Which diseases are associated with arthritis? Select all that apply. 1 Tuberculosis 2 Crohn's disease 3 Diabetes mellitus 4 Hyperparathyroidism 5 Congestive heart failure 6 Chronic obstructive pulmonary diseas

1234

Which complications are associated with Lyme disease? Select all that apply. 1 Carditis 2 Hyperuricemia 3 Facial paralysis 4 Meningitis 5 Peripheral neuritis

1345

The nurse is giving a presentation to a hiking club regarding self-management techniques for preventing Lyme disease. Which strategies are appropriate for the nurse to include in the teaching? Select all that apply. 1 Walking in the center of a hiking trail. 2 Disposing of a tick by burning it with a match. 3 Using tweezers to remove a tick from the skin. 4 Wearing light clothing when engaged in outdoor activities in wooded areas. 5 Avoiding areas with thick underbrush, especially in the spring and summer months. 6 Waiting 2 to 3 weeks after being bitten by a tick before being tested for Lyme disease.

145

Which assessment findings are associated with psoriatic arthritis? Select all that apply. 1 Stiff, painful joints 2 Blurred vision 3 Abdominal pain 4 Scaly, itchy rash 5 Neck pain 6 Fingernail pitting

1456

The nurse provides discharge planning to a patient who has been prescribed methotrexate (MTX). Which vitamin is included to help decrease some of the side effects of MTX? 1 Niacin 2 Folic acid 3 Vitamin D 4 Vitamin K

2

A patient who is allergic to penicillin is being treated for early-stage Lyme disease. Which medication will the nurse anticipate administering to the patient? Correct 1 Erythromycin Incorrect 2 Doxycycline 3 Amoxicillin 4 Etanercep

1

The nurse is caring for a patient who is diagnosed with psoriatic arthritis. Which medication does the nurse anticipate will be included in the patient's pharmacologic plan of care? Correct 1 Alefacept 2 Indomethacin 3 Imatinib mesylate 4 Nilotinib

1

The nurse is teaching the patient about taking acitretin for psoriatic arthritis. Which statement indicates the best understanding by the patient? 1 "I will take acitretin daily with food." 2 "I will take acitretin daily at bedtime." 3 "I will take acitretin daily after I wake up." 4 "I will take acitretin daily without food.

1

The patient asks the nurse to explain exactly what fibromyalgia is. What is the appropriate response by the nurse? 1 "Fibromyalgia is an inflammatory disease with symptoms of stiffness, tenderness, and pain located at specific sites. Increased muscle tenderness may be caused by the inability to tolerate pain, possibly related to dysfunction in the brain, especially the thalamus and hypothalamus." Correct 2 "Fibromyalgia is a chronic pain syndrome with symptoms of stiffness, tenderness, and pain located at specific sites. Increased muscle tenderness may be caused by the inability to tolerate pain, possibly related to dysfunction in the brain, especially the thalamus and hypothalamus." 3 "Fibromyalgia is an inflammatory disease with symptoms of stiffness, tenderness, and pain located at specific sites. Increased muscle tenderness may be caused by the inability to tolerate pain, possibly related to dysfunction in the brain, especially the limbic system and basal ganglia." Incorrect 4 "Fibromyalgia is a chronic pain syndrome with symptoms of stiffness, tenderness, and pain located at specific sites. Increased muscle tenderness may be caused by the inability to tolerate pain, possibly related to dysfunction in the brain, especially the limbic system and basal ganglia."

2

What is the drug of choice to treat fibromyalgia syndrome (FMS) in a 72-year-old patient with memory impairment? 1 Tramadol 2 Trazodone 3 Amitriptyline 4 Nortriptyline

2

Which medication would be beneficial to the patient with fibromyalgia syndrome who develops nerve pain? 1 Tramadol Correct 2 Pregabalin Incorrect 3 Amitriptyline 4 Nortriptyline

2