NMNC 4310 - Inflammation

Parenteral vitamins are prescribed for the client with Crohn disease. The client asks why the vitamins have to be given intravenously (IV) rather than by mouth. Which rationales will the nurse provide? Select all that apply. One, some, or all responses may be correct. 1 "They provide more rapid action results." 2 "They decrease colon irritability." 3 "Oral vitamins are less effective." 4 "Intestinal absorption may be inadequate." 5 "Allergic responses are less likely to occur."

1 "They provide more rapid action results." 3 "Oral vitamins are less effective." 4 "Intestinal absorption may be inadequate."

Which autoantigens are responsible for the development of Crohn disease? 1 Crypt epithelial cells 2 Thyroid cell surface 3 Basement membranes of the lungs 4 Basement membranes of the glomeruli

1 Crypt epithelial cells

Which functions of leukocytes are involved in the inflammation process? Select all that apply. One, some, or all responses may be correct. 1 Destruction of bacteria and cellular debris 2 Selective attack and destruction of non-self cells 3 Release of vasoactive amines during allergic reactions 4 Secretion of immunoglobulins in response to a specific antigen 5 Enhancement of immune activity through secretion of various factors, cytokines, and lymphokines

1 Destruction of bacteria and cellular debris 3 Release of vasoactive amines during allergic reactions

Which assessment findings would the nurse identify in a client with clinical manifestations of rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct. 1 Obesity and asymmetric joint disease 2 Development of antinuclear antibodies 3 Inflammatory disease pattern 4 Bilateral involvement of metacarpophalangeal joints 5 Disease process involving the distal interphalangeal joints 6 Disease in the weight-bearing joints and hands

2 Development of antinuclear antibodies 3 Inflammatory disease pattern 4 Bilateral involvement of metacarpophalangeal joints

Which medications inhibit tumor necrosis factor-alpha (TNF)-a in clients treated for rheumatoid arthritis (RA)? Select all that apply. One, some, or all responses may be correct. 1 Anakinra 2 Infliximab 3 Abatacept 4 Etanercept 5 Golimumab

2 Infliximab 4 Etanercept 5 Golimumab

Which instruction would the nurse share with the client receiving etanercept therapy for rheumatoid arthritis? 1 Report chest pain. 2 Report site reaction. 3 Report blurry vision. 4 Report difficulty breathing during infusion.

2 Report site reaction.

A client is admitted to the emergency department with reports of frequent loose, watery stools and anorexia during the past week. Blood pressure is 90/68 mm Hg and pulse is 124. Which prescribed action will the nurse take first? 1 Obtain blood and urine cultures. 2 Start infusion of normal saline. 3 Insert retention catheter. 4 Transfer the client to intensive care unit.

2 Start infusion of normal saline.

Corticosteroid therapy is prescribed for a client with an exacerbation of ulcerative colitis. The nurse evaluates that teaching is effective when the client identifies which times for the medication schedule? 1 At bedtime with a snack 2 Three times a day with meals 3 In the early morning with food 4 One hour before or 2 hours after eating

3 In the early morning with food

The nurse cares for a client who develops pyrexia 3 days after surgery. For which clinical manifestations, commonly associated with pyrexia, would the nurse monitor? Select all that apply. One, some, or all responses may be correct. 1 Dyspnea 2 Chest pain 3 Tachypnea 4 Increased pulse rate 5 Elevated blood pressure

3 Tachypnea 4 Increased pulse rate

Prednisone is prescribed for a client with an exacerbation of colitis. Which explanation would the nurse provide for administering prednisone? 1 The client will be protected from getting an infection. 2 Symptoms associated with the colitis will decrease slowly over time. 3 Although the medication causes anorexia, weight loss may not occur. 4 Although the medication decreases intestinal inflammation, it will not cure the colitis

4 Although the medication decreases intestinal inflammation, it will not cure the colitis