Med-Surg Chapter 18

Which instructions should the nurse give to ensure drug safety in a patient with gout who is prescribed febuxostat? Select all that apply.

"Drink a glass of water after taking each dose." "Undergo a liver function test every 2 months." "Have a complete blood count check periodically."

Which statement given by the patient would make the nurse suspect a diagnosis of Raynaud's phenomenon?

"I have severe pain in my fingers, and they turn blue in cold conditions."

Which statement made by the patient indicates effective learning about self-management of systemic sclerosis?

"I will not drink large amounts of liquids."

Which statement by the patient indicates a need for further teaching about self-management of systemic lupus erythematosus?

"I will use sunblock with sun protection factor (SPF) 15."

The primary health care provider prescribed methotrexate to a patient with lupus erythematosus. Which instructions should the nurse provide to the patient? Select all that apply.

"You should avoid crowds." "You should avoid people who are sick." "If you experience any abnormal effects after taking the drug, you should immediately tell your primary care provider."

The nurse is providing instructions to a patient with systemic sclerosis and prescribed bosentan. Which statement made by the nurse needs correction?

"You should take high doses of the medication if your symptoms get aggravated."

What is the gastrointestinal sign of systemic lupus erythematosus?

Abdominal pain

What physical assessment findings does the nurse anticipate for a patient diagnosed with systemic lupus erythematosus (SLE)? Select all that apply.

Abdominal pain, discoid lesions, inflamed red rash

While assessing a patient with acute gout, the nurse finds inflammation of joints of the great toe. Which condition doe the nurse suspect in the patient?

Prodagra

What should be the first intervention for a patient with systemic lupus erythematosus (SLE) when there is severe renal involvement?

Administer immunosuppressants and steroids.

Which medication treats chronic gout?

Allopurinol

Which medication used in the treatment of gout prevents the conversion of xanthine to uric acid?

Allopurinol

A patient with acute gout is prescribed colchicine. Which drug is usually added to the prescription?

Ibuprofen

Which medication is beneficial in patients with acute gout?

Ibuprofen

The nurse is preparing a discharge plan for a patient who has been ordered prednisone. What instruction does the nurse give this patient?

Avoid crowds and people with infection.

What medication treats central nervous system (CNS) lupus?

Azathioprine

Which was the first drug approved to treat systemic lupus erythematosus?

Belimumab

While reviewing the medical reports of a patient, the nurse finds that the patient has class IV pulmonary arterial hypertension. Which medication would be prescribed?

Bosentan

Which drug is often used for treating systemic lupus erythematosus (SLE) with severe renal involvement?

Cyclophosphamide

What complication is common in both diffuse and limited systemic sclerosis?

Gastroesophageal reflux disease (GERD)

What medication used in the treatment of lupus erythematosus decreases the risk for skin lesions?

Hydroxychloroquine

Which drug may help slow the progression of systemic sclerosis?

Imatinib

During the skin assessment of a patient, the nurse finds a "butterfly" rash. What diagnostic tests would the primary health care provider order to confirm the diagnosis? Select all that apply.

Immunoglobulins serum protein electrophoresis erythrocyte sedimentation rate

What is the priority nursing intervention for a patient with systemic lupus erythematosus (SLE)?

Instructing the patient on how to protect the skin

Which statement is true regarding systemic sclerosis?

It is also called progressive systemic disease.

Which statement describes systemic lupus erythematosus (SLE)?

It is characterized by spontaneous remissions and exacerbations.

While reviewing the laboratory test reports of a patient, the nurse finds a false-positive venereal disease research laboratory (VDRL) syphilis test. Which condition does the nurse suspect in the patient?

Lupus erythematosus

Which statement is true regarding gout?

Multiple myeloma results in gout.

What medication causes transient lupus-like syndrome?

Procainamide

While reviewing the previous medical records of a patient with a "butterfly" rash, the nurse finds that the patient has been on prednisone therapy for 5 years. Which complications are likely to occur in the patient? Select all that apply.

Osteonecrosis Muscle atrophy

What is a cardiovascular manifestation of systemic lupus erythematosus (SLE)?

Pericarditis

A patient with systemic lupus erythematosus reports abdominal pain to the nurse. What could be a possible cause for this condition?

Presence of serositis

A patient diagnosed with exacerbation of systemic sclerosis (SSc) asks the nurse why a foot board and a bed cradle have been placed on the bed. The nurse explains that they are used for what purpose?

Promote comfort from Raynaud's phenomenon

The nurse is caring for a patient with systemic sclerosis. What teaching does the nurse provide to the patient's spouse about nutrition prior to discharge home?

Provide small frequent meals throughout the day.

While assessing a patient with systemic lupus erythematosus, the nurse finds that the patient has chest pain. Which is the appropriate nursing intervention?

Reporting to the primary health care provider

While assessing a patient with systemic sclerosis, the nurse finds thickening and hardening of the skin on the fingers. What does the nurse document in the patient's health record?

Sclerodactyly

Which is the first symptom that occurs in a patient with the diffuse form of systemic sclerosis (SSc)?

Symmetric, pitting edema

What complication in patients with lupus erythematosus causes organ failure?

Vasculitis