MS Exam 4

Onset of short-acting: Regular (Humulin R)

0.5-1 hour

Onset of rapid insulin

10-30 min

What angle is insulin injected at

90

A nurse is caring for a client who has cirrhosis. Which of the following medications can the nurse expect to administer to this client? (Select all that apply.) A. Diuretic B. Beta-blocking agent C. Opioid analgesic D. Lactulose E. Sedative

A. Diuretic B. Beta-blocking agent D. Lactulose

A nurse in a provider's office is assessing a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of the medication? A. Hand tremors B. Bradycardia C. Pallor D. Slow speech

A. Hand tremors

A nurse is teaching a client who has hepatitis B about home care. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) A. Limit physical activity. B. Avoid alcohol. C. Take acetaminophen for comfort. D. Wear a mask when in public places. E. Eat small frequent meals.

A. Limit physical activity. B. Avoid alcohol. E. Eat small frequent meals.

A nurse in a provider's office is planning care for a client who has a new diagnosis of Graves' disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Monitor CBC. B. Monitor triiodothyronine (T3). C. Instruct the client to increase consumption of shellfish. D. Advise the client to take the medication at the same time every day. E. Inform the client that an adverse effect of this medication is iodine toxicity.

A. Monitor CBC. B. Monitor triiodothyronine (T3). D. Advise the client to take the medication at the same time every day.

A nurse in an intensive care unit is planning care for a client who has myxedema coma. Which of the following actions should the nurse include? (Select all that apply.) A. Observe cardiac monitor for dysrhythmias. B. Observe for evidence of urinary tract infection. C. Initiate IV fluids using 0.9% sodium chloride. D. Administer a levothyroxine IV bolus. E. Provide warmth using a heating pad.

A. Observe cardiac monitor for dysrhythmias. B. Observe for evidence of urinary tract infection. C. Initiate IV fluids using 0.9% sodium chloride. D. Administer a levothyroxine IV bolus.

A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (Select all that apply.) A. Suction equipment B. Humidified oxygen C. Flashlight D. Tracheostomy tray E. Chest tube tray

A. Suction equipment B. Humidified oxygen D. Tracheostomy tray

Which of the following measures should the nurse prioritize when providing care for a patient with a diagnosis of multiple sclerosis (MS)? A. Vigilant infection control and adherence to standard precautions B. Frequent neurological assessment and reorientation C. Maintenance of a calorie count and hourly assessment of intake and output D. Assessment of blood pressure and monitoring for signs of orthostatic hypotension

A. Vigilant infection control and adherence to standard precautions (Infection can exacerbate s/sx)

What A1C level indicates insulin resistance?

A1C 5.7% to 6.4%

A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? Acetaminophen Celecoxib Cyclobenzaprine Ibuprofen

Acetaminophen According to the American Pain Society, acetaminophen is the primary drug of choice for treating osteoarthritis. The provider would likely begin with this medication.

A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply.) Affects weight-bearing joints Crepitus can occur in affected joints Affects bilateral, symmetrical joints Causes joint stiffness Causes joint pain

Affects weight-bearing joints Crepitus can occur in affected joints Causes joint stiffness Causes joint pain

A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? (Select all that apply.) Bacteria Diuretics Aging Obesity Smoking

Aging Obesity Smoking

Why shouldnt pts in thyroid crisis have aspirin?

Aspirin releases thyroxine from binding sites and increases free thyroxine levels

A nurse is providing instructions to a client who has Graves' disease and has a new prescription for propranolol. Which of the following information should the nurse include? A. "An adverse effect of this medication is jaundice." B. "Take your pulse before each dose." C. "The purpose of this medication is to decrease production of thyroid hormone." D. "You should stop taking this medication if you have a sore throat."

B. "Take your pulse before each dose."

A nurse is assessing a client who has advanced cirrhosis. The nurse should identify which of the following findings as indicators of hepatic encephalopathy? (Select all that apply.) A. Anorexia B. Change in orientation C. Asterixis D. Ascites E. Fetor hepaticus

B. Change in orientation C. Asterixis E. Fetor hepaticus

A nurse in a provider's office is reviewing laboratory results of a client who is being evaluated for SECONDARY hypothyroidism. Which of the following laboratory findings is expected? A. Elevated T4 B. Decreased T3 C. Elevated thyroid stimulating hormone D. Decreased cholesterol

B. Decreased T3 (Expected DECREASED T4, decreased TSH is expected in SECONDARY, ELEVATED cholesterol is expected)

A nurse in a provider's office is reviewing the health record of a client who is being evaluated for Graves' disease. The nurse should identify that which of the following laboratory results is an expected finding? A. Decreased thyrotropin receptor antibodies B. Decreased thyroid-stimulating hormone (TSH) C. Decreased free thyroxine index D. Decreased triiodothyronine

B. Decreased thyroid-stimulating hormone (TSH)

A nurse is teaching a client who has multiple sclerosis about a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? "Do not take antihistamines with this medication." "Take the medication on an empty stomach." "Stop taking the medication immediately for a headache." "Expect to develop diarrhea initially."

"Do not take antihistamines with this medication." The nurse should instruct the client not to take antihistamines while taking baclofen. Antihistamines will intensity the depressant effects of baclofen.

A nurse is caring for a client who has osteoarthritis and asks about the use of glucosamine. Which of the following statements should the nurse make? (Select all that apply.) "Glucosamine might increase bleeding." "Glucosamine can help lower blood pressure." "Glucosamine can increase blood glucose levels." "Glucosamine hydrochloride has been shown to decrease the discomfort of osteoarthritis." "Clients who have shellfish allergies might experience reactions when taking glucosamine."

"Glucosamine might increase bleeding." "Glucosamine can increase blood glucose levels." "Clients who have shellfish allergies might experience reactions when taking glucosamine." (Glucosamine is manufactured in two forms, glucosamine hydrochloride and glucosamine sulfate. Glucosamine SULFATE is effective in reducing pain scores and improving joint mobility Glucosamine is produced from the shells of shrimp)

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching? "I can use either heat or ice to help relieve the discomfort." "Ibuprofen is the first step in medication therapy for osteoarthritis." "I should limit physical activity to prevent further injury." "I will elevate my legs by placing two pillows under my knees when I go to bed."

"I can use either heat or ice to help relieve the discomfort." different treatment modalities, such as heat or cold therapy, can be tried to determine which one is more effective for the client. (avoid the use of pillows under the knees as this contributes to the development of flexion contractures.)

A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching? "I need to apply a sunscreen when I go outside." "I can take an over-the-counter antihistamine for allergies when I'm taking this drug." "I should take this medication when my spasms are bad." "My muscle strength should improve a lot in 2 to 3 days."

"I need to apply a sunscreen when I go outside." This medication can cause photosensitivity; therefore, the client should protect her skin by wearing a hat and using sunscreen while in sunlight.

A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching? "I should take my flu vaccine within one week of starting this medication." "I can expect a sore throat for the first week after starting this medication." "I should eat more bananas while taking this medication." "I should take aspirin for minor aches and pains while taking this medication."

"I should eat more bananas while taking this medication." Prednisone can cause a loss of potassium, and the nurse should instruct the about the manifestations of hypokalemia such as muscle weakness and cramping and to notify the provider should these occur.

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? "I signed up for a swimming class." "I've been taking an antacid to help with indigestion." "I've lost 2 pounds since my appointment 2 weeks ago." "The naproxen is easier to take when I crush it and put it in applesauce."

"I've been taking an antacid to help with indigestion." NSAIDs, like naproxen, can cause serious adverse gastrointestinal reactions such as ulceration, bleeding, and perforation. Warning manifestations such as nausea or vomiting, gastrointestinal burning, and blood in the stool reported by the client require further investigation by the nurse. The client might be taking an antacid because he is experiencing one or more of these manifestations.

A nurse is presenting discharge instructions to a client who has multiple sclerosis (MS). The client reports symptoms of diplopia, dysmetria, and sensory change. Which of the following nursing statements are appropriate? "Wear an eye patch on the right eye at all times." "Plan to relax in a hot tub spa each day." "Engage in a vigorous exercise program." "Implement a schedule to include periods of rest."

"Implement a schedule to include periods of rest." The nurse should assist the client in developing a schedule that includes periods of exercise followed by periods of rest to maintain muscle strength and coordination.

A nurse is teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching? "Plan to check blood glucose levels for hypoglycemia once yearly." "Glucocorticoids will boost immunity." "Limit the intake of calcium rich foods while taking the medication." "Monitor for compression fractures of the back and neck."

"Monitor for compression fractures of the back and neck." (High-dose, long-term use of glucocorticoids can result in bone loss in the back and neck within weeks of starting the medication. Clients experience an increase in parathyroid hormone, which causes calcium to move out of the bones can result in fractures.)

A nurse is teaching a client who has osteoarthritis. Which of the following instructions should the nurse include in the teaching? "Apply a heat pack at a temperature below your body temperature." "Elevate the affected joint on large pillows." "Take acetaminophen as the primary medication to treat the pain." "Decrease foods high in purines."

"Take acetaminophen as the primary medication to treat the pain." The nurse should instruct the client to take acetaminophen to treat osteoarthritis.

A nurse is providing discharge instructions to a client who has rheumatoid arthritis and a prescription for oral betamethasone. Which of the following statements should the nurse make about how to take this medication? "Take the medication between meals." "Take the medication with orange juice." "Take the medication with milk." "Take the medication on an empty stomach."

"Take the medication with milk." (Betamethasone should be administered with milk or food to prevent gastric irritation.)

A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? (Select all that apply.) A. Anorexia B. Heat intolerance C. Constipation D. Palpitations E. Weight loss F. Bradycardia

B. Heat intolerance D. Palpitations E. Weight loss

A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? (Select all that apply.) A. Weight gain is expected while taking this medication. B. Medication should not be discontinued without the advice of the provider. C. Follow-up blood TSH levels should be obtained. D. Take the medication on an empty stomach. E. Use fiber laxatives for constipation.

B. Medication should not be discontinued without the advice of the provider. C. Follow-up blood TSH levels should be obtained. D. Take the medication on an empty stomach.

A nurse is collecting an admission history from a client who has hypothyroidism. Which of the following findings should the nurse expect? (Select all that apply.) A. Diarrhea B. Menorrhagia C. Dry skin D. Increased libido E. Hoarseness

B. Menorrhagia C. Dry skin E. Hoarseness

A nurse is caring for a client who has a new diagnosis of hepatitis C. Which of the following laboratory findings should the nurse expect? A. Presence of immunoglobulin G antibodies (IgG) B. Positive EIA test C. Aspartate aminotransferase (AST) 35 units/L D. Alanine aminotransferase (ALT) 15 IU/L

B. Positive EIA test

A nurse is working with a 73-year-old patient with osteoarthritis (OA). In assessing the patient's understanding of this disorder, the nurse concludes teaching has been effective when the patient uses which description of the condition? A. The joint destruction is caused by an autoimmune process B. There is degeneration of articular cartilage in my synovial joints C. There is an overproduction of synovial fluid that results in joint destruction D. The breakdown of tissue in my non-weight-bearing joints is caused by an over-production of enzymes

B. There is degeneration of articular cartilage in my synovial joints

___ cirrhosis is caused by chronic biliary obstruction or autoimmune disease

Biliary

A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects? Black, tarry stools Bone pain Dry mouth Polyuria

Black, tarry stools Celecoxib can cause gastrointestinal bleeding. The client should watch for and report black, dark-colored, or bloody stools, abdominal pain, or coffee-ground emesis. The nurse also should instruct the client to take celecoxib with food to reduce gastric irritation.

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication? Constipation Bleeding Blurred vision Insomnia

Bleeding

What the primary transmission cause of Hep B?

Blood, unprotected sex, infant from mother, dirty needles

Is methotrexate hard on the liver or kidneys?

Both

A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis? (Select all that apply.) A. Bradycardia B. Hypothermia C. Dyspnea D. Abdominal pain E. Mental confusion

C. Dyspnea D. Abdominal pain E. Mental confusion

A nurse is assessing the recent health history of a 63-year-old patient with osteoarthritis (OA). The nurse determines that the patient is trying to manage the condition appropriately when the patient describes which activity pattern? A. Bed rest with bathroom privileges B. Daily high-impact aerobic exercise C. Regular exercise program of walking D. Frequent rest periods with minimal exercise

C. Regular exercise program of walking

___ inhibits mobilization of calcium from bone and reduces blood calcium levels

Calcitonin

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis. The nurse should instruct the client to take which of the following supplements while taking this medication? Calcium and vitamin D Biotin and vitamin B2 Folic acid and vitamin C Pantothenic acid and vitamin B6

Calcium and vitamin D Long-term use of glucocorticoids, such as prednisone, places the client at risk for osteoporosis. The nurse should instruct the client to take calcium and vitamin D supplements to reduce this risk.

What the primary transmission cause of Hep A?

Contaminated food/water, especially shellfish (fecal oral), infected stool contact

Basal vs prandial insulin

Continuous insulin release Insulin release following carb intake

What direction should pts with rheumatoid arthritis turn a door knob?

Counterclockwise using a counterclockwise motion to avoid twisting the arm which promotes ulnar deviation.

A nurse on a medical-surgical unit is admitting a client who has hepatitis B with ascites. Which of the following actions should the nurse include in the plan of care? A. Initiate contact precautions. B. Weigh the client weekly. C. Measure abdominal girth at the base of the ribcage. D. Provide a high-calorie, high-carbohydrate diet.

D. Provide a high-calorie, high-carbohydrate diet.

What does the urine and stool of a pt with hepatitis look like?

Dark urine, clay colored stool

A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication? Reduces risk of infection Decreases inflammation Improves peripheral blood flow Increases bone density

Decreases inflammation Prednisone is used to treat rheumatoid arthritis because it produces anti-inflammatory and immunosuppressive effects, which reduces inflammation, decreases pain, and increases mobility.

What the primary transmission cause of Hep C?

Dirty needles (including tattoos), blood/organ transplants, sex

What is fetor hepaticus?

Distinctive fruity/musky breath odor of chronic liver disease

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.) Expect to feel the medication's effects immediately. Do not drink alcoholic beverages while taking this medication. Report unexplained bruising to the provider. Avoid people who have infections. Take NSAIDS to help minimize the adverse effects of the medication.

Do not drink alcoholic beverages while taking this medication. Report unexplained bruising to the provider. Avoid people who have infections.

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following information should the nurse provide? Expect to have a fever for the first days of therapy. Drink 2 to 3 L of water per day while on the medication. Administer the medication with an NSAID to enhance effectiveness. Take the medication in the morning to prevent insomnia.

Drink 2 to 3 L of water per day while on the medication.

A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include? Take an antiemetic 1 hr following administration. Drink 2 to 3 L of water per day. Take the medication with an NSAID. Rinse mouth 2 times per day with an alcohol based mouthwash.

Drink 2 to 3 L of water per day. Methotrexate can cause renal toxicity. The client should drink 2 to 3 L of water per day to promote excretion of the medication.

Anorexia is a early/late manifestation of RA

Early

Persistent low grade fever is a early/late manifestation of RA

Early

A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication? White blood cell (WBC) count Rheumatoid factor (RF) Antinuclear antibody (ANA) Erythrocyte sedimentation rate (ESR)

Erythrocyte sedimentation rate (ESR) ESR is useful in detecting and monitoring tissue inflammation in clients with RA. As the disease improves the ESR decreases.

T/F: Rheumatoid factor levels is correlated with the severity of disease activity

False RF is helpful in diagnosing rheumatoid arthritis, but the levels do not always correlate with the severity of the disease activity. It will not accurately reflect the effectiveness of the aspirin therapy.

T/F: long acting insulin peaks at 12 hours

False, long acting has no peaks

T/F: Movement Repetition helps with inflammation in rheumatoid arthritis

False- repetitions should be reduced when inflammation is present.

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA? Morning stiffness Fatigue Temporomandibular joint pain Baker's cysts

Fatigue (All others are LATE manifestations)

Should pts with osteoarthritis use heat or ice BEFORE exercising?

Heat. This reduces pain and improves mobility, allowing for increased range-of-motion during exercises. Cold application may be applied AFTER exercise to decrease discomfort and inflammation.

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication? Report of recent migraine headaches History of gastric ulcers Current diagnosis of glaucoma Prior reports of amenorrhea

History of gastric ulcers Aspirin is contraindicated for clients who have a history of gastrointestinal bleeding and peptic ulcer disease because it impedes platelet aggregation. An adverse effect of aspirin is gastric bleeding.

A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? Anorexia Knuckle deformity Low-grade fever Weight loss

Knuckle deformity

___ cirrhosis is caused by chronic alcohol use disorder

Laennec's

Baker's cysts are is a early/late manifestation of RA

Late

Morning stiffness is a early/late manifestation of RA

Late

Temporomandibular joint pain is a early/late manifestation of RA

Late

What is a dietary intervention with hepatic encephalopathy?

Limit protein (body is retaining ammonia and protein breaks down into ammonia)

Long term use of what kind of drug is a risk factor for secondary osteoporosis

Long-term use of steroid medications is a risk factor for the development of secondary osteoporosis.

A nurse is teaching a group of clients about osteoarthritis. Which of the following recommendations should the nurse include in the teaching? Use Echinacea to manage joint pain. Apply ice to the joint before exercising. Maintain a recommended body weight. Reduce the amount of purine in the diet.

Maintain a recommended body weight. (Obesity is a risk factor for the development of osteoarthritis. Purine (derived from animal muscle) is detrimental for gout, INCREASING purine is beneficial for OA)

The presence of three of these factors is an increased risk for which type of DM2? -Central Obesity (large waist circumference) -Hyperlipidemia -Hypertension Hyperglycemia

Metabolic syndrome

A nurse is teaching a client who has a new prescription for cyclosporine oral solution to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching? Take the medication between meals. Use a plastic container to mix. Mix with chocolate milk Take with grapefruit juice.

Mix with chocolate milk The client may combine cyclosporine with milk, chocolate milk, or orange juice to make the medication more palatable.

How should a pt lay post liver biopsy?

On RIGHT side

A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect? Symmetric joints affected Pain worsens with activity Weight loss Ulnar deviation

Pain worsens with activity The typical cycle of pain and relief in a client who has early osteoarthritis consists of pain with activity and pain relief with rest. As the disorder progresses, clients typically experience pain even while the joint is at rest.

What are secondary causes of diabetes?

Pancreatitis and Cushing's Syndrome

___ cirrhosis is caused by viral hepatitis, or some medications or toxins

Postnecrotic

A nurse is teaching a client who has rheumatoid arthritis about self-care strategies for managing the disease. Which of the following activities should the nurse include in the teaching? Press water from a sponge rather than wringing it. Turn doorknobs using a clockwise motion. Finish weekly household tasks within 1 or 2 days. Engage in repetitive tasks, even when joints are inflamed, to keep the joints mobile.

Press water from a sponge rather than wringing it. The nurse should instruct the client to modify fine motor activities, such as wringing out a sponge, by using larger joints or body surfaces, such as the palm of the hand, to substitute for smaller ones.

Why are beta blockers used in cirrhosis?

Prevent varices from bleeding

Why is lactulose used in cirrhosis?

Promote excretion of ammonia through stool

A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client? Reduced joint stress Maintenance of joint function Suppression of the inflammatory process Decreased stiffness

Reduced joint stress The nurse should instruct the client that rest reduces stress on the joints and can be an effective intervention for relieving pain associated with rheumatoid arthritis.

What diagnosis leads to ulnar deviation?

Rheumatoid arthritis Metacarpal joints (knuckles) become swollen and cause your fingers to bend abnormally toward the ulna bone on the outermost side of your forearm

A nurse in a provider's office is collecting a health history from a client who is at risk for primary osteoporosis. Which of the following findings is a risk factor for the development of osteoporosis? Obesity Sedentary lifestyle Long-term use of diuretics Prolonged stress

Sedentary lifestyle A sedentary lifestyle places the client at risk for osteoporosis. Regular, weight-bearing exercises help to build bone tissue.

What is asterixis?

Seen in cirrhosis pts- tremor of the wrist when wrist is extended

What is myxedema?

Severe hypothyroidism. May present with puffy face, hands, and feet. There is thickening of the skin, thinning of the outer one-third of the eyebrows and cognitive symptoms such as slowed thinking, poor short-term memory and depression/dementia

Why is levothyroxine gradually increased in adults with CAD?

Sudden increased O2 demands of the heart can be stressful or detrimental

What 3 hormones does the thyroid gland produce?

T4 (thyroxine) T3 (triiodothyronine) Calcitonin

A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client? Dietary modifications occur during pregnancy when taking this medication. The medication should be discontinued 3 months prior to a planned pregnancy. Dosage of the medication will be reduced during pregnancy. The client can breast feed when taking this medication.

The medication should be discontinued 3 months prior to a planned pregnancy. Methotrexate should be discontinued 3 months prior to planning a pregnancy because of the risk of birth defects.

Why shouldnt pts taking prednisone get live vaccines?

This medication can decrease antibody response to the vaccine and can increase the risk of infection from live virus vaccines.

What is a common blood disorder side effect of methotrexate?

Thrombocytopenia

T/F: hydroxychloroquine can be crushed

True hydroxychloroquine can be crushed and mixed with food or fluids.

T/F: intermediate acting insulin is not administered with meals

True, between meals

What kind of skin do pts with hyperthyroidism have?

Velvety smooth

What is the most common form of hepatitis?

Viral

A nurse is providing teaching to a client who has a new prescription for hydroxychloroquine to treat mild manifestations of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? This medication should be taken between meals. This medication can turn skin an orange color. Wear sunglasses when out in bright sunshine. Avoid crushing the medication.

Wear sunglasses when out in bright sunshine. (The nurse should instruct the client to wear sunglasses to decrease photophobia when taking hydroxychloroquine. Clients should have an ophthalmologic examination before treatment because the medication can cause retinopathy. hydroxychloroquine should be taken WITH meals)

Where is TSH released from in response to low T3 and T4 levels

anterior pituitary

The nurse determines that teaching about management of osteoarthritis of the feet and hands has been effective when the patient says a. "I will be careful to avoid crowds and people with infections." b. "I can use heat to relieve the stiffness when I wake up in the morning." c. "I should exercise my hands everyday, especially if they are painful and inflamed." d. "I should avoid the use of glucosamine as it has been shown to have no therapeutic value."

b. "I can use heat to relieve the stiffness when I wake up in the morning."

Why shouldn't pts with OA put pillow sunder their knees at night?

contributes to the development of flexion contractures (inability to fully straighten or extend the knee)

What are dermatological side effects of hydroxychloroquine?

hydroxychloroquine can cause a blue-black discoloration of the skin

What are GU side effects of hydroxychloroquine?

may turn urine a rust or brown color