gout, sle, fibromyalgia - Sheet1 Flashcards
1
Q
- Which symptom is most characteristic of gout?
A. Butterfly rash
B. Joint pain in the big toe
C. Widespread muscle pain
D. Fever and chills
A
B. Joint pain in the big toe
2
Q
- A client with SLE is at high risk for which complication?
A. Kidney failure
B. Vision loss
C. Deep vein thrombosis
D. Hearing loss
A
A. Kidney failure
3
Q
- A client reports chronic widespread pain and fatigue. What condition is most suspected?
A. Fibromyalgia
B. Gout
C. SLE
D. Rheumatoid arthritis
A
A. Fibromyalgia
4
Q
- (SATA) Which are classic signs of gout?
A. Red, hot joints
B. Tophi formation
C. Dry, scaly skin
D. Sudden nighttime pain
E. Symmetrical joint stiffness
A
A, B, D
5
Q
- (SATA) Which interventions are important in managing fibromyalgia?
A. Low-impact exercise
B. High-dose opioids
C. Stress management
D. Antidepressants
E. Strict bed rest
A
A, C, D
6
Q
- A nurse is educating a client about dietary restrictions for gout. Which food should be avoided?
A. Whole wheat bread
B. Salmon
C. Broccoli
D. Chicken
A
B. Salmon
7
Q
- Which lab finding would most likely be elevated in a patient with active gout?
A. Blood glucose
B. Uric acid
C. Hemoglobin
D. Sodium
A
B. Uric acid
8
Q
- Which medication is commonly prescribed to lower uric acid in gout?
A. Prednisone
B. Allopurinol
C. Ibuprofen
D. Methotrexate
A
B. Allopurinol
9
Q
- A client with SLE is experiencing chest pain and shortness of breath. What complication should the nurse suspect?
A. Pulmonary embolism
B. Costochondritis
C. Myocardial infarction
D. Pleural effusion
A
D. Pleural effusion
10
Q
- (SATA) Which symptoms are commonly seen in SLE?
A. Photosensitivity
B. Oral ulcers
C. Proteinuria
D. Decreased blood glucose
E. Joint pain
A
A, B, C, E
11
Q
- The first-line drug for acute gout attack is:
A. Colchicine
B. Methotrexate
C. Acetaminophen
D. Azathioprine
A
A. Colchicine
12
Q
- Which statement about fibromyalgia indicates the client understands their diagnosis?
A. “This condition will eventually destroy my joints.”
B. “I should stay in bed to avoid more pain.”
C. “My muscles are sensitive even without damage.”
D. “My symptoms are caused by a bacterial infection.”
A
C. “My muscles are sensitive even without damage.”
13
Q
- A client with SLE should be advised to avoid:
A. Salt intake
B. Sun exposure
C. High-fiber foods
D. Warm baths
A
B. Sun exposure
14
Q
- (SATA) Which strategies are useful to prevent gout attacks?
A. Stay hydrated
B. Limit alcohol intake
C. Avoid high-purine foods
D. Use diuretics daily
E. Maintain a healthy weight
A
A, B, C, E
15
Q
- A patient taking corticosteroids for SLE should be monitored for:
A. Hypoglycemia
B. Weight loss
C. Infection
D. Low blood pressure
A
C. Infection
16
Q
- Which factor often triggers fibromyalgia symptoms?
A. High cholesterol
B. Emotional stress
C. High protein diet
D. Seasonal changes
A
B. Emotional stress
17
Q
- Which is a hallmark lab finding in SLE?
A. Positive ANA (antinuclear antibody)
B. Elevated BUN
C. Decreased potassium
D. High uric acid
A
A. Positive ANA (antinuclear antibody)
18
Q
- During an acute gout attack, the priority nursing intervention is to:
A. Massage the affected joint
B. Apply ice to the joint
C. Encourage exercise
D. Increase protein intake
A
B. Apply ice to the joint
19
Q
- (SATA) Which medications can be used to manage fibromyalgia symptoms?
A. SSRIs
B. SNRIs
C. Anticonvulsants
D. Corticosteroids
E. Beta-blockers
A
A, B, C
20
Q
- A nurse explains that in SLE, the immune system:
A. Underreacts to infection
B. Attacks healthy tissues
C. Is weakened by bacteria
D. Produces fewer white blood cells
A
B. Attacks healthy tissues
