more gout sle fibro - Sheet1 Flashcards
A patient with gout is prescribed allopurinol. Which statement by the patient indicates a need for further teaching? A. “I will drink plenty of fluids each day.” B. “I will report any rash immediately.” C. “I can stop the medication when my joint pain goes away.” D. “I will take the medication after meals to reduce stomach upset.”
C
Which foods should the nurse instruct a patient with gout to avoid? (Select all that apply) A. Organ meats B. Shellfish C. Milk D. Beer E. Tofu
A, B, D
A nurse assesses a patient with SLE. Which clinical findings are expected? (Select all that apply) A. Butterfly rash across the cheeks B. Photosensitivity C. Bradycardia D. Joint pain E. Hypertension
A, B, D, E
The nurse is caring for a patient with fibromyalgia. Which symptom is most characteristic of this condition? A. Morning stiffness lasting less than 30 minutes B. Tender points at specific sites C. Erythema of the joints D. Decreased uric acid levels
B
A patient with SLE is prescribed corticosteroids. Which side effects should the nurse monitor for? (Select all that apply) A. Weight loss B. Hyperglycemia C. Osteoporosis D. Immunosuppression E. Hypotension
B, C, D
Which nursing intervention is appropriate for a patient with an acute gout attack? A. Elevate the affected joint B. Apply a warm compress C. Restrict fluid intake D. Encourage high-purine foods
A
A nurse is educating a client with fibromyalgia about strategies to manage fatigue. Which suggestion is appropriate? A. “Exercise only when you feel strong.” B. “Plan rest periods throughout the day.” C. “Avoid any form of physical activity.” D. “Take long daytime naps.”
B
Which of the following are risk factors for developing gout? (Select all that apply) A. Obesity B. Male gender C. High alcohol intake D. Hypothyroidism E. Vegan diet
A, B, C
A patient with SLE asks why they need regular kidney function tests. The nurse correctly responds: A. “SLE can cause kidney inflammation.” B. “The medication for SLE causes kidney failure.” C. “Testing ensures your electrolytes stay balanced.” D. “It’s only a precaution with no real risk.”
A
Which laboratory finding is most likely in a patient with gout? A. Low calcium B. Elevated uric acid C. Elevated potassium D. Low white blood cells
B
A nurse is caring for a patient with fibromyalgia. Which medications may be prescribed to manage symptoms? (Select all that apply) A. Tricyclic antidepressants B. Anticonvulsants C. NSAIDs D. Corticosteroids E. Beta blockers
A, B, C
Which teaching point is important for a patient newly diagnosed with SLE? A. “Limit sun exposure and use sunscreen.” B. “Aspirin can cure your disease.” C. “Stop all medications if you feel better.” D. “Increase your intake of high-purine foods.”
A
A patient with gout states, “I’ve been taking aspirin for my pain.” What is the nurse’s best response? A. “That’s a good choice for inflammation.” B. “Aspirin can worsen gout symptoms.” C. “You should increase the dose.” D. “Take aspirin with vitamin C.”
B
Which statement indicates correct understanding about fibromyalgia triggers? A. “Only infections trigger flares.” B. “Stress, weather changes, and fatigue can worsen symptoms.” C. “There are no known triggers.” D. “Overeating causes fibromyalgia.”
B
In caring for a patient with SLE, which of the following complications is most life-threatening? A. Skin lesions B. Lupus nephritis C. Joint deformities D. Fatigue
B
A nurse is providing discharge teaching to a patient with gout. What statement should be included? A. “Increase intake of red meat for strength.” B. “Limit alcohol consumption.” C. “Stop all medications if symptoms resolve.” D. “Stay sedentary to avoid joint strain.”
B
Which client statement indicates effective coping with fibromyalgia? A. “I just stay in bed all day.” B. “I pace my activities to prevent exhaustion.” C. “I no longer attend any social events.” D. “I avoid exercise because it worsens my pain.”
B
The nurse is reviewing lab results for a patient with SLE. Which finding is most concerning? A. Hemoglobin 13.5 g/dL B. WBC 2,000/mm3 C. Platelets 250,000/mm3 D. ESR 10 mm/hr
B
Which advice is appropriate for a patient experiencing an acute gout flare-up? A. “Take colchicine at the onset of symptoms.” B. “Double your dose of allopurinol.” C. “Apply ice packs only.” D. “Exercise the joint vigorously.”
A
A patient with fibromyalgia reports sleep disturbances. Which interventions should the nurse recommend? (Select all that apply) A. Maintain a regular sleep schedule B. Limit caffeine intake C. Take naps during the day D. Practice relaxation techniques E. Watch television in bed to fall asleep
A, B, D
