A 44-year-old woman who has a long-standing diagnosis of SLE has been able to control her symptoms with lifestyle modifications for several years, but has presented to her care provider due to recent exacerbation
Which of the following pharmacological treatment options is her care provider most likely to rule out first?
A)
Nonsteroidal anti-inflammatory drugs
B)
Corticosteroids
C)
Antiplatelet aggregators
D)
Immunosuppressive drugs
Ans:
C
Feedback:
While NSAIDs, corticosteroids, and immunosuppressives are all noted treatment options for SLE, antiplatelet aggregators are unlikely to address the etiology or signs and symptoms of the disease. A new drug that has shown positive effects in decreasing inflammatory exacerbations for people with SLE is Belimumab, which is a monoclonal antibody that inhibits B-lymphocyte stimulator.
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A nurse is caring for a client who is experiencing a flat affect, paranoid delusions, anhedonia, anergia, neologisms, and echolalia. Which statement correctly differentiates the client's positive and negative symptoms of schizophrenia?
1. Paranoid delusions, anhedonia, and anergia are positive symptoms of schizophrenia. 2. Paranoid delusions, neologisms, and echolalia are positive symptoms of schizophrenia. 3. Paranoid delusions, anergia, and echolalia are negative symptoms of schizophrenia. 4. Paranoid delusions, flat affect, and anhedonia are negative symptoms of schizophrenia.
The nurse has taught a client with lupus about skin protection in the clinic. Later, the nurse sees the client at an outdoor music festival. Which observation by the nurse indicates that the client requires further instruction?
a. Client is wearing a thin, long-sleeved shirt. b. Client is wearing a hat with a full brim. c. Client is discussing her new perm. d. Client is seen applying sunscreen twice.
A patient who is waiting to go for a diagnostic test that will determine the presence of cancer tells the nurse that she is having difficulty breathing and feels like her heart is pounding out of her chest
To best help this patient, the nurse should: 1. Stay with the patient and provide emotional support. 2. Darken the room and let the patient rest quietly alone. 3. Encourage the patient to walk around in the room. 4. Offer the patient a light snack to eat.
The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient taking nortriptyline (Pamelor) for chronic pain. For which problem does the nurse imme-diately notify the prescriber?
a. Heart rate decreased from 80 to 72 beats per minute b. Respiratory rate decreased from 20 to 16 breaths per minute c. Weight increased from 128 to 137 pounds d. Morning blood glucose increased from 86 to 94 mg/dL