The nurse demonstrates understanding of the appropriate use of immunosuppressant therapy by anticipating its use in the client with which disorder?
1. Gout
2. Exophthalmus
3. Rheumatoid arthritis
4. Cancer
Correct Answer: 3
Rationale 1: Gout is a disorder of uric acid, and other agents would be used to treat this disorder.
Rationale 2: This is a symptom of a thyroid disorder and would be treated with other agents.
Rationale 3: Immunosuppressants are used to diminish the immune response, as with clients with rheumatoid arthritis.
Rationale 4: Immunosuppressants would be contraindicated in the client with cancer.
Global Rationale: Immunosuppressants are drugs that diminish the ability of the immune system to fight infection and disease. Immunosuppressants are used to prevent transplant rejection and to dampen hyperactive immune responses, such as those that may occur during exacerbations of systemic lupus erythematosus (SLE) or rheumatoid arthritis (RA). Gout is a disorder of uric acid, and other agents would be used to treat this disorder. This is a symptom of a thyroid disorder and would be treated with other agents. Immunosuppressants would be contraindicated in the client with cancer.
You might also like to view...
When the nurse is assessing the client's ability to receive and process stimuli through sensory organs, this is evaluating the client's:
a. sensation c. cognition b. perception d. awareness
What action can the nurse take to uphold the ethical principle of fidelity?
a. Report unscrupulous billing practices. b. Disclose the results of an HIV test to a patient's family. c. Make health care decisions for a patient. d. Accept an assignment that is unsafe.
The client has received an overdose of a thrombolytic drug. The nurse anticipates that he will be treated with:
a. naloxone (Narcan). b. protamine sulfate. c. vitamin E. d. aminocaproic acid (Amicar).
A nurse is assessing the pain of a client who is in hospice. Which of the following is the most reliable indicator of pain?
A) Vital signs B) Patient cues C) Patient self-report D) Inability to sleep