The nurse is reinforcing patient teaching on the characteristics of scleroderma. Which of the following statements by the patient would indicate a correct understanding of the teaching? (Select all that apply.)
a. "Tissue inflammation caused by abnormal antibodies."
b. "Butterfly rash."
c. "Taut, shiny skin."
d. "Pitting edema."
e. "Telangiectasia."
f. "Muscle weakness."
ANS: A, C, D, E
A, C, D, and E are correct. B. Butterfly rash is a symptom of lupus. F. Muscle weakness is a symptom of muscular dystrophy.
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A patient was seen in the emergency department following an auto accident. He is being discharged on a muscle relaxant and antiinflammatory medications. Which discharge instruction is the most important for the nurse to give this patient?
a. Take medications on time. b. Keep medications in dark bottles. c. Get plenty of rest and sleep. d. Avoid driving and using machinery.
A nurse is caring for a client who has been prescribed a monoamine oxidase inhibitor (MAOI). Which of the following should the nurse instruct the client to avoid?
A) Milk B) Butter C) Rice D) Yogurt
The nurse is caring for a client who has developed metabolic acidosis and has an anion gap of 12 mEq/L. The nurse informs a family member that this finding indicates that the client's acidosis is caused by
a. accelerated lipid metabolism. b. an increase of fixed acid. c. increases in carbonic acid. d. loss of bicarbonate.
A client with obsessive compulsive disorder (OCD) occupies much of the day with rituals involved with washing hands and frequently misses breakfast because of the behavior. The nurse should:
A) make the client stop washing and go to breakfast with the other clients. B) wake the client an hour early, allowing time to complete the ritual. C) allow the client to miss breakfast since the ritual is more important than a missed meal. D) bring the meal to the client's room and allow as much time as needed for washing.