A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

isoniazid

furosemide

warfarin

levofloxacin

Answer and Explanation

The Correct Answer is A

A. Isoniazid, a medication used to treat tuberculosis, can trigger or worsen systemic lupus erythematosus (SLE) symptoms in some individuals. This is a known side effect, and the nurse should question its use in a client with a history of lupus.

B. Furosemide is a diuretic that can cause electrolyte imbalances but is not typically associated with triggering lupus symptoms.

C. Warfarin is an anticoagulant, and while it interacts with many drugs, it is not specifically associated with exacerbating lupus symptoms.

D. Levofloxacin is an antibiotic and is generally safe for individuals with lupus unless there are specific contraindications, but it is not known to trigger lupus flare-ups.

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Correct Answer is ["B","C","D"]

Explanation

A. Dancing, although it can involve movement and stress on the body, is not as directly associated with aggravating a herniated disc compared to the other listed factors.

B. Sneezing and coughing can increase intra-abdominal pressure and aggravate a herniated disc by putting more stress on the affected area of the spine.

C. Lifting a heavy box from a high position requires bending and twisting, which can exacerbate a herniated disc.

D. Prolonged standing or sitting can increase pressure on the spine, especially in the lower back, and aggravate symptoms of a herniated disc.

E. Lying down generally relieves pressure on the spine and is less likely to aggravate a herniated disc.

A. Bend the knees and support the back. B. Move the hips and legs first, then the upper body. C. Have the client help by pulling on the side rail. D. Turn the client as one unit without twisting the spine

Correct Answer is D

Explanation

A. While bending the knees helps with body mechanics, twisting the spine should still be avoided.

B. Moving the hips and legs first could lead to twisting the spine if not done correctly, so the spine must be kept aligned during all movements.

C. The client should avoid pulling on side rails or assisting with movement until fully cleared by the physician, as this could put unnecessary strain on the spine.

D. It is essential to maintain spinal alignment and prevent twisting of the spine during repositioning. The client should be turned as one unit to minimize strain on the healing vertebrae.

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A client with systemic lupus erythematosis has a history of tuberculosis exposure that has been treated. Which medication should the nurse question as possible cause for the lupus symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client describes low back pain that radiates down one leg. Which factors that aggravate the pain increase the likelihood that this client has a herniated disc? (SELECT ALL THAT APPLY)

Correct Answer is ["B","C","D"]

Explanation

A nurse is caring for a client with a herniated disc who has undergone a lumbar laminectomy and diskectomy at L4-5. When assisting the client to move in bed, the nurse should include what specific technique?

Correct Answer is D

Explanation

A client diagnosed with cervical spine degeneration has undergone a laminectomy. Which intervention should the nurse implement?

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