A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?

Pruritus

Blurry vision

Extreme nausea

Diarrhea

Answer and Explanation

The Correct Answer is B

A. Pruritus can occur with hydroxychloroquine but is not as concerning as visual disturbances.

B. Blurry vision is a serious side effect of hydroxychloroquine, which can cause retinal damage and require regular eye exams.

C. Extreme nausea may occur but is not as urgent as potential vision issues.

D. Diarrhea can be a side effect but is less concerning than visual disturbances with hydroxychloroquine.

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Correct Answer is C

Explanation

A. Increasing caffeine intake may disrupt sleep and exacerbate symptoms in clients with fibromyalgia, so it is not recommended.

B. Duloxetine is used to manage fibromyalgia symptoms, and stopping the medication without consulting a healthcare provider could lead to withdrawal or worsening of symptoms.

C. Stress is a known trigger for fibromyalgia flare-ups, so avoiding stressful situations can help manage the condition.

D. Steroids may be used for inflammation but do not cure fibromyalgia, which is a chronic condition.

A. "I can use either heat or ice to help relieve the discomfort." B. "I will elevate my legs by placing two pillows under my knees when I go to bed." C. "I should limit physical activity to prevent further injury. D. "Ibuprofen is the first step in medication therapy for osteoarthritis."

Correct Answer is A

Explanation

A. The use of either heat or ice is appropriate for managing osteoarthritis pain. Heat can help relax muscles and improve blood flow, while ice can reduce inflammation and pain.

B. Elevating the legs with pillows under the knees could increase pressure on the knee joints, which may not be beneficial for osteoarthritis. Elevation should ideally be done with pillows under the ankles to avoid unnecessary strain on the knees.

C. While rest is important, complete limitation of physical activity is not recommended. Gentle, low-impact exercises such as walking or swimming can help maintain joint function and reduce stiffness.

D. While ibuprofen is commonly used for managing osteoarthritis pain, it is not necessarily the first step in therapy. Non-pharmacological interventions such as physical therapy, joint protection strategies, and weight management should be prioritized alongside medication.

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A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client diagnosed with fibromyalgia. Which of the following client statements indicate an understanding of the teaching?

Correct Answer is C

Explanation

A nurse in a medical clinic is providing teaching to an older adult client who has osteoarthritis that is affecting her knees. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider?

A nurse working in the Med-surgical unit is caring for a client with choliathiasis. Which of the following risk factors are most associated with choliathiasis? Select all that apply.

A nurse is providing education to a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?