Linda, 50, has a history of rheumatoid arthritis and Raynaud's phenomenon. She presents with muscle pain, weakness, and a hellotrope rash. Her lab tests show elevated levels of aldolase and antinuclear antibodies (ANA). What medication would best help control Linda's inflammatory myositis symptoms?

Immune modulators like methotrexate

NSAIDs like ibuprofen

IV immunoglobulin

Vitamin D supplements

Answer and Explanation

The Correct Answer is A

A.   Inflammatory myositis, such as dermatomyositis, is typically treated with immune modulators like methotrexate to suppress the immune system and reduce inflammation.
B.   NSAIDs may help with pain relief but are not typically used as the primary treatment for inflammatory myositis.
C.   IV immunoglobulin may be used in some cases of inflammatory myositis, particularly in those with refractory disease, but it is not the first-line treatment.
D.   Vitamin D supplements are not specific treatments for inflammatory myositis.

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Correct Answer is D

Explanation

A. Reduction in saliva production is not directly related to the immune system; it's more associated with oral health.
B. Thickening of the skin is a normal part of aging but is not directly related to the immune system.
C. Weakening of the periosteum refers to the outer layer of bone, and while it can occur with aging, it's not directly relevant to the immune system.
D. Reduced ciliary action in the respiratory tract is a common age-related change that can compromise the body's ability to clear pathogens and debris from the respiratory system, thus increasing susceptibility to respiratory infections.

A. Do you have a productive cough? B. Are you taking any other medications? C. Have you ever had oral herpes? D. How often do you brush your teeth?

Correct Answer is B

Explanation

A. While coughing may be a symptom of certain conditions, it's not directly related to the presence of white lesions in the throat.
B. Chemotherapy can suppress the immune system and predispose patients to oral candidiasis (thrush). It's important to inquire about other medications that may contribute to this condition or interact with chemotherapy.
C. Oral herpes typically presents as cold sores or fever blisters and may not be directly related to the white lesions observed.

D. While oral hygiene is important, the presence of white lesions in James's throat is more likely related to his medical condition and treatment than to dental hygiene habits.

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Linda, 50, has a history of rheumatoid arthritis and Raynaud's phenomenon. She presents with muscle pain, weakness, and a hellotrope rash. Her lab tests show elevated levels of aldolase and antinuclear antibodies (ANA). What medication would best help control Linda's inflammatory myositis symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Sarah, a 75-year-old woman with a history of COPD, has recently been experiencing frequent respiratory infections. As the nurse teaches her about the impact of aging on the immune system, which change should be emphasized?

Correct Answer is D

Explanation

James, 35, who is undergoing chemotherapy, has white lesions resembling milk curds in the back of his throat. His CBC shows reduced counts across the board. What question should the nurse ask?

Correct Answer is B

Explanation

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