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
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.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This vaccine is recommended for adults over 50 years old to prevent shingles, but it is not typically administered annually.
B. There is no routine annual immunization for Hepatitis C.
C. Annual influenza vaccination is strongly recommended for patients with COPD to reduce the risk of influenza-related complications.
D. While pneumococcal vaccination is important for patients with COPD, it is not administered annually in most cases.
Correct Answer is D
Explanation
A. Colorectal cancer could be a concern but is not the immediate concern when a patient presents with black, tarry stools, which typically indicate upper gastrointestinal bleeding.
B. Antacids do not typically cause black, tarry stools.
C. Consuming too much fiber may cause changes in stool consistency but is not typically associated with black, tarry stools.
D. Black, tarry stools are often indicative of upper gastrointestinal bleeding, which can be serious and requires immediate medical attention.
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