The nurse assesses a client with rheumatoid arthritis (RA) and Sjögren syndrome. What assessment would be most important for this client?

Abdominal assessment.

Oxygen saturation.

Breath sounds.

Visual acuity.

Answer and Explanation

The Correct Answer is D

Choice A reason: Abdominal assessment is less critical in RA and Sjögren syndrome, as these conditions primarily affect joints and exocrine glands, respectively. Gastrointestinal issues may occur with RA medications (e.g., NSAIDs), but they are not the primary concern compared to ocular complications.
Choice B reason: Oxygen saturation is not directly impacted by RA or Sjögren syndrome unless secondary complications like interstitial lung disease (rare in RA) are present. It is less relevant than ocular assessments for Sjögren syndrome’s hallmark dry eye complications.
Choice C reason: Breath sounds may be assessed in RA for rare pulmonary complications, but Sjögren syndrome primarily causes sicca symptoms (dry eyes and mouth). Respiratory issues are not the primary concern, making this less critical than ocular assessment.
Choice D reason: Sjögren syndrome causes reduced tear production, leading to dry eyes, which can result in corneal damage, infections, or vision loss. Assessing visual acuity is critical to detect early ocular complications, making it the most important assessment for this client’s condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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

Explanation

Choice A reason: Stopping AEDs when seizures stop is incorrect, as it risks rebound seizures due to unopposed neuronal excitability. Most patients require long-term therapy to maintain seizure control, especially in chronic epilepsy, guided by neurological evaluation.
Choice B reason: AED therapy is often lifelong for chronic epilepsy, as seizures result from persistent neuronal hyperexcitability. Maintaining therapeutic drug levels prevents recurrence, as the underlying neurological predisposition remains, requiring continuous management to stabilize brain activity.
Choice C reason: Consistent dosing maintains steady-state AED levels, preventing subtherapeutic concentrations that could trigger seizures. Fluctuations in drug levels disrupt neuronal stabilization, increasing seizure risk, making adherence to dosing schedules critical for effective epilepsy control.
Choice D reason: Skipping doses due to adverse effects is dangerous, as it lowers AED levels, increasing seizure risk. Adverse effects should be managed by consulting the provider to adjust doses or switch medications, not by skipping doses.
Choice E reason: Abruptly discontinuing AEDs can cause rebound seizures due to sudden loss of neuronal stabilization, leading to excitotoxicity. Gradual tapering under medical supervision is required to minimize withdrawal-induced seizures, making this a critical teaching point.

A. I won’t take more than 5000 mg of this drug each day. B. I’ll follow up to get my lab tests done to check my liver. C. I’ll check drugs that I take for acetaminophen in them. D. I can use topical patches and creams to help relieve pain.

Correct Answer is A

Explanation

Choice A reason: The maximum daily dose of acetaminophen for adults is typically 4000 mg to avoid hepatotoxicity. A statement indicating 5000 mg suggests a misunderstanding, as exceeding 4000 mg increases the risk of liver damage due to the accumulation of toxic metabolites like N-acetyl-p-benzoquinone imine, which depletes glutathione.
Choice B reason: Regular liver function tests are recommended for clients on long-term acetaminophen to monitor for hepatotoxicity, as the drug is metabolized by the liver. This statement shows correct understanding, as it acknowledges the need to assess liver enzymes like ALT and AST for potential damage.
Choice C reason: Checking other medications for acetaminophen content is crucial to prevent unintentional overdose, which can lead to acute liver failure. This statement reflects proper understanding, as combination drugs (e.g., cold remedies) often contain acetaminophen, contributing to cumulative toxicity if not monitored.
Choice D reason: Using topical patches or creams for osteoarthritis pain is a valid adjunctive therapy. These deliver localized relief (e.g., NSAIDs or capsaicin) without systemic effects, complementing acetaminophen’s action. This statement indicates correct understanding of multimodal pain management strategies.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse assesses a client with rheumatoid arthritis (RA) and Sjögren syndrome. What assessment would be most important for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate? (Select all that apply)

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

Explanation

The nurse is teaching a client who is prescribed acetaminophen for control of osteoarthritic joint pain. What statement by the client indicates a need for further teaching?

Correct Answer is A

Explanation

A nurse is caring for a child who has otitis media with effusion. The nurse should identify that which of the following manifestations indicates a tympanic membrane rupture?

A nurse is teaching a client with multiple sclerosis who is prescribed cyclophosphamide (Cytoxan) and methylprednisolone (Medrol). Which statement should the nurse include in this client’s discharge teaching?

A patient has been given a prescription for levodopa-carbidopa (Sinemet) for her newly diagnosed Parkinson’s disease. She asks the nurse, “Why are there two drugs in this pill?” The nurse’s best response reflects which fact?

A nurse plans care for a client who has an external fixator on the lower leg. Which intervention would the nurse include in the plan of care to decrease the client’s risk for infection?

The nurse assesses a client after a total hip arthroplasty. The client’s surgical leg is visibly shorter than the other one and the client reports extreme pain. While a co-worker calls the surgeon, what action by the nurse is appropriate?

The recommended safe dosage of erythromycin for a child is 20 mg/kg/day in four equal doses. The child weighs 33 lb. The medication is supplied in 125 mg/mL. What is the safe and therapeutic dosage for this child?

A client is prescribed celecoxib for joint pain. What statement by the client indicates a need for further teaching?

After teaching a client with a fractured humerus, the nurse assesses the client’s understanding. Which dietary choice demonstrates that the client correctly understands the nutrition needed to assist in healing the fracture?