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The nurse is assessing clients for their risk of developing Scleroderma. Which of these clients should the nurse consider at lowest risk?

A 43 year old female with lupus.

A 55 year old male that works as a teacher.

A 40 year old female that works at the chemical plant

A 38 year old male whose father has Scleroderma

Answer and Explanation

The Correct Answer is B

A. Lupus is associated with a higher risk of autoimmune conditions, including Scleroderma.

B. A male working as a teacher is less likely to have occupational or genetic predispositions for Scleroderma.

C. Chemical exposure can increase the risk of developing Scleroderma.

D. A family history of Scleroderma raises the genetic risk of developing the condition.

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Correct Answer is C

Explanation

A. The drug should not be held based on how the client feels. Infliximab is prescribed based on specific treatment protocols, and stopping it could negatively impact disease management.

B. Infliximab can be taken regardless of food intake, so it’s not necessary to take it with food or milk.

C. Infliximab is an immunosuppressive medication, which increases the risk of infections. Teaching the client and caregivers about the importance of hand hygiene is essential in preventing infections.

D. There is no requirement for the drug to be given specifically in the morning. It can be given according to the prescribed schedule, typically at intervals based on disease management.

A. would feel better if I put on some weight B. need to move to a warmer climate. C. need to avoid drinking wine. D. can stop my Allopurinol once feel better.

Correct Answer is C

Explanation

A. Weight gain can worsen gout by increasing joint stress and uric acid levels.

B. Climate change is not a treatment or preventive measure for gout.

C. Avoiding wine is correct as alcohol, especially beer and wine, can trigger gout flares.

D. Discontinuing Allopurinol abruptly can lead to worsening of gout symptoms.

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The nurse is assessing clients for their risk of developing Scleroderma. Which of these clients should the nurse consider at lowest risk?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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