The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?
Donepezil
Prednisone
Hydroxychloroquine
Methotrexate
The Correct Answer is A
Choice A reason: Donepezil treats Alzheimer’s by inhibiting cholinesterase, boosting acetylcholine for cognition. Lupus, an autoimmune disease, doesn’t involve dementia primarily, so this drug lacks relevance to its management.
Choice B reason: Prednisone, a corticosteroid, suppresses inflammation and immune response in lupus, reducing joint pain and organ damage from autoantibody activity, making it a standard treatment.
Choice C reason: Hydroxychloroquine modulates immunity and reduces lupus flares by stabilizing lysosomes and decreasing autoantibody production, directly addressing its autoimmune pathology.
Choice D reason: Methotrexate, an immunosuppressant, inhibits folate metabolism, curbing immune cell proliferation in lupus, effectively managing severe symptoms like arthritis or organ involvement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Thyroid cancer involves malignant thyroid growth, not a consequence of parathyroid damage during surgery, which affects calcium, not cancer risk.
Choice B reason: Goiter is thyroid enlargement from iodine issues or hyperplasia, unrelated to parathyroid damage, which controls calcium, not thyroid size.
Choice C reason: Graves’ disease, hyperthyroidism, results from autoantibodies, not parathyroid injury, which causes hypocalcemia, not thyroid hormone excess.
Choice D reason: Parathyroid damage reduces PTH, dropping calcium levels, leading to tetany—muscle spasms from hypocalcemia, a direct surgical complication.
Correct Answer is B
Explanation
Choice A reason: Elevating legs above heart level aids venous return, not arterial flow, worsening PAD’s poor circulation, reducing oxygen to ischemic tissues further.
Choice B reason: Warm environments dilate peripheral vessels, improving blood flow to PAD-affected limbs, reducing claudication pain and supporting tissue perfusion safely.
Choice C reason: Heating pads risk burns in PAD due to reduced sensation and poor healing, potentially worsening ischemic damage rather than relieving pain effectively.
Choice D reason: Antiembolic stockings prevent clots in venous stasis, not PAD, an arterial issue, and may compress arteries, further impairing circulation to legs.
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