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: Soft foods like applesauce aid swallowing in Parkinson’s dysphagia, reducing aspiration risk from rigidity, a correct self-management strategy.
Choice B reason: Prune juice relieves constipation, common in Parkinson’s from slowed gut motility due to dopamine loss, so this is an accurate statement.
Choice C reason: Carbidopa-levodopa boosts dopamine, easing Parkinson’s motor symptoms (tremors, rigidity), a standard treatment, making this statement correct.
Choice D reason: Parkinson’s stems from dopamine deficiency, not acetylcholine; excess acetylcholine worsens symptoms, so this is incorrect and needs teaching.
Correct Answer is A
Explanation
Choice A reason: Hypoparathyroidism lowers PTH, reducing phosphorus excretion, raising serum levels as kidneys reabsorb more, while calcium drops, a classic imbalance.
Choice B reason: Calcium decreases in hypoparathyroidism due to low PTH, impairing bone resorption and gut absorption, opposite to being high, so this is incorrect.
Choice C reason: Magnesium isn’t directly regulated by PTH; hypoparathyroidism doesn’t consistently elevate it, staying normal unless other factors intervene.
Choice D reason: Potassium is unaffected by hypoparathyroidism, controlled by aldosterone and kidneys, not PTH, so it doesn’t rise with this condition.
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