A patient with gout has a new prescription for losartan (Cozaar) to control the condition. The nurse will plan to monitor
a. blood glucose.
b. blood pressure.
c. erythrocyte count.
d. lymphocyte count.
Question 2The nurse determines that colchicine has been effective for a patient with an acute attack of gout upon finding
a. relief of joint pain.
b. increased urine output.
c. elevated serum uric acid.
d. increased white blood cells (WBC).
Question 3A 29-year-old patient reporting painful urination and knee pain is diagnosed with reactive arthritis. The nurse will plan to teach the patient about the need for several months of therapy with
a. anakinra (Kineret).
b. etanercept (Enbrel).
c. doxycycline (Vibramycin).
d. methotrexate (Rheumatrex).
Question 4The nurse notices a circular lesion with a red border and clear center on the arm of an 18-year-old summer camp counselor who is in the camp clinic complaining of chills and muscle aches. Which action should the nurse take next?
a. Palpate the abdomen.
b. Auscultate the heart sounds.
c. Ask the patient about recent outdoor activities.
d. Question the patient about immunization history.
Question 5A 37-year-old patient with 2 school-age children who has recently been diagnosed with rheumatoid arthritis (RA) tells the nurse that home life is very stressful. Which response by the nurse is most appropriate?
a. Tell me more about situations that are causing you stress.
b. You need to see a family therapist for some help with stress.
c. Your family should understand the impact of your rheumatoid arthritis.
d. Perhaps it would be helpful for your family to be involved in a support group.
Question 6A 19-year-old patient hospitalized with a fever and red, hot, and painful knees is suspected of having septic arthritis. Information obtained during the nursing history that indicates a risk factor for septic arthritis is that the patient
a. had several knee injuries as a teenager.
b. recently returned from South America.
c. is sexually active with multiple partners.
d. has a parent who has rheumatoid arthritis.
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