A patient diagnosed with systemic lupus erythematosis is experiencing a facial rash. What should the nurse instruct the patient regarding skin care?
Select all that apply.
1. Avoid being out of doors during hours of greatest sun intensity.
2. Use sunscreen with an SPF of 15 or higher.
3. Apply hydrocortisone cream 1 to the rash 46 times/day.
4. Reapply sunscreen after swimming, exercising, or bathing.
5. Wear a wide-brimmed hat when outside.
Question 2The nurse is providing discharge instructions to a patient recovering from a total hip replacement. What should the nurse include in these instructions?
Select all that apply.
1. use and weight bearing of affected limb
2. not to do exercises if experiencing discomfort
3. possible complications such as infection or dislocation
4. continuing pain medications for only two days after discharge
5. full recovery in up to six months
Question 3The nurse is instructing a patient about foods high in calcium. The nurse knows the teaching was effective when the patient chooses which foods for a meal?
Select all that apply.
1. chicken
2. collard greens
3. bananas
4. sardines
5. whole milk
Question 4A patient diagnosed with systemic lupus erythematosus has laboratory values indicative of an exacerbation. Which values should the nurse report to the physician?
Select all that apply.
1. positive antinuclear antibody
2. ESR 120 mm/h
3. trace blood in urine
4. Hgb 14.2
5. sodium 138
Question 5A patient with gout is prescribed colchicine. For which laboratory value should the nurse question administering this medication to the patient?
1. WBC 20,000
2. uric acid level 7.8
3. BUN 68
4. Hgb 14.2
Question 6A patient with osteoporosis is prescribed alendronate (Fosamax). What should the nurse include when instructing the patient about this medication?
Select all that apply.
1. Report new or worsening heartburn, and difficult or painful swallowing.
2. Take the medication with orange juice one hour after food.
3. Do not lie down for 30 minutes after taking medication.
4. Take vitamin C supplements as instructed for bone mineralization.
5. This medication has a gradual response and continues for months after the drug is stopped.
Question 7A patient is diagnosed with Paget disease. What should the nurse expect to assess in this patient?
Select all that apply.
1. pain and aching in the spine at night that is aggravated by pressure
2. flushing of the skin over the spine
3. previous pathologic fractures to the vertebra
4. elevated phosphorus levels
5. scoliosis
Question 8During an assessment the nurse notes that a patient has contracture deformities of the hand and complains of severe pain. What musculoskeletal disorder should the nurse suspect this patient is experiencing?
1. rheumatoid arthritis
2. osteomyelitis
3. osteoporosis
4. ankylosing spondylitis
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