LUPUS DAVIS ADVANTAGE QUESTIONS AND
ANSWERS. 2024/2025 STUDY GUIDE
1. A 48-year-old female has received a clinical diagnosis of lupus
from her primary care physician following confirmation of
diagnostic testing. After learning of the diagnosis, she returns to
the office for initial health promotion measures.
Which patient behaviors require you to provide further
instruction to prevent potential flare-ups of lupus symptoms?
Select all that apply:
Frequently applying sunscreen while sunbathing
Taking on an increased workload
Regular consumption of alcoholic beverages
Drinking eight glasses of water each day
Limiting exercise to once a month: B, C, E
Additional stress due to increased workload will contribute to the
fatigue often associated with lupus. Patients with this disease should
consume a well-balanced diet and limit alcohol consumption. A
regular exercise plan should be encouraged to maintain joint health.
2. Plaquenil has been prescribed for the patient. Which resultant
safety measures should be incorporated into the plan of care?
Select all that apply:
Weekly funduscopic exam to denote retinal changes
Baseline eye exam prior to initiating therapy
, LUPUS DAVIS ADVANTAGE QUESTIONS AND
ANSWERS. 2024/2025 STUDY GUIDE
Calculation of renal clearance rate
Biannual eye exam while the patient is taking Plaquenil
Skeletal survey to denote potential arthritic changes in joints:
B, D Safety management for Plaquenil therapy requires a baseline
eye exam with follow up annual or biannual eye exams to ascertain
presence of retinal changes. Retinal toxicity can occur with long-term
usage of this drug.
3. The patient has been taking NSAID therapy for several months
and is concerned about possible complications. Which sign of
potential complications should you be aware of?
Increased metabolism leading to hyperthermia
Dyspnea leading to respiratory distress
Renal impairment due to decreased renal blood flow
Blurred vision:
C. Use of NSAID therapy can lead to renal impairment as a result of
inhibition of prostaglandins responsible for preserving blood flow.
4. The patient is complaining of increased joint pain. Based on
this information, what type of therapy might be considered to
decrease pain and inflammation?
High dose glucocorticoids
Topical glucocorticoids
ANSWERS. 2024/2025 STUDY GUIDE
1. A 48-year-old female has received a clinical diagnosis of lupus
from her primary care physician following confirmation of
diagnostic testing. After learning of the diagnosis, she returns to
the office for initial health promotion measures.
Which patient behaviors require you to provide further
instruction to prevent potential flare-ups of lupus symptoms?
Select all that apply:
Frequently applying sunscreen while sunbathing
Taking on an increased workload
Regular consumption of alcoholic beverages
Drinking eight glasses of water each day
Limiting exercise to once a month: B, C, E
Additional stress due to increased workload will contribute to the
fatigue often associated with lupus. Patients with this disease should
consume a well-balanced diet and limit alcohol consumption. A
regular exercise plan should be encouraged to maintain joint health.
2. Plaquenil has been prescribed for the patient. Which resultant
safety measures should be incorporated into the plan of care?
Select all that apply:
Weekly funduscopic exam to denote retinal changes
Baseline eye exam prior to initiating therapy
, LUPUS DAVIS ADVANTAGE QUESTIONS AND
ANSWERS. 2024/2025 STUDY GUIDE
Calculation of renal clearance rate
Biannual eye exam while the patient is taking Plaquenil
Skeletal survey to denote potential arthritic changes in joints:
B, D Safety management for Plaquenil therapy requires a baseline
eye exam with follow up annual or biannual eye exams to ascertain
presence of retinal changes. Retinal toxicity can occur with long-term
usage of this drug.
3. The patient has been taking NSAID therapy for several months
and is concerned about possible complications. Which sign of
potential complications should you be aware of?
Increased metabolism leading to hyperthermia
Dyspnea leading to respiratory distress
Renal impairment due to decreased renal blood flow
Blurred vision:
C. Use of NSAID therapy can lead to renal impairment as a result of
inhibition of prostaglandins responsible for preserving blood flow.
4. The patient is complaining of increased joint pain. Based on
this information, what type of therapy might be considered to
decrease pain and inflammation?
High dose glucocorticoids
Topical glucocorticoids
