MED SURG 2: EXAM QUESTIONS AND ANSWERS 100% CORRECT

MED SURG 2: EXAM QUESTIONS AND ANSWERS 100% CORRECT A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer? a. Zolpidem b. Alprazolam c. Spironolactone d. Allopurinol - Answer d. Allopurinol A nurse is teaching a client who has gout about medications. The nurse should teach the client to avoid the use of which of the following types of medications? a. NSAIDs b. Salicylates c. Antihistamines d. Expectorants - Answer b. Salicylates A nurse is caring for an older adult client who has rheumatoid arthritis (RA) and is taking aspirin 650 mg every 4 hours. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication? a. White blood cell (WBC) count b. Rheumatoid factor (RF) c. Antinuclear antibody (ANA) d. Erythrocyte sedimentation rate (ESR) - Answer d. Erythrocyte sedimentation rate (ESR) A nurse is assessing a client who has systemic lupus erythematous and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider? a. Diarrhea b. Blurred vision c. Pruritus d. Fatigue - Answer b. Blurred vision 1. A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen? a. "I will closely follow a high-purine diet" b. "I will limit my fluid intake to 1 liter per day" c. "I will take one aspirin every day" d. "I will limit my alcohol intake" - Answer d. "I will limit my alcohol intake" A nurse is preparing a presentation at a community center about osteoarthritis. The nurse should plan to include which of the following information? (Select all that apply) a. Affects weight-bearing joints b. Crepitus can occur in affected joints c. Affects bilateral, symmetrical joints d. Causes joint stiffness e. Causes joint pain - Answer a. Affects weight-bearing joints b. Crepitus can occur in affected joints d. Causes joint stiffness e. Causes joint pain A nurse is assessing a client who has Paget's disease of the bone. Which of the following should the nurse expect? (Select all that apply) a. Cranial enlargement b. Skeletal pain c. Wadding gait d. Cold extremities e. Vision deficits - Answer a. Cranial enlargement b. Skeletal pain c. Wadding gait A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include? a. Take an antiemetic 1 hour following administration b. Drink 2-3 L of water per day c. Take the medication with an NSAID d. Rinse mouth 2 times per day with an alcohol-based mouthwash - Answer b. Drink 2-3 L of water per day A nurse is teaching a client who has a new diagnosis of gout about managing the disorder. Which of the following instructions should the nurse include in the teaching? a. Eat less liver, sardines, and shrimp b. Use aspirin for management of gout pain c. Drink 1-1.5 L of fluid each day d. Have a glass of red wine with dinner each day - Answer a. Eat less liver, sardines, and shrimp A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout. Which of the following statements includes the client understands the teaching? a. "I will need to limit the number of fruit servings each day" b. "I should avoid eating liver and other organ meats" c. "I can drink only white wine" d. "I should choose red meat instead of