ATI RN
ATI Nurs 201 Med Surg Quiz Questions
Extract:
Physical Examination
Diagnostic Results
Client's first visit:
Client presents with rash and cutaneous plaques on scalp, face, and neck, areas of hyperpigmentation also noted. Butterfly rash present on cheeks. Client reports progressive fatigue, despite increasing rest periods. Client reports joint tenderness. +1 edema noted.
Client denies chest pain or discomfort. 51 52 noted on auscultation. No pericardial friction rub or murmurs noted.
Chest clear on auscultation. Client denies shortness of breath, cough, or congestion.
Bowel sounds present in all four quadrants. Denies any gastrointestinal issues.
Reports urinating with no difficulty.
Weight 185
A nurse in a clinic is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE)
Question 1 of 5
Based on the clients prescribed medications, the nurse should assess the client for developing
Correct Answer: A,C
Rationale: In clients with systemic lupus erythematosus (SLE), medications such as prednisone (a corticosteroid) are often prescribed to manage inflammation. Corticosteroids like prednisone can cause weight gain and hyperglycemia as common side effects due to fluid retention, increased appetite, and a rise in blood sugar levels.
Question 2 of 5
Based on the clients prescribed medications, the nurse should assess the client for developing
Correct Answer: A,C
Rationale: In clients with systemic lupus erythematosus (SLE), medications such as prednisone (a corticosteroid) are often prescribed to manage inflammation. Corticosteroids like prednisone can cause weight gain and hyperglycemia as common side effects due to fluid retention, increased appetite, and a rise in blood sugar levels.
Extract:
Question 3 of 5
A client with Systemic lupus erythematosus (SLE) has been admitted into the Med-surgical unit. The nurse should recognize which of the following manifestations associated with lupus? (Select All that Apply.)
Correct Answer: B,C,E
Rationale: Photosensitivity, butterfly rash, and Raynaud's phenomenon are common in SLE. Heberden's nodes are linked to osteoarthritis, and tophi are associated with gout.
Question 4 of 5
A client with systemic lupus has been ordered hydroxychloroquine. Which of the following adverse effects is of most concern?
Correct Answer: B
Rationale: Blurry vision is a serious side effect of hydroxychloroquine, which can cause retinal damage and require regular eye exams. Other side effects like pruritus, nausea, and diarrhea are less urgent.
Question 5 of 5
A nurse is providing education to a client who has a new prescription of allopurinol for the treatment of Gout. Which of the following is most important to include in the client teaching?
Correct Answer: A
Rationale: It is essential to drink plenty of fluids while taking allopurinol to prevent kidney stones, which can occur with increased uric acid excretion.