The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?

Donepezil

Prednisone

Hydroxychloroquine

Methotrexate

Answer and Explanation

The Correct Answer is A

Choice A reason: Donepezil treats Alzheimer’s by inhibiting cholinesterase, boosting acetylcholine for cognition. Lupus, an autoimmune disease, doesn’t involve dementia primarily, so this drug lacks relevance to its management.

Choice B reason: Prednisone, a corticosteroid, suppresses inflammation and immune response in lupus, reducing joint pain and organ damage from autoantibody activity, making it a standard treatment.

Choice C reason: Hydroxychloroquine modulates immunity and reduces lupus flares by stabilizing lysosomes and decreasing autoantibody production, directly addressing its autoimmune pathology.

Choice D reason: Methotrexate, an immunosuppressant, inhibits folate metabolism, curbing immune cell proliferation in lupus, effectively managing severe symptoms like arthritis or organ involvement.

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Correct Answer is D

Explanation

Choice A reason: Increasing oxygen to 3 L/min may help but risks CO2 retention in COPD without assessing respiratory rate, depth, and saturation first, making it premature.

Choice B reason: Coughing clears secretions, but without assessing respiratory status, it’s unclear if secretions are the issue or if the client can effectively cough, so it’s not priority.

Choice C reason: Calling emergency services assumes severity without data like oxygen saturation or distress level, delaying care by skipping initial assessment in this stable setting.

Choice D reason: Assessing respiratory status (rate, oxygen saturation, lung sounds) identifies the cause of difficulty, guiding interventions like oxygen adjustment or escalation, per ABC priority.

A. Dexamethasone B. Heparin C. Atropine D. Furosemide

Correct Answer is B

Explanation

Choice A reason: Dexamethasone, a steroid, reduces inflammation but doesn’t dissolve or prevent pulmonary embolism clots, irrelevant to acute anticoagulation needs here.

Choice B reason: Heparin, an anticoagulant, prevents clot growth in pulmonary embolism, stabilizing it to reduce further lung vessel occlusion, the standard initial treatment.

Choice C reason: Atropine treats bradycardia by increasing heart rate, not addressing pulmonary embolism’s clot, which requires anticoagulation, not cardiac pacing.

Choice D reason: Furosemide, a diuretic, manages fluid overload but doesn’t affect pulmonary embolism’s thrombus, focusing on volume, not clot dissolution or prevention.

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The nurse is caring for a client with lupus and is reviewing the medication list. Which of the following prescriptions would not correlate to this illness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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