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A 36-year-old female who has experienced diverse symptoms for several years has finally had her health problems attributed to scleroderma (systemic sclerosis), and has committed herself to learning as much about the disease as she can. Which statement would her nurse want to correct or clarify?

A client with rheumatoid arthritis has been taking a combination of disease-modifying antirheumatic drugs (DMARDs), which are a variety of immunosuppressants and immunomodulators, for years. Which laboratory result(s) indicate the client may be experiencing toxic adverse effects and will need the medications adjusted? Select all that apply.

The mother of 6-year-old male and female fraternal twins has brought her son to see a pediatrician because he is nearly 4 inches shorter than his sister. Which phenomenon would the physician most likely suspect as contributing factor to the boy’s short stature?

Which recent admission to an emergency department is most likely to be diagnosed with a greenstick fracture?

A client with severe dermatitis from poison ivy has been prescribed prednisone, a corticosteroid, for the treatment of his skin condition. The client has been informed to gradually taper off rather than abruptly stop the prednisone. What is the most accurate rationale for this dosing protocol?

A health care provider is attempting a differential diagnosis of a 30-year-old female who is suspected of having systemic lupus erythematosus (SLE). Which assessment and history findings correlate with SLE? Select all that apply.

A 56-year-old female with a diagnosis of breast cancer has developed bone metastases that her oncologist would like to treat with radiation therapy. What is her physician’s most likely primary goal in the treatment plan of the metastases?

For several years, a single mother of 2 has been averaging 2 to 3 bottles of wine each night and recently has added several ounces of brandy as well. She now has been diagnosed with cirrhosis. Which physical manifestations of cirrhosis would the nurse expect to find during assessment? Select all that apply.

A 60 year-old man has long managed his type 1 diabetes effectively with a combination of vigilant blood sugar monitoring, subcutaneous insulin administration, and conscientious eating habits. This morning, however, his wife has noted that he appears pale and clammy and appears to be in a stupor, though he is responsive. She suspects that he has made an error in his insulin administration and that he is experiencing a hypoglycemic episode. Which action should be the wife’s first choice?

A 16-year-old boy has been diagnosed with ankylosing spondylitis. Which etiology is responsible for his health problem?