DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC: NCLEX: PhysiologicalIntegrity25. The health care provider has prescribed the following interventions for a patient who is takingazathioprine (Imuran) for systemic lupus erythematosus. Which order should the nurse question?A.Draw anti-DNA blood titer.B.Administer varicella vaccine.C.Naproxen 200 mg twice daily.D.Famotidine (Pepcid) 20 mg daily.ANS: BLive virus vaccines, such as varicella, are contraindicated in a patient taking immunosuppressive drugs.The other orders are appropriate for the patient.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Implementation MSC: NCLEX:Physiological Integrity26. A patient has scleroderma manifested by CREST (calcinosis, Raynaud’s phenomenon, esophagealdysfunction, sclerodactyly, and telangiectasia) syndrome. Which action should the nurse include in theplan of care?
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DIF: Cognitive Level: Apply (application)TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity27. The nurse should determine additional instruction is needed when a patient diagnosed withscleroderma makes which statement?
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