ATI Pharm Made Easy 4.0 The Musculoskeletal System 2022.
A nurse is teaching about self-administering methotrexate to a client who has RA. Which of the
... [Show More] following statements should the nurse make?
"Use a nonsteroidal anti-inflammatory drug to reduce toxicity."
"You should have your liver function checked every 6 months."
"Drink 2 to 3 liters of water per day to promote the drug's excretion."
"Take it in the morning to prevent insomnia."
A nurse is teaching a pt about raloxifene. Which of the following info should the nurse include? (select all...)
-Perform a breast self-examination twice per month.
-Increase physical activity by taking walks.
-Use a contraceptive if there is any possibility of pregnancy.
-Take the drug on an empty stomach.
-Increase intake of calcium and vitamin D.
A nurse is caring for a pt who has a new prescription for etanercept. Which of the following actions should the nurse take?
-Administer a tuberculin skin test prior to starting the medication.
-Teach the client that fevers are common while taking this medication.
-Determine if the client has chronic hypertension.
-Mix the medication with methotrexate prior to administration.
A nurse is teaching a pt about methotrexate therapy for rheumatoid arthritis. Which of the following statements indicates an understanding of the teaching?
"I will take a birth control pill every day."
"Methotrexate decreases my chances of developing an infection."
"I take methotrexate every day with breakfast."
"I will aim to drink five 8-ounce glasses of water per day."
A nurse is teaching a pt who has a new prescription for etanercept.
Which of the following statements should the nurse make?
"You will inject this medication once a week in your thigh muscle."
"You should report signs of infection to your provider immediately."
"You will need to avoid taking ibuprofen while on this medication."
"You will need to receive a MMR vaccine 1 month after starting this medication."
A nurse is teaching a pt about methotrexate therapy for RA. Which of the following information should the nurse include? (select all...)
-Avoid being near people who are sick with a communicable illness.
-Periodic laboratory tests are required.
-The drug's effects are immediate.
-Report bruising or petechiae.
-Avoid drinking alcohol.
A nurse is teaching a pt about raloxifene therapy to prevent osteoporosis. The nurse should instruct the pt to monitor for which of the following indications of an adverse reaction?
-Loss of hair
-Numbness of the fingertips
-Calf pain
-Blisters on mucous membranes
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include? (select all...)
-Report rash or itching.
-Deliver two sprays to each nostril.
-Prime the pump before the first dose.
-Report nasal irritation.
-Hold the pump horizontally.
A nurse is teaching a pt about adverse effects of etanercept. Which of the following statements by the pt indicates understanding of the teaching?
"I will need to get my blood drawn periodically while on this medication."
"I may lose part or all of my hair."
"I may wake up with a very dry mouth."
"I will leave the needle cap off during the time the medication comes to room temperature."
A nurse is teaching a client who has a prescription for prednisone and takes 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include? (select all...)
-Take the calcium tablets with food.
-Drink 240 mL (8 oz) of water with the calcium tablets.
-Chew calcium tablets before swallowing them.
-Take the drugs 1 hr apart.
-Divide the daily dosage of calcium into three 500-mg doses.
A nurse is planning care for a client who has a new prescription for methotrexate. The nurse should plan to monitor the client for which of the following adverse effects?
-Bone marrow depression
-Thrombocythemia
-Double vision
-Constipation
Which of the following is a therapeutic action of raloxifene?
Blocks the effects of estrogen on endometrial tissue
Mimics the effects of estrogen on bone tissue
Stimulates secretion of parathyroid hormone
Stimulates menstruation
A nurse is caring for a client who has a prescription for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for RA?
Aspirin
Salicylates
Sulfonylureas
Ibuprofen
A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect of alendronate?
-Venous thromboemboli
-Ventricular dysrhythmias
-Breast cancer
-Joint pain
A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (select all that apply...)
-Jaw pain
-Drowsiness
-Blurred vision
-Tinnitus
-Muscle pain
A nurse is caring for a client who is currently taking methotrexate for RA. The nurse should identify that which of the following is an adverse effect of this medication?
Hypertension
Thrombocytopenia
Glaucoma
Edema
Alendronate is contraindicated for administration to clients who have which of the following conditions?
Heart failure
Fish protein allergy
Inability to sit upright
Tuberculosis
A nurse is teaching a client who has a prescription for calcitonin-salmon about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?
Muscle twitching
Fever
Nervousness
Vomiting
A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the following actions should the nurse take prior to administering calcitonin-salmon to the client for the first time?
Check the client's urine for sedimentation.
Assess the client's liver function.
Use skin testing to check the client for allergies.
Evaluate the client's breath sounds.
A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse effect of this drug?
Muscle pain
Peripheral edema
Black, tarry stools
Redness in the calf
A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that alendronate increases bone mass by which of the following actions?
Decreases activity of osteoclasts
Increases calcium excretion
Promotes intestinal absorption of calcium and phosphorus
Reduces action of osteoblasts [Show Less]