ATI musculoskeletal

A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? ""Use a nonsteroidal anti-inflammatory drug to reduce toxicity." "If you miss a dose, go ahead and take it with the next scheduled dose." "Drink a minimum of 2 liters of water per day to promote the drug's excretion." "Take it in the morning to prevent insomnia."

"Drink a minimum of 2 liters of water per day to promote the drug's excretion."

A nurse is teaching a client about adverse effects of etanercept. Which of the following statements by the client 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."

"I will need to get my blood drawn periodically while on this medication."

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements made by the client 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."

"I will take a birth control pill every day."

A nurse is teaching a client 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."

"You should report signs of infection to your provider immediately."

A nurse is caring for a client 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.

Administer a tuberculin skin test prior to starting the medication.

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (select all that apply) 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.

Avoid being near people who are sick with a communicable illness. Periodic laboratory tests are required. Report bruising or petechiae. Avoid drinking alcohol.

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

Black, tarry stools

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

Bone marrow depression

A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? Loss of hair Numbness of the fingertips Calf pain Blisters on mucous membranes

Calf pain

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

Decreases activity of osteoclasts

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 that apply) 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.

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 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 rheumatoid arthritis? Aspirin Salicylates Sulfonylureas Ibuprofen

Ibuprofen

Alendronate is contraindicated for administration to clients who have which of the following conditions? Heart failure Fish protein allergy Inability to sit upright Tuberculosis

Inability to sit upright

A nurse is carinh for a client who has a prescription for etanercept. The nurse should identify that etanercept treates rheumtoid arthritis by which of the following actions? Inactivation of tumor necrosis factor Inhibition of osteoclast activity Decreasing the reuptake of serotonin Interference with the production of lymphocytes

Inactivation of tumor necrosis factor

A nurse is teaching a client about raloxifene. Which of the following information should the nurse include? (select all that apply) 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.

Increase physical activity by taking walks. Use a contraceptive if there is any possibility of pregnancy. Increase intake of calcium and vitamin D.

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects? Kidney toxicity Infection Gout Deep-vein thrombosis

Infection

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

Jaw pain Blurred vision Muscle pain

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

Joint pain

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

Mimics the effects of estrogen on bone tissue

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 that apply) Report rash or itching. Deliver two sprays to each nostril. Prime the pump before the first dose. Report nasal irritation. Hold the pump horizontally.

Report rash or itching. Prime the pump before the first dose. Report nasal irritation.

A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indication of a serious adverse reaction to the drug? Excessive salivation Increased thirst Blood in the urine Shortness of breath

Shortness of breath

A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? Skin rash Tinnitus Diarrhea Dysphagia

Skin rash

A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication? Hypertension Thrombocytopenia Glaucoma Edema

Thrombocytopenia

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.

Use skin testing to check the client for allergies.

A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching? Muscle twitching Laryngospasm Paresthesia Vomiting

Vomiting