Chapter 30
A client states that he uses an herbal product to treat his osteoarthritis. Which herbal product would the nurse expect the client to use? -cinnamon -valerian root -glucosamine -kava
glucosamine
A client is diagnosed with rheumatoid arthritis. Which medication would the nurse expect the primary care physician to prescribe? -allopurinol -diazepam -hydroxychloroquine -risedronate
hydroxychloroquine
The nurse understands that which DMARDs should not be used in clients with congestive heart failure? -hydroxychloroquine -anakinra -etanercept -sulfasalazine
etanercept
After teaching a client about alendronate, the nurse determines that the teaching was successful when the client states which of the following: -"I need to stay upright for 30 minutes after taking the drug." -"I should take the drug with food or meals." -"I have to avoid hazardous tasks in case I feel drowsy." -"I need to drink at least 10 glasses of water a day."
"I need to stay upright for 30 minutes after taking the drug."
A client with gout is receiving allopurinol as part of a treatment plan. Which instruction would the nurse include in the teaching plan for this client? (Select all that apply) -Taking the drug with an antacid -Monitoring for an allergic reaction -Drinking at least 3 liters of fluid a day -Taking the drug with meals -Reporting any evidence of skin rash
Drinking at least 3 liters of fluid a day Taking the drug with meals Reporting any evidence of skin rash
The nurse would administer alendronate cautiously to a client with which of the following? -diabetes -hypertension -constipation -gastritis
gastritis
A patient with gout is prescribed allopurinol. After administering the drug, the nurse observes that the patient has developed a rash. Which action would be most appropriate for the nurse to do? -Use an antiseptic lotion on the rashes. -Discontinue drug and replace with another. -Ask the client to reduce his protein intake. -Immediately report the finding to the primary care provider.
Immediately report the finding to the primary care provider.
The nurse would expect to administer tiludronate to a client with which condition? -Huntington disease -Paget disease -Graves disease -Parkinson disesase
Paget disease
A nurse understands that which skeletal muscle relaxants should not be administered to a client with skeletal muscle spasms cause by systemic lupus erythematosus? -cyclobenzaprine -carisoprodol -methocarbomol -baclofen
baclofen
Which medication would the nurse expect to administer if prescribed to achieve skeletal muscle relaxation? -baclofen -allopurinol -hydroxychloroquine -alendronate
baclofen
A nurse would expect to administer which class of medication to treat osteoporosis? -uric acid inhibitors -skeletal muscle relaxants -biphosphonates -disease-modifying antirheumatic drugs (DMARDs)
biphosphonates
A nurse is caring for a client who has been prescribed alendronate for the treatment of postmenopausal osteoporosis. The client informs the nurse that she is also taking antacids for the relief of gastric upset. Based on the nurses knowledge of both drugs, which effect would the nurse anticipate? -decreased effectiveness of antacids -increased risk of hypoglycemia -increased risk of hypotension -decreased effectiveness of alendronate
decreased effectiveness of alendronate
A nurse administers carisoprodol to a client for the treatment of an acute musculoskeletal condition. The nurse would be alert for which adverse effect after administering the drug? -insomnia -anxiety -constipation -drowsiness
drowsiness
When developing a teaching plan for a client who is to receive carisoprodol, which sign or symptom would the nurse include as the most common adverse reaction? -dyspnea -drowsiness -tachycardia -hypertension
drowsiness
After teaching a group of nursing students about drugs that treat osteoporosis, the instructor determines that the teaching was successful when the group identifies which drug as an example of bisphosphonate? -cyclobenzaprine -etanercept -zoledronic acid -allopurinol
zoledronic acid
