Pharm - ATI Musculoskeletal System
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
- 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 teaching a client about raloxifene. which of the following information should the nurse include?Select all that apply
- Increase physical activity by taking walks. - Use a contraceptive if there is any possibility of pregnancy. - Increase intake of calcium and vitamin D.
A health care professional is caring for a patient who is to begin taking calcitonin-salmon (Miacalcin) intranasal spray to treat osteoporosis. Which of the following information should the health care professional include? Select all that apply.
- Report rash or itching -Prime the pump before the first dose -Report nasal irritation
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?
- Use skin testing to check the client for allergies.
a nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. which of the following statements should the nurse make?
"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."
a nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. which of the following statements by the client indicates understanding of the teaching?
"I will take a birth control pill every day."
a nurse is teaching a client who has a new prescription for etancercept. which of the following statements should the nurse make?
"You should report signs of infection to your provider immediately."
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. - Report bruising or petechiae.Avoid drinking alcohol.
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.
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?
Black, tarry stools
a nurse is planning care for a client who has a new prescription of methotrexate. the nurse should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
A nurse is teaching a client about raloxifene to prevent osteoporosis. The nurse should instruct the patient to monitor for which of the following as an indication of a serious adverse reaction to the drug?
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
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?
Ibuprofen
alendronate is contraindicated for administration to clients who have which of the following conditions?
Inability to sit upright
a nurse is caring for a client who has a prescription for etanecept. the nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?
Inactivation of tumor necrosis factor
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?
Infection
A health care professional should tell a patient who is taking alendronate (Fosamax) to monitor for which of the following adverse effects? Select all that apply.
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?
Joint pain
which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue
A health care professional is caring for a patient who is taking etanercept for rheumatoid arthritis. The nurse should monitor the patient for which of the following indications of a serious adverse reaction to the drug?
Shortness of breath
a nurse is teaching a client who is taking etanercept for rheumatoid arthritis. the nurse should instruct the client to monitor which of the following indications of an adverse reaction to this drug?
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?
Thrombocytopenia
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?
Vomiting
