Musculoskeletal Pharm Test Questions RN

A health care professional is preparing to administer neostigmine (Prostigmin) to a patient. Which of the following information in the patient's health history should alert her to use caution when administering neostigmine?

Asthma

A health care professional is preparing to administer neostigmine (Prostigmin) to a patient who has myasthenia gravis. Knowing the adverse effects of neostigmine, which of the following drugs should the health care professional have ready to administer?

Atropine (AtroPen)

A health care professional is caring for a patient who is about to begin methotrexate therapy for rheumatoid arthritis. The health care professional should include which of the following information? (Select all that apply.)

Avoid people who are sick Periodic laboratory tests are essential Report bruising or petechiae Avoid drinking alcohol

A health care professional should tell a patient who is taking methotrexate to monitor for which of the following?

Black, tarry stools

A health care professional is caring for a patient who has myasthenia gravis and has been prescribed neostigmine (Prostigmin) to increase muscle strength. The health care professional should tell the patient to watch for which of the following as an indication of a serious adverse reaction to the drug?

Bradycardia

A health care professional is caring for a patient who is beginning raloxifene (Evista) therapy to prevent osteoporosis. The health care professional should tell the patient to monitor for which of the following as an indication of a serious adverse reaction to the drug

Calf pain

A health care professional is administering succinylcholine (Anectine) to a patient. Which of the following information is correct regarding depolarizing neuromuscular blocking agents?

Causes muscle paralysis by binding with cholinergic receptors at the neuromuscular junction

Prior to administering calcitonin-salmon (Miacalcin) for the first time to a patient who is diagnosed with postmenopausal osteoporosis, the health care professional should perform which of the following tasks?

Check for allergies using skin testing

A health care professional is caring for a patient who is taking alendronate (Fosamax) to treat postmenopausal osteoporosis. The health care professional should explain to the patient that alendronate increases bone mass by which of the following actions?

Decreases activity of osteoclasts

A health care professional is talking about self-administering methotrexate to a patient who has rheumatoid arthritis. The health care professional should tell the patient to

Drink 2 to 3 L of water per day to promote the drug's excretion

A health care professional is caring for a patient who is taking prednisone and also takes 1,500 mg/day of calcium carbonate (Tums) to reduce that risk of osteoporosis. Which of the following information should the health care professional include? (Select all that apply.)

Drink 8 oz of water with the calcium tablets Chew calcium tablets before swallowing them Take the drugs 1 hr apart Divide the daily dose into three 500-mg doses

A health care professional is caring for a patient who is postoperative and who demonstrates weakness and needs mechanical ventilation. The patient received pancuronium during the surgery. The health care professional should suspect prolonged paralysis from a drug interaction with which of the following?

Gentamicin

A health care professional should recognize that depolarizing muscle relaxants, such as succinylcholine (Anectine), require cautious use with patients who have which of the following? (Select all that apply.)

Hyperkalemia Myasthenia gravis Respiratory depression

A health care professional is caring for patient who is taking raloxifene (Evista). Which of the following information should the health care professional include? (Select all that apply.)

Increase activity, such as walking Use a contraceptive if there is any risk of pregnancy Increase intake of calcium and vitamin D

A health care professional should question the use of etanercept (Enbrel) for a patient who has a history of diabetes mellitus because of which of the following risks?

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 health care professional is preparing to administer alendronate (Fosamax) to a patient who has osteoporosis. The health care professional should recognize which of the following as an adverse effect of alendronate?

Joint pain

A health care professional is caring for a patient who was given succinylcholine (Anectine), a depolarizing neuromuscular blocker, during a surgical procedure. The patient develops rigid muscles, tachycardia, and a sudden spike in temperature. The health care professional should immediately suspect which of the following?

Malignant hyperthermia

Which of the following is a therapeutic action of raloxifene (Evista)?

Mimics the effects of estrogen on bone tissue

When treating a patient who has malignant hyperthermia, the health care professional should do which of the following? (Select all that apply.)

Provide cooling measures Administer dantrolene (Dantrium) Discontinue anesthesia

A health care professional is caring for a patient who is taking a calcium supplement and reports flank pain. The health care professional should suspect the patient has which of the following?

Renal calculi

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 of itching Prime the pump Report nasal irritation

A health care professional is caring for a patient who is taking etanercept (Enbrel), a DMARD II that treats rheumatoid arthritis. The health care professional should monitor the patient for which of the following indications of a serious adverse reactions to the drug?

Shortness of breath

Alendronate (Fosamax) is contraindicated for patients who

Should remain flat on bed rest

A health care professional should tell a patient who is taking etanercept (Enbril) for rheumatoid arthritis to report which of the following?

Skin rash