PHARM Musculoskeletal System

a nurse is caring for a client who has a new prescription for etanercept. which of the following actions should the nurse take? a. admin a TB skin test prior to starting the med b. teach the client that fevers are common while taking this med c. determine if the client has chronic HTN d. mix the med with methotrexate prior to admin

a. admin a TB skin test prior to starting the med

a nurse is teaching a client about methotrexate therapy for RA. Which of the following info should the nurse include? (select all that apply) a. avoid being near people who are sick with a communicable illness b. periodic lab tests are required c. the drug's effects are immediate d. report bruising or petechiae e. avoid drinking alcohol

a. avoid being near people who are sick with a communicable illness b. periodic lab tests are required d. report bruising or petechiae e. avoid drinking alcohol

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? a. bone marrow depression b. thrombocythemia c. double vision d. constipation

a. bone marrow depression

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? a. decreases activity of osteoclasts b. increases calcium excretion c. promotes intestinal absorption of calcium and phosphorus d. reduces action osteoblasts

a. decreases activity of osteoclasts

a nurse is teaching a client about adverse effects of etanercept. which of the following statements by the client indicates understanding of the teaching? a. i will need to get my blood drawn periodically while on this med b. i may loose part or all of my hair c. i may wake up with a very dry mouth d. i will leave the needle cap off during the time the med comes to room temp

a. i will need to get my blood drawn periodically while on this med

a nurse is teaching a client about methotrexate therapy for RA. which of the following statements by the client indicates understanding of the teaching? a. i will take a birth control pill every day b. methotrexate dresses my chances of developing an infection c. i take methotrexate every day with breakfast d. i will aim to drink five 9 oz glasses of water per day

a. i will take a birth control pill every day

A nurse is caring for a client who's a prescription for etanercept. The nurse should identify that etanercept treat rheumatoid arthritis by which of the following actions? a. inactivation of tumor necrosis factor b. inhibition of osteoclast activity c. decreasing the reuptake of serotonin d. interference with the production of lymphocytes

a. inactivation of tumor necrosis factor

a nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (select all that apply) a. jaw pain b. drowsiness c. blurred vision d. tinnitus e. muscle pain

a. jaw pain c. blurred vision e. muscle pain

a nurse is teaching a client about calcitonin-salmon intra nasal spray to treat osteoporosis. Which of the following information should the nurse include? (select all that apply) a. report rash or itching b. deliver two sprays to each nostril c. prime the pump before the first dose d. report nasal irritation e. hold the pump horizontally

a. report rash or itching c. prime the pump before the first dose d. report nasal irritation

a nurse is teaching a client taking etanercept for RA. the nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? a. skin rash b. tinitus c. diarrhea d. dysphagia

a. skin rash

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 info should the nurse include? (select all that apply) a. take the calcium tablets with food b. drink 240 ml (8oz) of water with the calcium tablets c. chew calcium tablets before swallowing them d. take the drugs 1 hr apart e. divide the daily dosage of allium into three 500-mg doses

b. drink 240 ml (8oz) of water with eh calcium tablets c. c. chew calcium tablets before swallowing them d. take the drugs 1 hr apart e. divide the daily dosage of allium into three 500-mg doses

a nurse is teaching a client about raloxifene. Which of the following info should the nurse include? (select all that apply) a. perform a breast self-exam 2x per month b. increase physical activity by taking walks c. use a contraceptive if there is any possibility of pregnancy d. take the drug on an empty stomach e. increase intake of calcium and vitamin D

b. increase physical activity by taking walks c. use a contraceptive if there is any possibility of pregnancy e. 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? a. kidney toxicity b. infection c. gout d. DVT

b. infection

which of the following is a therapeutic action of raloxifene? a. blocks the effects of estrogen on endometrial tissue b. mimics the effects of estrogen on bone tissue c. stimulates secretion of parathyroid hormone d. stimulates menstruation

b. mimics the effects of estrogen on bone tissue

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? a. hypertension b. thrombocytopenia c. glaucoma d. edema

b. thrombocytopenia

a nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make? a. you will inject this med once a week in your thigh muscle b. you should report signs of infection to your provider immediately c. you will need to avoid taking ibuprofen while on this med d. you will need to receive a MMR vaccine 1 month after starting this med

b. you should report signs of infection to your provider immediately

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? a. muscle pain b. peripheral edema c. black, tarry stools d. redness in the calf

c. black, tarry stools

a nurse is teaching a client about raloxifene therapy to prevent osteoporosis. Th nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug? a. loss of hair b. numbness of the fingertips c. calf pain d. blisters on mucous membranes

c. calf pain

a nurse is teaching about self-administering methotrexate to a client who has RA. which of the following statements should the nurse make? a. use a non steroidal anti-inflammatory drug to reduce toxicity b. take it with food to reduce gastric irritation c. drink 2 to 3 L of water per day to promote the drug's excretion d. take it in the morning to prevent insomnia

c. drink 2 to 3 L of water per day to promote the drug's excretion

Alendronate is contraindicated for admin to clients who have which of the following conditions? a. HF b. fish protein allergy c. inability to sit upright d. TB

c. inability to sit upright

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? a. check the client's urine for sedimentation b. assess the client's liver fxn c. use skin testing to check the client for allergies d. evaluate the client's breath sounds

c. use skin testing to check the client for allergies

a nurse is caring for a client who has a prescription for methotrexate. which of the following drugs would likely be prescribed in connection during the initial treatment for RA? a. aspirin b. salicylates c. sulfonylureas d. ibuprofen

d. 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? a. venous thromboemboli b. ventricular dysrhythmias c. treat cancer d. joint pain

d. joint pain

a nurse is caring for a client who is taking etanercept for RA. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug? a. excessiv esalivation b. increased thirst c. blood in the urine d. shortness of breath

d. shortness of breath

A nurse is teaching a client who has prescription for calcitonin-salmon about manifestations of hypercalcemia. which of the following manifestations should the nurse include in the teaching? a. muscle twitching b. fever c. nervousness d. vomiting

d. vomiting