The Musculoskeletal System N180
A nurse is caring for a client who has an rx for etanercept. The nurse should identify that etancercept treats RA 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 w/ the production of lymphocytes
a
A nurse is caring for a client who has anew rx for etanercept. Which of the following actions should the nurse make? a. administer a tb skin test prior to starting the medication b. teach the client fevers are common while taking this men c. determine if the client has chronic hypertension d. mix the med with methotrexate prior to administration
a
A nurse is planning care for a client who has anew rx 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
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 lose part or all of my hair c. I may wake up w/ may very dry mouth d. will leave the needle cap off during the time the med comes to room temp
a
A nurse is teaching a client about methotrexate therapy for RA. Which of the following statements by the client indicates understanding the teaching? a. I will take birth control pills everyday b. Methotrexate decreases my chances of developing infection c. I take methotrexate every day with breakfast d. I will aim to drink five 8 oz glasses of water/day
a
A nurse is teaching a client about methotrexate therapy for RA. Which of the following info should the nurse include? (select all...) a. avoid being near people who are sick w/ 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, b, d, e
a nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following info should the nurse include? (select all...) a. report rash or itching b. deliver 2 sprays to each nostril c. prim the pump before the first dose d. report nasal irritation e. hold the pump horizontally
a, c, d
A nurse should instruct a client who is taking alendronate to monitor which of the following effects? (select all...) a. jaw pain b. drowsiness c. blurred vision d. tinnitus e. muscle pain
a, c, e
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 action? a. decreases activity of osteoclasts b. increases calcium excretion c. promotes intestinal absorption of calcium and phosphorus d. reduces action of osteoblasts
a.
A nurse is teaching a client who is taking etanercept for RA. the nurse should instruct the client to monitor for which of the following indications of an adverse drug reaction? a. skin rash b. tinnitus c. diarrhea d. dysphagia
a.
A nurse is caring for a client who is currently taking methotrexate for RA. The nurse should identify that which of the following is an adverse effect of this med? a. hypertension b. thrombocytopenia c. glaucoma d. edema
b
A nurse is teaching a client who has a new rx 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 the med
b
A nurse should identify that a client who has diabetes and is taking etanercept is at an increased risk for which of the following adverse effects? a. kidney toxicity b. infection c. gout d. deep-vein thrombosis
b
Which of the following is a therapeutic action of raloxifene? a. blocks the effects of estrogen b. mimics the effects of estrogen on bone c. stimulates secretion of parathyroid hormone d. stimulates menstruation
b
A nurse is teaching a client who has a new rx 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...) a. take the calcium tablets w/ food b. drink 240 mL (8 oz) of water w/ the calcium tablets c. chew calcium tablets before swallowing them d. take the drugs 1 hr apart e divide the daily dosage of calcium into three 500 mg doses
b, c, d, e
A nurse is teaching a client about raloxifene. Which of the following info should the nurse include? (select all...) a. perform a breast self-examination twice a 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, c, e
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 function c. use skin testing to check the client for allergies d. evaluate the client's breath sounds
c
A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following adverse effect of this drug? a. muscle pain b. peripheral edema c. black, tarry stools d. redness in the calf
c
A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of th3 following indications of an adverse reaction to this drug? a. loss of hair b. numbness of fingertips c. calf pain d. blisters on mucous membranes
c
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 nonsteroidal anti-inflammatory drug to reduce toxicity b. if you miss a dose, go ahead and take it with the next scheduled dose c. drink a minimum of 2 liters of water per day to promot4e the drug's exertion d. take it in the morning to prevent insomnia
c
Alendronate is contraindicated for administration to clients who have which of the following conditions? a. heart failure b. fish protein allergy c. inability to sit upright d. TB
c
A nurse is caring for a client who has a rx for methotrexate. Which of the following drugs would likely be prescribed in conjunction during the initial treatment for RA? a. aspirin b. salicylates c. sulfonylureas d. ibuprofen
d
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. excessive salivation b. increased thirst c. blood in the urine d. shortness of breath
d
A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following is an adverse effect of alendronate? a. venous thrombosis b. ventricular dysrhythmias c. breast cancer d. joint pain
d
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? a. muscle twitching b. laryngospasm c. paresthesia d. vomiting
d