Unit 3 MEDs H&I 2
A nurse is collecting data from a client with rheumatoid arthritis who has been taking high doses of prescribed hydroxychloroquine. Which of the following client statements should indicate to the nurse that the client is experiencing an adverse effect of hydroxychloroquine?
"I have had a change in my vision recently."
A nurse is reinforcing teaching with a client who has gout and a prescription for allopurinol. Which of the following statements by the client should indicate to the nurse that the teaching was effective?
"I will increase my fluids to at least 2 liters per day."
A nurse is reinforcing teaching with a client who has severe chronic gout and a new prescription for pegloticase. The client has been taking allopurin for 1 month. Which of the following instructions should the nurse include about pegloticase?
"If you experience a flare-up, you can take an NSAID while receiving this medication."
A nurse is reinforcing teaching with a client who has been taking an NSAID to treat rheumatoid arthritis. During the client's first month checkup, the provider prescribed methotrexate to be added to the medication regimen. Which of the following statements should the nurse include in the teaching about the purpose of this change in the client's medication?
"This medication was added to delay the disease progression."
A nurse is planning care for a client who has gout and a new prescription for allopurinol. Which of the following actions should the nurse plan to take?
A. Instruct the client to increase fluid intake to 2 to 3 L daily
A nurse is reinforcing teaching with a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? (Select all that apply.)
A. Take allopurinol as prescribed B. Exercise several times a week C. Limit intake of foods high in purine
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider for which of the of the following medications?
Colchicine
A nurse is reviewing the laboratory results for a client who is receiving allopurinol. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
Decreased urinary uric acid levels
A nurse is reinforcing teaching with a client who has gout and a new prescription for allopurinol. The nurse should instruct the client to discontinue taking the medication for which of the following adverse effects?
Fever
What is an antiepileptic that can help manage chronic phantom limb pain?
Gabapentin
A nurse is reinforcing teaching with a client who has severe generalized rheumatoid arthritis and is scheduled to start taking prednisone for long-term therapy. The nurse should instruct the client to report which of the following as an adverse effect of prednisone?
Gastric ulceration
A nurse is reviewing the medical record of a client with rheumatoid arthritis who has a prescription for infliximab. Which of the following findings should the nurse identify as a contraindication to the client receiving this medication?
Hepatitis B virus
A nurse is reinforcing medication teaching to a client who has a new diagnosis of rheumatoid arthritis. Which of the following medications in the therapy regimen will take weeks to months to be effective?
Methotrexate
A nurse is caring for a client who is experiencing an acute gout attack. The nurse should anticipate a prescription from the provider. Which of the following medications should the nurse anticipate?
Naproxen (NSAID)
A nurse is caring for a client who was recently diagnosed with rheumatoid arthritis. The nurse should expect the provider to prescribe methotrexate at whitch of the following times?
Within 3 months of the initial diagnosis
A nurse in a provider's office is caring for a client who has a new diagnosis of herpes zoster. The nurse should anticipate a prescription for which of the following medications?
acyclovir, an antiviral medication that inhibits replication of the virus that causes herpes zoster.
A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact with probenecid?
asprin (decreases the effectivness of probenecid)
A nurse is performing medication reconciliation for a newly admitted client who has rheumatoid arthritis (RA). Which of the following medications should the nurse identify as a treatment for this condition?
celecoxib ( a NSAID. Also called COX-2 cyclooxygenase)
The nurse should identify that methotrexate, which is a DMARD, can cause?
hepatotoxicity ( liver toxicity)
The nurse should identify that non-biological disease-modifying anti-rheumatic drugs (DMARDs) can cause?
immunosuppression
The nurse should identify that NSAIDs can selectively inhibit COX-2 and can increase the risk of?
thrombotic events
