ATI test 3
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 minimal 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 etanercept. Which of the following statements should the nurse make?
"you should report signs of infection to the provider immediately"
Prior to starting alendronate, the nurse should assess which of the following in the client?
-ability to swallow -baseline vision
Which of the following drugs are effective in disease prevention as well as treatment of osteoporosis?
-alendronate -raloxifene
A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include?
-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 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?
-drink 240 mL (8 oz) of water with the calcium tablets -chew calcium tablets before swallowing them -take the drugs 1 hour 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?
-increase physical activity by taking walks -use a contraceptive if there is any possibility of pregnancy -increase intake of calcium and vitamin D
A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects?
-jaw pain -blurred vision -muscle pain
Which of the following information in the client's history causes the health care provider to suspect the client osteoporosis?
-menopause -long-term corticosteroid use -loss of height
When instructing the client about alendronate, which of the following information should the health care provider include?
-take the drug on an empty stomach -sit upright for 30 minutes following dosage -take with a full glass of water
The health care provider prescribed alendronate (Fosamax) to reduce bone resorption and instructs the client to monitor for which of the following indications of a serious adverse effect of this drug?
Dysphagia
selective estrogen receptor modulators
Mimics the effects of estrogen on the bones
The health care provider instructs the client about the importance of taking the prescribed 1,500 mg/day dosage of calcium carbonate (Tums). Which of the following instructions should the health care provider recommend?
Set up a simple reminder system
The health care provider explains to the client that there may be a drug interaction between the glucocorticoid and the calcium supplement. Which of the following may occur?
The glucocorticoid may cause reduced absorption of the calcium supplement
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 client about raloxifene therapy to prevent osteoporosis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this 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 client who has rheumatoid arthritis is taking methotrexate. Which of the following reduces toxicity from this drug?
folic acid
A client is about to start taking raloxifene to treat osteoporosis. You advise the client to watch for which of the following adverse effects?
hot flashes
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 etanercept. The nurse should identify that etanercept treats rheumatoid arthritis by which of the following actions?
inactivation of tumor necrosis factor
A primary care provider prescribes calcitonin salmon for a post-menopausal client. Knowing the adverse effects of calcitonin, you instruct the client to
increase calcium and vitamin D intake
calcitonin
increases the excretion of calcium
A nurse is caring for a client taking etanercept. Which of the following adverse effects is most important to mention when educating this client?
injection site reaction can occur
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 client who is menopausal is taking a calcium supplement to prevent osteoporosis. You instruct the client to watch for which of the following indications of hypercalcemia?
nausea
calcium supplements
raises calcium levels
bisphosphonates
reduces the number of osteoclasts
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?
shortness of breath
A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to the drug?
skin rash
A client is about to start therapy with methotrexate for rheumatoid arthritis. Knowing the adverse effects of methotrexate, you advise the client to watch for which of the following?
sore throat
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 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 a client who has a prescription for calcium citrate about manifestation of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?
vomiting
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 primary care provider prescribes etanercept to treat a client's rheumatoid arthritis. Prior to beginning the treatment, the client requires testing for which of the following?
tuberculosis
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include?
-report rash or itching -prime the pump before the first dose -report nasal irritation
