The Musculoskeletal System

A nurse is teaching about self-administering methotrexate to a client who has rheumatoid arthritis. Which of the following statements should the nurse make? [] "use a nonsteroidal anti-inflammatory drug to reduce toxicity" [] "take it with food to reduce gastric irritation" [] "drink 2 to 3 liters of water per day to promote the drug's excretion" [] "take it in the morning to prevent insomnia"

[] "drink 2 to 3 liters of water per day to promote the drug's excretion"

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

[] "you should report signs of infection to your provider immediately"

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? [] aspirin [] salicylates [] sulfonylureas [] ibuprofen

[] ibuprofen

Alendronate is contraindicated for administration to clients who have which of the following conditions? [] heart failure [] fish protein allergy [] inability to sit upright [] tuberculosis

[] inability to sit upright

A nurse is teaching a client about raloxifene. Which of the following should the nurse include? (select all that apply) [] perform a breast self-examination twice per month [] increase physical activity by taking walks [] use a contraceptive if there is any possibility of pregnancy [] take the drug on an empty stomach [] increase intake of calcium and vitamin D

[] 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 identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse effects? [] kidney toxicity [] infection [] gout [] deep-vein thrombosis

[] infection

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

[] jaw pain [] blurred vision [] muscle pain

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? [] venous thromboemboli [] ventricular dysrhythmias [] breast cancer [] joint pain

[] joint pain

Which of the following is a therapeutic action of raloxifene? [] blocks the effects of estrogen on endometrial tissue [] mimics the effects of estrogen on bone tissue [] stimulates secretion of parathyroid hormone [] stimulates menstruation

[] mimics the effects of estrogen on bone tissue

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? [] excessive salivation [] increased thirst [] blood in the urine [] shortness of breath

[] shortness of breath

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? [] Hypertension [] thrombocytopenia [] glaucoma [] edema

[] 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? [] check the client's urine for sedimentation [] assess the client's liver function [] use skin testing to check the client for allergies [] evaluate the client's breath sounds

[] use skin testing to check the client for allergies

A nurse is teaching a client who has a prescription for calcitonin-salmon about manifestations of hypercalcemia. Which of the following manifestation should the nurse include in the teaching? [] muscle twitching [] fever [] nervousness [] vomiting

[] vomiting

A nurse is teaching a client about methotrexate for rheumatoid arthritis. Which of the following statements by the client indicates understanding of the teaching? [] "I will take a birth control pill ever day" [] "methotrexate decreases my chances of developing an infection" [] "i take methotrexate every day with breakfast" [] "I will aim to drink five 8-ounce glasses of water per day"

[] "I will take a birth control pill ever day"

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" [] "i may lose part or all of my hair" [] "i may wake up with a very dry mouth" [] "i will leave the needle cap off during the time the medication comes to room temperature"

[] "i will need to get my blood drawn periodically while on this 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? [] muscle pain [] peripheral edema [] black, tarry stools [] redness in the calf

[] black, tarry stools

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? [] bone marrow depression [] thrombocythemia [] double vision [] constipation

[] bone marrow depression

A nurse is teaching a 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? [] loss of hair [] numbness of the fingertips [] calf pain [] blisters on mucous membranes

[] 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 [] increases calcium excretion [] promotes intestinal absorption of calcium and phorphorus [] reduces action of osteoblasts

[] decreases activity of osteoclasts

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

[] report rash or itching [] prime the pump before the first dose [] report nasal irritation

A nurse is teaching 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 this drug? [] skin rash [] tinnitus [] diarrhea [] dysphagia

[] skin rash

A nurse is caring for a client who has a new prescription for etanercept. Which of the following ations should the nurse take? [] administer a tuberculin skin test prior to starting the medication [] teach the client that fevers are common while taking this medication [] determine if the client has chronic hypertension [] mix the medication with methotrexate prior to administration

[] administer a tuberculin skin test prior to starting the medication

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (select all that apply) [] avoid being near people who are sick with a communicable illness [] periodic laboratory tests are required [] the drug's effects are immediate [] report bruising or petechiae [] avoid drinking alcohol

[] 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? (select all that apply) [] take the calcium tablets with food [] drink 240 mL (8 oz) of water with the calcium tablets [] chew calcium tablets before swallowing them [] take the drugs 1 hr apart [] divide the daily dosage of calcium into three 500-mg doses

[] drink 240 mL (8 oz) of water with the calcium tablets [] chew calcium tablets before swallowing them [] take the drugs 1 hr apart [] divide the daily dosage of calcium into three 500-mg doses

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 [] inhibition of osteoclast activity [] decreasing the reuptake of serotonin [] interference with the production of lymphocytes

[] inactivation of tumor necrosis factor