NURS 601 Pharm Musculoskeletal Medications Questions and Answers- University of San Francisco
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NURS 601 Pharm Musculoskeletal Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Musculoskeletal Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Musculoskeletal Medications Questions and Answers- University of San Francisco/NURS 601 Pharm Mu...
nurs 601 pharm musculoskeletal medications questions and answers university of san francisconurs 601 pharm musculoskeletal medications questions and answers university of san francisconurs 601 pha
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KEY:
All un-highlighted questions are required for Patho-Pharm 1
Red Text = Should Understand
Green Text = Absolutely Should Know
Yellow Highlight = Patho-Pharm 2 Material (Skip in Patho-Pharm 1)
Blue Highlight = Skip (In both Patho-Pharm 1 & 2)
Musculoskeletal Medications
1. A client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of
etanercept, which is most important for the nurse to assess?
1. The injection site for itching and edema
2. The white blood cell counts and platelet counts
3. Whether the client is experiencing fatigue and joint pain
4. Whether the client is experiencing a metallic taste in the mouth, and a loss of appetite
Correct answer: 2
Rationale: Infection and pancytopenia are adverse effects of etanercept. Laboratory studies are
performed prior to and during medication treatment. The appearance of abnormal white blood cell
counts and abnormal platelet counts can alert the nurse to a potentially life-threatening infection.
Injection site itching is a common occurrence following administration. A metallic taste and loss of
appetite are not common signs of adverse effects of this medication.
2. Allopurinol is prescribed for a client and the nurse provides medication instructions to the client.
Which instruction should the nurse provide?
1. Drink 3000 mL of fluid a day.
2. Take the medication on an empty stomach.
3. The effect of the medication will occur immediately.
4. Any swelling of the lips is a normal expected response.
Correct answer: 1
Rationale: Clients taking allopurinol are encouraged to drink 3000 mL of fluid a day, unless otherwise
contraindicated. A full therapeutic effect may take 1 week or longer. Allopurinol is to be given with, or
immediately after, meals or milk. A client who develops a rash, irritation of the eyes, or swelling of the
lips or mouth should contact the health care provider because this may indicate hypersensitivity.
,3. Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client's record,
knowing that this medication would be used with caution in which disorder?
Rationale: Colchicine is used with caution in older clients, debilitated clients, and clients with cardiac,
kidney, or gastrointestinal disease. The disorders in options 1, 3, and 4 are not concerns with
administration of this medication.
4. Alendronate is prescribed for a client with osteoporosis and the nurse is providing instructions on
administration of the medication. Which instruction should the nurse provide?
1. Take the medication at bedtime.
2. Take the medication in the morning with breakfast.
3. Lie down for 30 minutes after taking the medication.
4. Take the medication with a full glass of water after rising in the morning.
Correct answer: 4
Rationale: Precautions need to be taken with the administration of alendronate to prevent
gastrointestinal adverse effects (especially esophageal irritation) and to increase absorption of the
medication. The medication needs to be taken with a full glass of water after rising in the morning. The
client should not eat or drink anything for 30 minutes following administration and should not lie down
after taking the medication.
5. The nurse is preparing discharge instructions for a client receiving baclofen. Which instruction should
be included in the teaching plan?
1. Restrict fluid intake.
2. Avoid the use of alcohol.
3. Stop the medication if diarrhea occurs.
4. Notify the health care provider (HCP) if fatigue occurs.
Correct answer: 2
Rationale: Baclofen is a skeletal muscle relaxant. The client should be cautioned against the use of
alcohol and other central nervous system depressants because baclofen potentiates the depressant
activity of these agents. Constipation rather than diarrhea is a side effect. Restriction of fluids is not
necessary, but the client should be warned that urinary retention can occur. Fatigue is related to a
, central nervous system effect that is most intense during the early phase of therapy and diminishes with
continued medication use. The client does not need to notify the HCP about fatigue.
6. The nurse is analyzing the laboratory studies on a client receiving dantrolene. Which laboratory test
would identify an adverse effect associated with the administration of this medication?
Rationale: Dose-related liver damage is the most serious adverse effect of dantrolene. To reduce the risk
of liver damage, liver function tests should be performed before treatment and throughout the
treatment interval. Dantrolene is administered at the lowest effective dosage for the shortest time
necessary.
7. Cyclobenzaprine is prescribed for a client for muscle spasms and the nurse is reviewing the client's
record. Which disorder, if noted in the record, would indicate a need to contact the health care provider
about the administration of this medication?
Rationale: Because cyclobenzaprine has anticholinergic effects, it should be used with caution in clients
with a history of urinary retention, glaucoma, and increased intraocular pressure. Cyclobenzaprine
should be used only for a short time (2 to 3 weeks). The conditions in options 2, 3, and 4 are not a
concern with this medication.
8. In monitoring a client's response to disease-modifying antirheumatic drugs (DMARDs), which
assessment findings would the nurse consider acceptable responses? Select all that apply.
1. Control of symptoms during periods of emotional stress
2. Normal white blood cell, platelet, and neutrophil counts
3. Radiological findings that show no progression of joint degeneration
4. An increased range of motion in the affected joints 3 months into therapy
5. Inflammation and irritation at the injection site 3 days after the injection is given
6. A low-grade temperature on rising in the morning that remains throughout the day
Correct answer: 1, 2, 3, 4
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