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ATI PHARM MADE EASY 4.0 MUSCULOSKELETAL SYSTEM QUESTIONS AND ANSWERS
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ATI PHARM MADE EASY 4.0 MUSCULOSKELETAL SYSTEM QUESTIONS AND ANSWERS
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ATI PHARM MADE EASY 4.0MUSCULOSKELETAL QUESTIONS AND
ANSWERS
a6nurse6is6teaching6about6self-
administering6methotrexate6to6a6client6who6has6rheumatoid6arthritis.6which6of6the6followin
g6statements6should6the6nurse6make?6-6ans--drink62-
36liters6of6water6per6day6to6promote6the6drug's6excretion.
Methotrexate6can6cause6kidney6damage.6Adequate6hydration6optimizes6drug6excretion6a
nd6helps6prevent6kidney6damage.6Clients6can6also6take6sodium6bicarbonate6tablets6to6in
crease6urine6alkalinity6and6reduce6the6drug6precipitation6that6can6lead6to6kidney6damage
.
a6nurse6is6teaching6a6client6about6raloxifene.6which6of6the6following6information6should6th
e6nurse6include?6-6ans--increase6physical6activity6by6taking6walks
use6a6contraceptive6if6there6is6any6possibility6of6pregnancy
increase6intake6of6calcium6and6vitamin6D
Clients6should6avoid6long6periods6of6inactivity6to6prevent6deep6vein6thrombosis.6Walking6
and6other6weight-
bearing6exercises6can6help6increase6bone6density.6This6drug6is6teratogenic6and6Women6
who6are6pregnant,6breastfeeding,6or6might6become6pregnant6should6not6take6this6stress.
6Contraceptive6should6be6used.6An6increased6intake6of6calcium6and6vitamin6D6helps6impr
ove6the6effectiveness6and6increases6bone6mass.
a6nurse6is6caring6for6a6client6who6has6a6new6prescription6for6etanercept.6which6of6the6foll
owing6actions6should6the6nurse6take?6-6ans--
administer6a6Tuberculin6skin6test6prior6to6starting6the6medication.
Etanercept6is6contraindicated6for6clients6with6hx6of6exposure6to6TB.
, a6nurse6is6teaching6a6client6about6methotrexate6therapy6for6rheumatoid6arthritis.6which6of
6the6following6statements6by6the6client6indicates6understanding6of6the6teaching?6-6ans--
i6will6take6a6birth6control6pill6everyday
Methotrexate6is6teratogenic6to6a6fetus6and6is6contraindicated6during6pregnancy.6Therefor
e,6a6client6of6childbearing6age6should6use6birth6control6while6on6this6medication.
a6nurse6is6teaching6a6client6who6has6a6new6prescription6for6etancercept.6which6of6the6foll
owing6statements6should6the6nurse6make?6-6ans--
you6should6report6signs6of6infection6to6your6provider6immediately.
The6client6is6more6susceptible6to6infections6when6taking6DMARD6II6medications6such6as6
etanercept.6The6client6should6report6symptoms6of6infection,6such6as6fever,6cough,6malais
e,6Weight6loss,6and6dyspnea6immediately6to6prevent6further6complications.
a6nurse6is6teaching6a6client6about6methotrexate6therapy6for6rheumatoid6arthritis.6which6of
6the6following6information6should6the6nurse6include?6-6ans---
avoid6being6near6people6who6are6sick6with6a6communicable6illness.
-periodic6laboratory6tests6are6required.6
-report6bruising6or6petechiae6
-avoid6drinking6alcohol
Methotrexate6causes6bone6marrow6suppression,6which6increases6the6risk6for6infection.6C
lients6should6avoid6large6crowds6and6people6who6are6sick.6Periodic6lab6tests6help6the6pro
vider6monitor6for6kidney6and6liver6damage.6Monitor6for6jaundice6and6abdominal6pain6bec
ause6this6can6indicate6liver6damage.6The6side6effect6of6thrombocytopenia6can6cause6brui
sing6or6petechiae,6these6should6be6reported.6Alcohol6ingestion6can6increase6the6risk6of6li
ver6damage.
a6nurse6is6teaching6client6about6raloxifene6therapy6to6prevent6osteoporosis.6the6nurse6sh
ould6instruct6the6client6to6monitor6for6which6of6the6following6indications6of6an6adverse6rea
ction6to6this6drug?6-6ans--calf6pain
Raloxifene6can6increase6the6risk6of6deep6vein6thrombosis,6which6can6lead6to6a6pulmonar
y6embolism6or6cerebrovascular6accident.6Client6should6avoid6Long6periods6of6inactivity6a
nd6Report6any6pain,6redness,6or6swelling6in6the6calf.
a6nurse6is6teaching6a6client6about6calcitonin-
salmon6intranasal6spray6to6treat6osteoporosis.6which6of6the6following6information6should6t
he6nurse6include?6-6ans--report6rash6or6itching
prime6the6pump6before6the6first6dose6
report6nasal6irritation
The6client6should6stop6taking6the6drug6and6seek6medical6attention6if6swelling6or6rash6dev
elops.6Once6in6one6nostril6each6day.6Alternate6nostrils.6Prime6pump6before6first6use6to6e
nsure6proper6dosage.6Report6nasal6bleeding6or6irritation.
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