ATI Pharm Made Easy 4.0 The Musculoskeletal System 2022.
A nurse is teaching about self-administering methotrexate to a client who has RA. Which of the
following statements should the nurse make?
"Use a nonsteroidal anti-inflammatory drug to reduce toxicity."
"You should have your liver function checked every 6 months."
"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."
Methotrexate can cause kidney damage. Adequate hydration optimizes drug excretion and
helps prevent kidney damage. Clients can also take sodium bicarbonate tablets to increase
urine alkalinity and reduce the drug precipitation that can lead to kidney damage.
A nurse is teaching a pt about raloxifene. Which of the following info should the nurse include?
(select all...)
-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 activity, such as walking.
-Use a contraceptive if there is any risk of pregnancy.
-Increase intake of calcium and vitamin D.
A nurse is caring for a pt 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.
-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 medication.
Etanercept is contraindicated for administration to clients who have a history of exposure to
tuberculosis. Therefore, the nurse should administer a tuberculin skin test prior to starting the
medication.
A nurse is teaching a pt about methotrexate therapy for rheumatoid arthritis. Which of the
following statements indicates an understanding of the teaching?
, "I will take a birth control pill every 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 every day."
Methotrexate is teratogenic to a fetus and is contraindicated during pregnancy. Therefore, a
client of childbearing age should use birth control while on this medication.
A nurse is teaching a pt 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."
The nurse should teach the client that they are susceptible to infections when taking DMARD II
medications such as etanercept. The client should report symptoms of infection, such as fever,
cough, malaise, weight loss, and dyspnea, to the provider immediately to prevent further
complications.
A nurse is teaching a pt about methotrexate therapy for RA. Which of the following information
should the nurse include? (select all...)
-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 pt about raloxifene therapy to prevent osteoporosis. The nurse should
instruct the pt to monitor for which of the following indications of an adverse reaction?
-Loss of hair
-Numbness of the fingertips
A nurse is teaching about self-administering methotrexate to a client who has RA. Which of the
following statements should the nurse make?
"Use a nonsteroidal anti-inflammatory drug to reduce toxicity."
"You should have your liver function checked every 6 months."
"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."
Methotrexate can cause kidney damage. Adequate hydration optimizes drug excretion and
helps prevent kidney damage. Clients can also take sodium bicarbonate tablets to increase
urine alkalinity and reduce the drug precipitation that can lead to kidney damage.
A nurse is teaching a pt about raloxifene. Which of the following info should the nurse include?
(select all...)
-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 activity, such as walking.
-Use a contraceptive if there is any risk of pregnancy.
-Increase intake of calcium and vitamin D.
A nurse is caring for a pt 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.
-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 medication.
Etanercept is contraindicated for administration to clients who have a history of exposure to
tuberculosis. Therefore, the nurse should administer a tuberculin skin test prior to starting the
medication.
A nurse is teaching a pt about methotrexate therapy for rheumatoid arthritis. Which of the
following statements indicates an understanding of the teaching?
, "I will take a birth control pill every 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 every day."
Methotrexate is teratogenic to a fetus and is contraindicated during pregnancy. Therefore, a
client of childbearing age should use birth control while on this medication.
A nurse is teaching a pt 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."
The nurse should teach the client that they are susceptible to infections when taking DMARD II
medications such as etanercept. The client should report symptoms of infection, such as fever,
cough, malaise, weight loss, and dyspnea, to the provider immediately to prevent further
complications.
A nurse is teaching a pt about methotrexate therapy for RA. Which of the following information
should the nurse include? (select all...)
-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 pt about raloxifene therapy to prevent osteoporosis. The nurse should
instruct the pt to monitor for which of the following indications of an adverse reaction?
-Loss of hair
-Numbness of the fingertips
