ATI 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."
"If you miss a dose, go ahead and take it with the next scheduled dose."
"Drink a minimum of 2 liters of water per day to promote the drug's excretion."
"Take it in the morning to prevent insomnia." - ANSWERS-"Drink a minimum of
2 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 client who is taking etanercept for rheumatoid arthritis.
the nurse should instruct the client to monitor which of the following
indications of an adverse reaction to this drug?
Skin rash
Tinnitus
Diarrhea
Dysphagia - ANSWERS-Skin rash
, Etanercept can cause serious skin infections. Clients should immediately report
any skin rashes or blisters, because an infection can cause a serious reaction,
such as Stevens-Johnson syndrome or toxic epidermal necrolysis.
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 - ANSWERS-Ibuprofen
NSAID analgesics, such as ibuprofen, are often prescribed along with
methotrexate during the initial course of treatment for rheumatoid arthritis. It
can take weeks for DMARDs to reach therapeutic levels and begin relieving
joint inflammation and pain, so ibuprofen can be administered concurrently to
help make the client more comfortable while waiting for methotrexate's
therapeutic effects.
a nurse is teaching a client who has a new prescription for etancercept. 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."
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."
"If you miss a dose, go ahead and take it with the next scheduled dose."
"Drink a minimum of 2 liters of water per day to promote the drug's excretion."
"Take it in the morning to prevent insomnia." - ANSWERS-"Drink a minimum of
2 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 client who is taking etanercept for rheumatoid arthritis.
the nurse should instruct the client to monitor which of the following
indications of an adverse reaction to this drug?
Skin rash
Tinnitus
Diarrhea
Dysphagia - ANSWERS-Skin rash
, Etanercept can cause serious skin infections. Clients should immediately report
any skin rashes or blisters, because an infection can cause a serious reaction,
such as Stevens-Johnson syndrome or toxic epidermal necrolysis.
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 - ANSWERS-Ibuprofen
NSAID analgesics, such as ibuprofen, are often prescribed along with
methotrexate during the initial course of treatment for rheumatoid arthritis. It
can take weeks for DMARDs to reach therapeutic levels and begin relieving
joint inflammation and pain, so ibuprofen can be administered concurrently to
help make the client more comfortable while waiting for methotrexate's
therapeutic effects.
a nurse is teaching a client who has a new prescription for etancercept. 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."
