LEHNE’S PHARMACOTHERAPEUTICS FOR
ADVANCED PRACTICE NURSESLEHNE’S
PHARMACOTHERAPEUTICS AND PHYSICIAN
ASSISTANTS 2ND EDITION ROSENTHAL
TESTBANK APPROVED QUESTION AND
ANSWERS CURRENTLY TESTING VERSION
Ch 59 Drug Therapy of Rheumatoid Arthritis 598. A patient
will begin taking hydroxychloroquine [Plaquenil] for rheumatoid
arthritis. The patient is currently taking high-dose NSAIDs
and methotrexate. What will the nurse teach the patient? -
CORRECT ANSWER-a. That an eye examination is necessary at
the beginning of therapy with this drug
Ch 59 Drug Therapy of Rheumatoid Arthritis 599. A patient
will begin taking etanercept [Enbrel] for severe rheumatoid
arthritis. The patient has been taking methotrexate
,[Rheumatrex]. The patient asks if the etanercept is stronger
than the methotrexate. The nurse will tell the patient that
etanercept methotrexate. - CORRECT ANSWER-c. is better at
delaying progression of joint damage than
Ch 59 Drug Therapy of Rheumatoid Arthritis 600. A patient
with rheumatoid arthritis is taking leflunomide [Arava] and an
oral contraceptive. She tells the nurse she would like to get
pregnant. What will the nurse tell her? - CORRECT ANSWER-c.
To ask her provider about an 11-day course of cholestyramine
Ch 59 Drug Therapy of Rheumatoid Arthritis 601. A patient is
beginning therapy with oral methotrexate [Rheumatrex] for
rheumatoid arthritis. The nurse will teach this patient about
the importance of: - CORRECT ANSWER-a. having routine renal
and hepatic function tests.
Ch 59 Drug Therapy of Rheumatoid Arthritis 602. A nurse is
discussing the administration of an intravenous infusion of
rituximab (Rituxan) with a nursing student. Which statement
by the student indicates a need for further education about
the care of a patient receiving this drug? - CORRECT
,ANSWER-a. "Angioedema and hypersensitivity may occur, but
they are usually self-limiting and mild."
Ch 59 Drug Therapy of Rheumatoid Arthritis 603. A patient
who has been diagnosed with rheumatoid arthritis (RA) for 1
month and has generalized symptoms is taking high-dose
nonsteroidal anti-inflammatory drugs (NSAIDs) and an oral
glucocorticoid. The provider has ordered methotrexate
[Rheumatrex]. The patient asks the nurse why methotrexate
is necessary since pain and swelling have been well controlled
with the other medications. The nurse will tell the patient
that: - CORRECT ANSWER-b. starting methotrexate early can
help delay joint degeneration.
Ch 60 Drug Therapy of Gout 604. A patient who has gout will
begin taking febuxostat [Uloric] and colchicine. What will the
nurse include when teaching this patient about this drug
regimen? - CORRECT ANSWER-e. That colchicine is used
prophylactically to prevent acute gout attacks when starting
febuxostat
Ch 60 Drug Therapy of Gout 605. A patient with chronic gout
is admitted to the hospital for treatment for an infection.
, The patient is receiving allopurinol and ampicillin. The nurse is
preparing to administer medications and notes that the
patient has a temperature of 101° F and a rash. What will the
nurse do? - CORRECT ANSWER-a. Withhold the allopurinol and
notify the prescriber of the drug reaction.
Ch 60 Drug Therapy of Gout 606. A patient with chronic gout
has an acute gouty episode and is admitted to the hospital.
The patient has been taking nonsteroidal anti-inflammatory
drugs for several months. The prescriber plans to begin
therapy with probenecid. What will the nurse do? - CORRECT
ANSWER-d. Suggest delaying the probenecid therapy until the
acute episode has subsided.
Ch 60 Drug Therapy of Gout 607. A patient is being treated
with warfarin [Coumadin] to prevent thrombus. The patient
develops hyperuricemia, and the provider orders allopurinol
[Zyloprim]. The nurse will contact the provider to discuss the
dose. - CORRECT ANSWER-d. reducing; warfarin
Ch 60 Drug Therapy of Gout 608. A patient who will begin
taking colchicine for gout reports taking nonsteroidal anti-
inflammatory drugs, simvastatin, amoxicillin, and digoxin.
ADVANCED PRACTICE NURSESLEHNE’S
PHARMACOTHERAPEUTICS AND PHYSICIAN
ASSISTANTS 2ND EDITION ROSENTHAL
TESTBANK APPROVED QUESTION AND
ANSWERS CURRENTLY TESTING VERSION
Ch 59 Drug Therapy of Rheumatoid Arthritis 598. A patient
will begin taking hydroxychloroquine [Plaquenil] for rheumatoid
arthritis. The patient is currently taking high-dose NSAIDs
and methotrexate. What will the nurse teach the patient? -
CORRECT ANSWER-a. That an eye examination is necessary at
the beginning of therapy with this drug
Ch 59 Drug Therapy of Rheumatoid Arthritis 599. A patient
will begin taking etanercept [Enbrel] for severe rheumatoid
arthritis. The patient has been taking methotrexate
,[Rheumatrex]. The patient asks if the etanercept is stronger
than the methotrexate. The nurse will tell the patient that
etanercept methotrexate. - CORRECT ANSWER-c. is better at
delaying progression of joint damage than
Ch 59 Drug Therapy of Rheumatoid Arthritis 600. A patient
with rheumatoid arthritis is taking leflunomide [Arava] and an
oral contraceptive. She tells the nurse she would like to get
pregnant. What will the nurse tell her? - CORRECT ANSWER-c.
To ask her provider about an 11-day course of cholestyramine
Ch 59 Drug Therapy of Rheumatoid Arthritis 601. A patient is
beginning therapy with oral methotrexate [Rheumatrex] for
rheumatoid arthritis. The nurse will teach this patient about
the importance of: - CORRECT ANSWER-a. having routine renal
and hepatic function tests.
Ch 59 Drug Therapy of Rheumatoid Arthritis 602. A nurse is
discussing the administration of an intravenous infusion of
rituximab (Rituxan) with a nursing student. Which statement
by the student indicates a need for further education about
the care of a patient receiving this drug? - CORRECT
,ANSWER-a. "Angioedema and hypersensitivity may occur, but
they are usually self-limiting and mild."
Ch 59 Drug Therapy of Rheumatoid Arthritis 603. A patient
who has been diagnosed with rheumatoid arthritis (RA) for 1
month and has generalized symptoms is taking high-dose
nonsteroidal anti-inflammatory drugs (NSAIDs) and an oral
glucocorticoid. The provider has ordered methotrexate
[Rheumatrex]. The patient asks the nurse why methotrexate
is necessary since pain and swelling have been well controlled
with the other medications. The nurse will tell the patient
that: - CORRECT ANSWER-b. starting methotrexate early can
help delay joint degeneration.
Ch 60 Drug Therapy of Gout 604. A patient who has gout will
begin taking febuxostat [Uloric] and colchicine. What will the
nurse include when teaching this patient about this drug
regimen? - CORRECT ANSWER-e. That colchicine is used
prophylactically to prevent acute gout attacks when starting
febuxostat
Ch 60 Drug Therapy of Gout 605. A patient with chronic gout
is admitted to the hospital for treatment for an infection.
, The patient is receiving allopurinol and ampicillin. The nurse is
preparing to administer medications and notes that the
patient has a temperature of 101° F and a rash. What will the
nurse do? - CORRECT ANSWER-a. Withhold the allopurinol and
notify the prescriber of the drug reaction.
Ch 60 Drug Therapy of Gout 606. A patient with chronic gout
has an acute gouty episode and is admitted to the hospital.
The patient has been taking nonsteroidal anti-inflammatory
drugs for several months. The prescriber plans to begin
therapy with probenecid. What will the nurse do? - CORRECT
ANSWER-d. Suggest delaying the probenecid therapy until the
acute episode has subsided.
Ch 60 Drug Therapy of Gout 607. A patient is being treated
with warfarin [Coumadin] to prevent thrombus. The patient
develops hyperuricemia, and the provider orders allopurinol
[Zyloprim]. The nurse will contact the provider to discuss the
dose. - CORRECT ANSWER-d. reducing; warfarin
Ch 60 Drug Therapy of Gout 608. A patient who will begin
taking colchicine for gout reports taking nonsteroidal anti-
inflammatory drugs, simvastatin, amoxicillin, and digoxin.
