LEHNE’S PHARMACOTHERAPEUTICS FOR ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS REVIEWED 2ND EDITION ROSENTHAL TEST BANK

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? 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. 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? 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: 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? 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: 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? 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? 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? 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. 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. What will the nurse do? b. Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicine. Ch 60 Drug Therapy of Gout 609. A patient who is hospitalized for an acute gout attack has received several doses of hourly oral colchicine but still reports moderate to severe pain. As the nurse prepares to administer the next dose, the patient begins vomiting. What will the nurse do? b. Hold the medication and notify the prescriber. Ch 60 Drug Therapy of Gout 610. A patient with gout who has increasingly frequent acute gouty attacks will begin receiving allopurinol [Zyloprim] and colchicine. The nurse will include which statement when teaching the patient about this drug regimen? d. "You will take both drugs initially and then stop taking the colchicine." Ch 60 Drug Therapy of Gout 611. A patient has had three gouty flare-ups in the past year. Which drug class will the nurse expect the provider to order for this patient? d. Urate-lowering drugs Ch 60 Drug Therapy of Gout 612. A patient is admitted for treatment of gout that has been refractory to treatment with allopurinol and probenecid. The patient is taking colchicine, and the prescriber orders pegloticase [Krystexxa]. Before administering this drug, the nurse will expect to: a. administer an antihistamine and a glucocorticoid. Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 613. A nurse provides teaching for a woman who will begin taking supplemental calcium. Which statement by the woman indicates understanding of the teaching? b. "I should not take more than 600 mg of calcium at one time." Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 614. A nurse is preparing to administer IV calcium chloride to a patient with a low serum calcium level. Which drug on the patient's medication record, administered concurrently, would require additional patient monitoring by the nurse? a. Digoxin [Lanoxin] Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 615. A nurse is providing teaching for a patient with osteoporosis who has just switched from alendronate [Fosamax] to zoledronate [Reclast]. Which statement by the patient indicates a need for further teaching? c. "This drug is less likely to cause osteonecrosis of the jaw." Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 616. A patient with severe glucocorticoid-induced osteoporosis will start therapy with teriparatide [Forteo]. What will the nurse expect to administer? a. 20 μg once daily subQ Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 617. A nurse is discussing the role of vitamin D in calcium regulation with a nursing student. Which statement by the student indicates a need for further teaching? a. "Adequate amounts of vitamin D occur naturally in the diet."