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PHARMACOLOGY MED2044 WEEK 2 COMPLETE QUESTIONS AND ANSWERS MUSCULOSKELETAL SYSTEM
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PHARMACOLOGY MED2044 WEEK 2 COMPLETE QUESTIONS AND ANSWERS MUSCULOSKELETAL SYSTEM
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PHARMACOLOGY MED2044 WEEK 2 COMPLETE QUESTIONS&ANDANSWERS MUSCULOSKELETAL SYSTEM
• Which of the following information in the client’s history causes the health care provider to
suspect the client has osteoporosis? SATA
Menopause
Long term corticosteroid use
Loss of height
• The health care provider explains to the client that there may be a drug interaction between the
glucocorticoid and the calcium supplement. Which of the following may occur?
The glucocorticoid may cause reduced absorption of the calcium supplement
• The health care provider instructs the client about the importance of taking the prescribed
1,500mg/day dosage of calcium carbonate(Tums). Which of the following instructions should the
health care provider recommend?
Set up a simple reminder system
• The health care provider prescribes alendronate(Fosamax) to reduce bone resorption and
instructs the client to monitor for which of the following indications of a serious adverse effect of
this drug?
Dysphagia
• When instructing the client about alendronate, which of the following information should the
health care provider include? SATA
Take the drug on an empty stomach
Sit upright for 30 minutes following dosageTake
with a full glass of water.
• A client is about to start therapy with methotrexate for rheumatoid arthritis. Knowing the
adverse effects of methotrexate, you advise the client to watch for which of the following?
Sore throat
• A primary care provider prescribes etanercept to treat a client’s rheumatoid arthritis. Prior to
beginning the treatment, the client requires testing for which of the following?
Tuberculosis
• A client who is menopausal is taking a calcium supplement to prevent osteoporosis. You instruct
the client to watch for which of the following indications of hypercalcemia?
Nausea
• A client is about to start taking raloxifene to treat osteoporosis. You advise the client to watch for
which of the following adverse effects?
Hot flashes
• A nurse is caring for a client taking etanercept. Which of the following adverse effect is most
important to mention when educating this client?
Injection site reaction can occur.
• Which of the following drugs are effective in disease prevention as well as treatment of
osteoporosis? SATA
Raloxifene Alendronate
• A primary care provider prescribes calcitonin salmon for a post-menopausal client. Knowing the
adverse effect of calcitonin, you instruct the client to
Increase calcium and vitamin D intake
• Prior to starting elandronate, the nurse should assess which of the following in the client? SATA
, Ability to swallowBaseline vision
• A client who has rheumatoid arthritis is taking methotrexate. Which of the following reduces
toxicity from this drug?
Folic acid.
• A nurse is caring for a client who has a prescription for etanercept. The nurse should identify that
etanercept treats rheumatoid arthritis by which of the following actions?
Inactivation of tumor necrosis factor
• A nurse should instruct a client who is taking alendronate to monitor for which of the following
adverse effect? SATA
Jaw pain Blurred visionMuscle pain
• A nurse is planning care for a client who has a new prescription for methotrexate. The nurse
should plan to monitor the client for which of the following adverse effects?
Bone marrow depression
• A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The
nurse should identify that which of the following is an adverse effect of this medication?
Thrombocytopenia
• A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an
increased risk for which of the following adverse effect?
Infection
• A nurse is teaching a client about raloxifene. Which of the following information should the
nurse include? SATA
Increase physical activity by taking walks
Use a contraceptive if there is any possibility of pregnancy
Increase intake of calcium and vitamin D
• Alendronate is contraindicated for administration to clients who have which of the following
conditions?
Inability to sit upright
• A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Whichof
the following information should the nurse include? SATA
Report rash of itching
Prime the pump before the first dose
Report nasal irritation
• A nurse is teaching about self-administering methotrexate to a client who has rheumatoid
arthritis. Which of the following statements should the nurse take?
Drink a minimum of 2-3 liters of water per day to promote the drug’s excreation.
• Which of the following is a therapeutic action of raloxifene?
Mimics the effects of estrogen on bone tissue
• A nurse is teaching a client about adverse effect of etanercept. Which of the following
statements by the client indicated understanding of the teaching?
I will need to get my blood drawn periodically while on this medication.
• A nurse is caring for a client who has a new prescription etanercept. Which of the following
actions should the nurse take?
Administer a tuberculin skin test prior to starting the medication
• A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should
monitor the client for which of the following indications of a serious adverse reaction to the
drug?
, Shortness of breath
• A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the
following information should the nurse include? SATA
Avoid being near people who are sick with a communicable illnessPeriodic
laboratory test are required
Report bruising or petechiae
Avoid drinking alcohol
• A nurse is caring for a client who was diagnosed with postmenopausal osteoporosis. Which of the
following actions should the nurse take prior to administering calcitonin-salmon to the clientfor
the first time?
Use skin testing to check the client for allergies
• A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor
for which of the following as an adverse effect of this drug?
Black, tarry stools
• A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis.
The nurse should explain to the client that alendronate increases bone mass by which of the
following actions?
Decreases activity of osteoclasts
• A nurse is teaching a client who has a prescription for calcium citrate about manifestations of
hypercalcemia. Which of the following manifestations should the nurse include in the teaching?
Vomiting
• A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the
following statements by the client indicates understanding of the teaching?
I will take a birth control pill every day
• A nurse is teaching a client who has a prescription for prednisone and takes 1,500mg/day of
calcium to reduce the risk of osteoporosis. Which of the following information should the nurse
include? SATA
Drink 240mL (8oz) of water with the calcium tabletsChew
calcium talbets before swallowing them
Divide the daily dosage of calcium into three 500-mg doesTake
the drugs 1 hr apart
• A nurse is teaching a client who has a new prescription for etanercept. Which of the following
statements should the nurse take?
You should report signs of infection to your provider immediately
• 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?
Ibuprofen
• A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should
instruct the client to monitor for which of the following indications of an adverse reaction to this
drug?
Skin rash
• A nurse is teaching a client about raloxifene therapy to prevent osteoporosis. The nurse should
instruct the client to monitor for which of the following indications for an adverse reaction to
this durg?
Calf pain
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