Exam (elaborations)
ATI PHARM MADE EASY 4.0 MUSCULOSKELETAL SYSTEM QUESTIONS AND ANSWERS
- Course
- Institution
ATI PHARM MADE EASY 4.0 MUSCULOSKELETAL SYSTEM QUESTIONS AND ANSWERS
[Show more]
Content preview
ATI PHARM MADE EASY 4.0MUSCULOSKELETAL QUESTIONS AND
ANSWERS
a6nurse6is6teaching6about6self-
administering6methotrexate6to6a6client6who6has6rheumatoid6arthritis.6which6of6the6followin
g6statements6should6the6nurse6make?6-6ans--drink62-
36liters6of6water6per6day6to6promote6the6drug's6excretion.
Methotrexate6can6cause6kidney6damage.6Adequate6hydration6optimizes6drug6excretion6a
nd6helps6prevent6kidney6damage.6Clients6can6also6take6sodium6bicarbonate6tablets6to6in
crease6urine6alkalinity6and6reduce6the6drug6precipitation6that6can6lead6to6kidney6damage
.
a6nurse6is6teaching6a6client6about6raloxifene.6which6of6the6following6information6should6th
e6nurse6include?6-6ans--increase6physical6activity6by6taking6walks
use6a6contraceptive6if6there6is6any6possibility6of6pregnancy
increase6intake6of6calcium6and6vitamin6D
Clients6should6avoid6long6periods6of6inactivity6to6prevent6deep6vein6thrombosis.6Walking6
and6other6weight-
bearing6exercises6can6help6increase6bone6density.6This6drug6is6teratogenic6and6Women6
who6are6pregnant,6breastfeeding,6or6might6become6pregnant6should6not6take6this6stress.
6Contraceptive6should6be6used.6An6increased6intake6of6calcium6and6vitamin6D6helps6impr
ove6the6effectiveness6and6increases6bone6mass.
a6nurse6is6caring6for6a6client6who6has6a6new6prescription6for6etanercept.6which6of6the6foll
owing6actions6should6the6nurse6take?6-6ans--
administer6a6Tuberculin6skin6test6prior6to6starting6the6medication.
Etanercept6is6contraindicated6for6clients6with6hx6of6exposure6to6TB.
, a6nurse6is6teaching6a6client6about6methotrexate6therapy6for6rheumatoid6arthritis.6which6of
6the6following6statements6by6the6client6indicates6understanding6of6the6teaching?6-6ans--
i6will6take6a6birth6control6pill6everyday
Methotrexate6is6teratogenic6to6a6fetus6and6is6contraindicated6during6pregnancy.6Therefor
e,6a6client6of6childbearing6age6should6use6birth6control6while6on6this6medication.
a6nurse6is6teaching6a6client6who6has6a6new6prescription6for6etancercept.6which6of6the6foll
owing6statements6should6the6nurse6make?6-6ans--
you6should6report6signs6of6infection6to6your6provider6immediately.
The6client6is6more6susceptible6to6infections6when6taking6DMARD6II6medications6such6as6
etanercept.6The6client6should6report6symptoms6of6infection,6such6as6fever,6cough,6malais
e,6Weight6loss,6and6dyspnea6immediately6to6prevent6further6complications.
a6nurse6is6teaching6a6client6about6methotrexate6therapy6for6rheumatoid6arthritis.6which6of
6the6following6information6should6the6nurse6include?6-6ans---
avoid6being6near6people6who6are6sick6with6a6communicable6illness.
-periodic6laboratory6tests6are6required.6
-report6bruising6or6petechiae6
-avoid6drinking6alcohol
Methotrexate6causes6bone6marrow6suppression,6which6increases6the6risk6for6infection.6C
lients6should6avoid6large6crowds6and6people6who6are6sick.6Periodic6lab6tests6help6the6pro
vider6monitor6for6kidney6and6liver6damage.6Monitor6for6jaundice6and6abdominal6pain6bec
ause6this6can6indicate6liver6damage.6The6side6effect6of6thrombocytopenia6can6cause6brui
sing6or6petechiae,6these6should6be6reported.6Alcohol6ingestion6can6increase6the6risk6of6li
ver6damage.
a6nurse6is6teaching6client6about6raloxifene6therapy6to6prevent6osteoporosis.6the6nurse6sh
ould6instruct6the6client6to6monitor6for6which6of6the6following6indications6of6an6adverse6rea
ction6to6this6drug?6-6ans--calf6pain
Raloxifene6can6increase6the6risk6of6deep6vein6thrombosis,6which6can6lead6to6a6pulmonar
y6embolism6or6cerebrovascular6accident.6Client6should6avoid6Long6periods6of6inactivity6a
nd6Report6any6pain,6redness,6or6swelling6in6the6calf.
a6nurse6is6teaching6a6client6about6calcitonin-
salmon6intranasal6spray6to6treat6osteoporosis.6which6of6the6following6information6should6t
he6nurse6include?6-6ans--report6rash6or6itching
prime6the6pump6before6the6first6dose6
report6nasal6irritation
The6client6should6stop6taking6the6drug6and6seek6medical6attention6if6swelling6or6rash6dev
elops.6Once6in6one6nostril6each6day.6Alternate6nostrils.6Prime6pump6before6first6use6to6e
nsure6proper6dosage.6Report6nasal6bleeding6or6irritation.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AGRADEPROMASTER. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78140 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now