1. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication? A. Flushing. B. Dizziness. C. Joint pain. D. Metallic taste. 1. Answer: D. Metallic taste. D: Gold sodium thiomalate toxicity signs are pruri...
NSG 323 OA and RA Questions with
Correct Answers
1. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of
the following side effects indicates an overdosage of the medication?
A. Flushing.
B. Dizziness.
C. Joint pain.
D. Metallic taste. ✅1. Answer: D. Metallic taste.
D: Gold sodium thiomalate toxicity signs are pruritus, diarrhea, dermatitis, stomatitis,
and metallic taste.
A&B: Flushing and dizziness are the side effects that may occur soon after the injection.
C: Increased joint pain may occur 1-2 days after the injection.
2. Adalimumab (Humira) is given to a client for the treatment of rheumatoid arthritis.
Which of the following side effect is associated with the medication?
A. Numbness.
B. Diarrhea.
C. Urinary retention.
D. Weight gain. ✅Answer: A. Numbness.
A: Adalimumab (Humira) has been associated with neurological side effects such as
numbness, tingling, dizziness, visual disturbances, and weakness in the legs).
B, C, D: Options B, C, and D are not associated with the use of medication.
3. A client has just been prescribed with Methotrexate (Trexall) for the treatment of
rheumatoid arthritis who did not respond to any other treatment. An important reminder
for the client is to?
A. Clay-colored stool is a normal response of the treatment.
B. Pregnancy is not contraindicated with the use of the medication.
C. Strict hand washing.
D. Get a daily source of sunlight during the day. ✅3. Answer: C. Strict hand washing.
C: Clients taking Methotrexate are more likely to get infections or may worsen any
current infections. Therefore, hand washing will help to prevent the spread of infection.
A: Option A is a sign of a liver toxicity and the physician should be notified of it.
B: Pregnancy is not allowed during the treatment.
D: Photosensitivity may happen during the treatment so the client is advised to wear
sunscreen or any protective gear against the sunlight.
4. Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains about
joints that always hurt, saying, "I just feel like staying in bed all day." Which discharge
instruction would be aimed at maintaining as such function as possible?
A. "Refrain from exercise because it only aggravates the disease process."
B. "Apply elastic bandages to all joints to increase the pain threshold."
C. "Maintain a supine position most of the day to prevent the stress of weight bearing."
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