Pharmacology - Musculoskeletal System.
The nurse should instruct a client who is taking alendronate to monitor for which
of the following adverse effects? SATA
- jaw pain
- drowsiness
- blurred vision
- tinnitus
- muscle pain
Jaw pain, Blurred vision, Muscle pain
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat
osteoporosis. Which of the following information should the nurse include?
SATA
- report rash or itching
- deliver two sprays to each nostril
- prime the pump before the first dose
- report nasal irritation
- hold the pump horizontally
Report rash or itching, Prime the pump before the first dose, Report nasal irritation ; the
medication should by sprayed once in one nostril each day. The nasal should be held
upright to deliver spray intranasally.
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?
1. excessive salivation
2. increased thirst
3. blood in the urine
4. shortness of breath
Shortness of breath ; etanercept can cause heart failure which manifest as SOB, cough,
elevated blood pressure and heart rate, and pink-tinged sputum. Etanercept is likely to
cause blood in stools, not urine, r/t GI hemorrhage.
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
of an adverse reaction?
1. loss of hair
2. numbness of the fingertips
3. calf pain
4. blisters on mucous membranes
Calf pain ; Raloxifene can increase the risk of DVT. Clients should avoid long periods of
inactivity and report any pain, redness, or swelling in the calf.
Which of the following is a manifestation of hypercalcemia?
1. muscle twitching
2. laryngospasm
3. paresthesia
4. vomiting
The nurse should instruct a client who is taking alendronate to monitor for which
of the following adverse effects? SATA
- jaw pain
- drowsiness
- blurred vision
- tinnitus
- muscle pain
Jaw pain, Blurred vision, Muscle pain
A nurse is teaching a client about calcitonin-salmon intranasal spray to treat
osteoporosis. Which of the following information should the nurse include?
SATA
- report rash or itching
- deliver two sprays to each nostril
- prime the pump before the first dose
- report nasal irritation
- hold the pump horizontally
Report rash or itching, Prime the pump before the first dose, Report nasal irritation ; the
medication should by sprayed once in one nostril each day. The nasal should be held
upright to deliver spray intranasally.
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?
1. excessive salivation
2. increased thirst
3. blood in the urine
4. shortness of breath
Shortness of breath ; etanercept can cause heart failure which manifest as SOB, cough,
elevated blood pressure and heart rate, and pink-tinged sputum. Etanercept is likely to
cause blood in stools, not urine, r/t GI hemorrhage.
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
of an adverse reaction?
1. loss of hair
2. numbness of the fingertips
3. calf pain
4. blisters on mucous membranes
Calf pain ; Raloxifene can increase the risk of DVT. Clients should avoid long periods of
inactivity and report any pain, redness, or swelling in the calf.
Which of the following is a manifestation of hypercalcemia?
1. muscle twitching
2. laryngospasm
3. paresthesia
4. vomiting
