FULL TEST BANK: For Lehne's
Pharmacotherapeutics for
Advanced Practice Nurses and
Physician Assistants 3rd Edition
by Laura D. Rosenthal
(Author)Questions And Answers
Graded A+
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? - answer-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. - answer-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? - answer-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: - answer-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? - answer-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: - answer-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? - answer-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? - answer-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? - answer-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. - answer-
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? - answer-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? - answer-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? -
answer-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? -
answer-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: - answer-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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-a. "Adequate
amounts of vitamin D occur naturally in the diet."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 618. A postmenopausal
patient develops osteoporosis. The patient asks the nurse about medications to treat
this condition. The nurse learns that the patient has a family history of breast cancer.
The nurse will suggest discussing which medication with the provider? - answer-c.
Raloxifene [Evista]
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 619. A patient has
severe Paget disease of the bone. The patient asks the nurse what can be done to
alleviate the pain. The nurse will suggest that the patient discuss the use of which
medication with the provider? - answer-c. Calcitonin-salmon [Miacalcin]
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 620. A patient with
metastatic cancer has had several fractures secondary to bone metastases. The
provider orders denosumab [Xgeva]. What will the nurse teach this patient? - answer-a.
Denosumab may delay healing of these fractures.
, Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 621. A patient taking
risedronate IR [Actonel] for osteoporosis reports experiencing diarrhea and headaches.
What will the nurse tell this patient? - answer-a. These are common side effects of this
drug.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 622. A 55-year-old
female patient asks a nurse about calcium supplements. The nurse learns that the
patient consumes two servings of dairy products each day. The patient's serum calcium
level is 9.5 mg/dL. The serum vitamin D level is 18 ng/mL. The nurse will recommend
adding: - answer-c. 600 mg of calcium once daily and 10,000 IU of vitamin D3 each day.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 623. A patient who has
developed postmenopausal osteoporosis will begin taking alendronate [Fosamax]. The
nurse will teach this patient to take the drug: - answer-c. while sitting upright with plenty
of water
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 624. A patient is taking
alendronate [Fosamax] to treat Paget disease. The patient asks the nurse why calcium
supplements are necessary. The nurse will tell the patient that calcium supplements are
necessary to: - answer-d. prevent hyperparathyroidism.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 625. A patient who
takes teriparatide [Forteo] administers it subcutaneously with a prefilled pen injector.
The patient asks why she must use a new pen every 28 days when there are doses left
in the syringe. Which is the correct response by the nurse? - answer-b. "The drug may
not be stable after 28 days."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 626. A patient reports
experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total
serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein.
When questioned, the patient reports taking vitamin D and calcium supplements. The
nurse will counsel the patient to: - answer-d. stop taking vitamin D, reduce the amount
of calcium, and increase the fluid intake.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 627. A postmenopausal
patient is at high risk for developing osteoporosis. The patient's prescriber orders
raloxifene [Evista], and the nurse provides teaching about this drug. Which statement by
the patient indicates understanding of the teaching? - answer-d. "I should walk as much
as possible during long airline flights."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 628. A nurse is
providing education to a patient who will begin taking alendronate [Fosamax]. Which
complication should the patient be instructed to report immediately? - answer-a.
Difficulty swallowing
Pharmacotherapeutics for
Advanced Practice Nurses and
Physician Assistants 3rd Edition
by Laura D. Rosenthal
(Author)Questions And Answers
Graded A+
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? - answer-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. - answer-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? - answer-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: - answer-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? - answer-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: - answer-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? - answer-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? - answer-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? - answer-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. - answer-
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? - answer-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? - answer-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? -
answer-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? -
answer-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: - answer-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? - answer-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? - answer-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? - answer-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? - answer-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? - answer-a. "Adequate
amounts of vitamin D occur naturally in the diet."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 618. A postmenopausal
patient develops osteoporosis. The patient asks the nurse about medications to treat
this condition. The nurse learns that the patient has a family history of breast cancer.
The nurse will suggest discussing which medication with the provider? - answer-c.
Raloxifene [Evista]
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 619. A patient has
severe Paget disease of the bone. The patient asks the nurse what can be done to
alleviate the pain. The nurse will suggest that the patient discuss the use of which
medication with the provider? - answer-c. Calcitonin-salmon [Miacalcin]
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 620. A patient with
metastatic cancer has had several fractures secondary to bone metastases. The
provider orders denosumab [Xgeva]. What will the nurse teach this patient? - answer-a.
Denosumab may delay healing of these fractures.
, Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 621. A patient taking
risedronate IR [Actonel] for osteoporosis reports experiencing diarrhea and headaches.
What will the nurse tell this patient? - answer-a. These are common side effects of this
drug.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 622. A 55-year-old
female patient asks a nurse about calcium supplements. The nurse learns that the
patient consumes two servings of dairy products each day. The patient's serum calcium
level is 9.5 mg/dL. The serum vitamin D level is 18 ng/mL. The nurse will recommend
adding: - answer-c. 600 mg of calcium once daily and 10,000 IU of vitamin D3 each day.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 623. A patient who has
developed postmenopausal osteoporosis will begin taking alendronate [Fosamax]. The
nurse will teach this patient to take the drug: - answer-c. while sitting upright with plenty
of water
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 624. A patient is taking
alendronate [Fosamax] to treat Paget disease. The patient asks the nurse why calcium
supplements are necessary. The nurse will tell the patient that calcium supplements are
necessary to: - answer-d. prevent hyperparathyroidism.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 625. A patient who
takes teriparatide [Forteo] administers it subcutaneously with a prefilled pen injector.
The patient asks why she must use a new pen every 28 days when there are doses left
in the syringe. Which is the correct response by the nurse? - answer-b. "The drug may
not be stable after 28 days."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 626. A patient reports
experiencing weakness, fatigue, nausea, vomiting, constipation, and nocturia. Total
serum calcium is 10.5 mg/dL. A dipstick urinalysis shows a positive result for protein.
When questioned, the patient reports taking vitamin D and calcium supplements. The
nurse will counsel the patient to: - answer-d. stop taking vitamin D, reduce the amount
of calcium, and increase the fluid intake.
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 627. A postmenopausal
patient is at high risk for developing osteoporosis. The patient's prescriber orders
raloxifene [Evista], and the nurse provides teaching about this drug. Which statement by
the patient indicates understanding of the teaching? - answer-d. "I should walk as much
as possible during long airline flights."
Ch 61 Drugs Affecting Calcium Levels and Bone Mineralization 628. A nurse is
providing education to a patient who will begin taking alendronate [Fosamax]. Which
complication should the patient be instructed to report immediately? - answer-a.
Difficulty swallowing
