PHARMACOLOGY MED 2044 WEEK 2 ATI QUESTIONS MUSCULOSKELETAL SYSTEM

1. 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 2. 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 3. 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 4. 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 5. 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 dosage Take with a full glass of water. 1. 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 2. 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 3. 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 4. 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 5. 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. 6. Which of the following drugs are effective in disease prevention as well as treatment of osteoporosis? SATA Raloxifene Alendronate 7. 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 8. Prior to starting elandronate, the nurse should assess which of the following in the client? SATA Ability to swallow Baseline vision 9. A client who has rheumatoid arthritis is taking methotrexate. Which of the following reduces toxicity from this drug? Folic acid. 10. 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 11. A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effect? SATA Jaw pain Blurred vision Muscle pain 12. 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 13. 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 14. 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 15. 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 16. Alendronate is contraindicated for administration to clients who have which of the following conditions? Inability to sit upright 17. 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 of itching Prime the pump before the first dose Report nasal irritation 18. 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. 19. Which of the following is a therapeutic action of raloxifene? Mimics the effects of estrogen on bone tissue 20. 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. 21. 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 22. 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 23. 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 illness Periodic laboratory test are required Report bruising or petechiae Avoid drinking alcohol 24. 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 client for the first time? Use skin testing to check the client for allergies 25. 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 26. 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 27. 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 28. 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 29. 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 tablets Chew calcium talbets before swallowing them Divide the daily dosage of calcium into three 500-mg does Take the drugs 1 hr apart 30. 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 31. 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 32. 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 33. 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 34. A nurse is preparing to administer alendronate to a client who has osteoporosis. The nurse should recognize which of the following as and adverse effect to alendronate? Joint pain NEUROLOGICAL SYSTEM 1. Which of the following assessment of this client is most immediately following the administration of intravenous diazepam? Respiratory rate 2. The health care professional is about to administer a loading dose of phenytoin IV. Which of the following is essential for the health care professional to do before administering phenytoin IV? Infuse phenytoin slowly 3. The health care professional is now assessing the client. Which of the following findings can be early indication of phenytoin toxicity? Nystagmus 4. The healthcare professional is talking with the client, who is soon to be discharge to home, about the adverse effects of phenytoin. Which of the following instructions may help minimize the adverse effects of phenytoin? Use good oral hygiene 5. The client is taking oral contraceptives for birth control. Which of the following instructions should the health care professional include? Additional birth control methods may be needed. 6. Which laboratory test should you monitor for a client who is taking interferon beta-1b to treat multiple sclerosis? SATA Liver function CBC Thyroid hormones 7. While obtaining a client’s medical history, you find that the client is taking levopoda/corbidopa for Parkinson’s disease. Which information in the client’s health history alerts you to take further action? Glaucoma 8. At a visit to the provider’s office, an older adult client’s partner reports that the client has nausea, diarrhea, and loss of appetite. He has a history of Alzheimer’s disease and is taking donepezil. Which information should be provided by the nurse? Take drug with food. 9. You are instructing a client who has multiple sclerosis about how dantrolene will help control spasticity. With which mechanism is this drug effective in treating this manifestation? Alters intracellular calcium exchange at the muscles 10. You are caring for a client is preoperative and is NPO. The client takes carbamazepine, 200mg PO BID for a seizure disorder. Which action should the nurse take? Give the oral dose of carbamazepine with a sip of water