FRANDSEN CHAPTER 14 PREPU QUESTIONS AND ANSWERS | FRANDSEN
CHAPTER 14 STUDY GUIDE & PRACTICE TEST 2026/2027
Advise the patient to take only the second dose and ignore the missed dose. - ✔✔Mr. Conn, age 65, is
taking probenecid for treatment of chronic gouty arthritis. When providing patient and family education,
what should a nurse advise the patient to do if he misses a dose and it is almost time for the next dose?
"Sometimes when there is nerve damage, it shows up as pain in a different part of the body." - ✔✔The
client states that he does not have a back injury; it is his leg that hurts. He feels the physician is not
listening to him. What is the best response of the nurse?
Treatment with gold salts - ✔✔What is chrysotherapy?
He should not take aspirin or non-aspirin NSAIDs - ✔✔Your client is being discharged following an
allergic reaction after ingesting aspirin. Included in your patient education about his allergy, you would
inform him that:
Hepatic function - ✔✔A nurse is caring for a 10-year-old boy who complains of chronic headaches. His
mother reports that she gives him Tylenol at least three times a day. Which of the following will the
nurse work with the physician to evaluate?
Rheumatoid arthritis - ✔✔Marge, a 38-year-old woman, is seen in the physician's office for the first
time. She complains of fatigue, decreased range of motion in her hands, pain with activities that require
her to use her hands, loss of strength in her hands and arms, and a low-grade fever. What is the most
likely diagnosis that would explain Marge's symptoms?
COX-1 enzymes secrete cytoprotective mucus. - ✔✔What is the difference between COX-1 and COX-2
enzymes?
A patient with hepatic disease - ✔✔Which of the following patients would the nurse determine has the
highest risk of cumulative toxicity if prescribed colchicine?
Relief of symptoms should occur within 3-6 weeks - ✔✔The patient informs the nurse that he has been
taking methotrexate for 1 week and it is not working to control the rheumatoid arthritis (RA) symptoms.
What should the nurse explain to the patient about the onset of action?
"Do not exceed recommended doses of acetaminophen due to the risk of life-threatening liver damage."
- ✔✔A 16-year-old client asks the nurse if she can take two Tylenol every 2 hours during exams,
because it helps relieve her tension headaches. What is the nurse's most appropriate response?
"There is a risk of overdose, because acetaminophen is a very common ingredient in OTC cold, flu, fever,
and pain remedies." - ✔✔A female client asks why she must consult with her physician when she uses
cold products for her children. What is the nurse's best response?
To later compare and assess the efficacy of methotrexate therapy - ✔✔Danny has been diagnosed with
rheumatoid arthritis and begins methotrexate drug therapy. Why should the nurse document the
, severity of joint inflammation and any restriction in the range of motion when assessing Danny's health
status?
Suggest the patient take the NSAID with food and milk - ✔✔A patient with muscular pain has been
prescribed an NSAIDs. What advice should the nurse give the patient to promote an optimal response to
NSAID therapy?
Oral anticoagulant - ✔✔A nurse is administering an anti-inflammatory medication to a patient who has
severe rheumatoid arthritis. Which of the following would the nurse question if ordered by the
physician?
It is an attempt by the body to remove the damaging agent and repair the damaged tissue. - ✔✔While
providing client teaching relative to inflammatory disorders, you would explain the presence of
inflammation as:
Patients with allergy to sulfonamides - ✔✔A nurse is assigned to care for a patient with arthritis in a
health care facility. The patient has been prescribed celecoxib. In which of the following cases is the use
of celecoxib contraindicated?
Tinnitus - ✔✔The nurse teaches a patient with rheumatic disease who is being prescribed salicylate
therapy to monitor themself for what?
Take as directed when pain begins until relief is obtained or nausea, vomiting, and diarrhea occur -
✔✔A client with the diagnosis of chronic gout asks how long he should take his colchicine when he
experiences symptoms. What are the correct instructions for this client?
Rheumatoid arthritis (RA) - ✔✔Which of the following diffuse connective tissue diseases is the result of
an autoimmune reaction that results in phagocytosis, producing enzymes within the joint that break
down collagen and cause edema?
True - ✔✔Rheumatoid factor (RF) interacts with circulating IgG to form immune complexes that deposit
in the joints precipitating an inflammatory reaction.
The patient drinks six cups of coffee daily. - ✔✔The nurse is obtaining nutritional information prior to
the patient beginning methotrexate therapy for psoriatic arthritis. What information obtained by the
nurse would be of greatest concern?
Oral - ✔✔A patient is receiving auranofin as treatment for rheumatoid arthritis. The nurse would
expect this drug to be given by which route?
Better mobility - ✔✔A patient with arthritis is on NSAID therapy. Which of the following should be
evaluated by the nurse to determine the effectiveness of NSAID therapy?
Infection - ✔✔A patient with rheumatoid arthritis is receiving cyclophosphamide (Cytoxan) for
treatment of his disease. When administering an immunosuppressant, the nurse must be alert to which
of the following side effects of this medication?
CHAPTER 14 STUDY GUIDE & PRACTICE TEST 2026/2027
Advise the patient to take only the second dose and ignore the missed dose. - ✔✔Mr. Conn, age 65, is
taking probenecid for treatment of chronic gouty arthritis. When providing patient and family education,
what should a nurse advise the patient to do if he misses a dose and it is almost time for the next dose?
"Sometimes when there is nerve damage, it shows up as pain in a different part of the body." - ✔✔The
client states that he does not have a back injury; it is his leg that hurts. He feels the physician is not
listening to him. What is the best response of the nurse?
Treatment with gold salts - ✔✔What is chrysotherapy?
He should not take aspirin or non-aspirin NSAIDs - ✔✔Your client is being discharged following an
allergic reaction after ingesting aspirin. Included in your patient education about his allergy, you would
inform him that:
Hepatic function - ✔✔A nurse is caring for a 10-year-old boy who complains of chronic headaches. His
mother reports that she gives him Tylenol at least three times a day. Which of the following will the
nurse work with the physician to evaluate?
Rheumatoid arthritis - ✔✔Marge, a 38-year-old woman, is seen in the physician's office for the first
time. She complains of fatigue, decreased range of motion in her hands, pain with activities that require
her to use her hands, loss of strength in her hands and arms, and a low-grade fever. What is the most
likely diagnosis that would explain Marge's symptoms?
COX-1 enzymes secrete cytoprotective mucus. - ✔✔What is the difference between COX-1 and COX-2
enzymes?
A patient with hepatic disease - ✔✔Which of the following patients would the nurse determine has the
highest risk of cumulative toxicity if prescribed colchicine?
Relief of symptoms should occur within 3-6 weeks - ✔✔The patient informs the nurse that he has been
taking methotrexate for 1 week and it is not working to control the rheumatoid arthritis (RA) symptoms.
What should the nurse explain to the patient about the onset of action?
"Do not exceed recommended doses of acetaminophen due to the risk of life-threatening liver damage."
- ✔✔A 16-year-old client asks the nurse if she can take two Tylenol every 2 hours during exams,
because it helps relieve her tension headaches. What is the nurse's most appropriate response?
"There is a risk of overdose, because acetaminophen is a very common ingredient in OTC cold, flu, fever,
and pain remedies." - ✔✔A female client asks why she must consult with her physician when she uses
cold products for her children. What is the nurse's best response?
To later compare and assess the efficacy of methotrexate therapy - ✔✔Danny has been diagnosed with
rheumatoid arthritis and begins methotrexate drug therapy. Why should the nurse document the
, severity of joint inflammation and any restriction in the range of motion when assessing Danny's health
status?
Suggest the patient take the NSAID with food and milk - ✔✔A patient with muscular pain has been
prescribed an NSAIDs. What advice should the nurse give the patient to promote an optimal response to
NSAID therapy?
Oral anticoagulant - ✔✔A nurse is administering an anti-inflammatory medication to a patient who has
severe rheumatoid arthritis. Which of the following would the nurse question if ordered by the
physician?
It is an attempt by the body to remove the damaging agent and repair the damaged tissue. - ✔✔While
providing client teaching relative to inflammatory disorders, you would explain the presence of
inflammation as:
Patients with allergy to sulfonamides - ✔✔A nurse is assigned to care for a patient with arthritis in a
health care facility. The patient has been prescribed celecoxib. In which of the following cases is the use
of celecoxib contraindicated?
Tinnitus - ✔✔The nurse teaches a patient with rheumatic disease who is being prescribed salicylate
therapy to monitor themself for what?
Take as directed when pain begins until relief is obtained or nausea, vomiting, and diarrhea occur -
✔✔A client with the diagnosis of chronic gout asks how long he should take his colchicine when he
experiences symptoms. What are the correct instructions for this client?
Rheumatoid arthritis (RA) - ✔✔Which of the following diffuse connective tissue diseases is the result of
an autoimmune reaction that results in phagocytosis, producing enzymes within the joint that break
down collagen and cause edema?
True - ✔✔Rheumatoid factor (RF) interacts with circulating IgG to form immune complexes that deposit
in the joints precipitating an inflammatory reaction.
The patient drinks six cups of coffee daily. - ✔✔The nurse is obtaining nutritional information prior to
the patient beginning methotrexate therapy for psoriatic arthritis. What information obtained by the
nurse would be of greatest concern?
Oral - ✔✔A patient is receiving auranofin as treatment for rheumatoid arthritis. The nurse would
expect this drug to be given by which route?
Better mobility - ✔✔A patient with arthritis is on NSAID therapy. Which of the following should be
evaluated by the nurse to determine the effectiveness of NSAID therapy?
Infection - ✔✔A patient with rheumatoid arthritis is receiving cyclophosphamide (Cytoxan) for
treatment of his disease. When administering an immunosuppressant, the nurse must be alert to which
of the following side effects of this medication?
