Lehne’s
Pharmacotherapeutics
for Advanced Practice
Nurses and Physician
Assistants (2nd Edition
Rosenthal Test Bank)
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? - 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. - 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? - 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: - 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? -
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: - 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?
- 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? - 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?
- 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. - 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? - 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? - 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? - 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? - 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: - 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? - 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? - 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? -
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? - 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? - 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? - c. Raloxifene [Evista]
Pharmacotherapeutics
for Advanced Practice
Nurses and Physician
Assistants (2nd Edition
Rosenthal Test Bank)
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? - 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. - 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? - 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: - 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? -
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: - 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?
- 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? - 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?
- 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. - 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? - 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? - 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? - 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? - 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: - 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? - 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? - 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? -
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? - 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? - 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? - c. Raloxifene [Evista]
