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◉ 14. The nurse practitioner is asked to order medication for pain
and disease control for a 60-year-old patient who has suffered with
RA for years. Which is the most common treatment? Select all that
apply.
1. Corticosteroids
2. NSAIDs
3. Analgesics
4. Biological disease-modifying antirheumatic drugs (DMARDs)
5. Tumor necrosis factor (TNF) receptor antagonists. Answer: 14.
Answer: 1, 2, 3, 4, 5
Page: 324
Feedback
1.
The drug management of RA is one of symptom and disease control.
Symptom control includes corticosteroid treatment.
2.
,The drug management of RA is one of symptom and disease control.
Symptom control includes NSAIDs.
3.
The drug management of RA is one of symptom and disease control.
Symptom control includes analgesics.
4.
Biological DMARDs are newer therapies that target specific
cytokines of the inflammatory response; they are administered
subcutaneously, intravenously, and by mouth.
5.
Some of the TNF inhibitor biological agents approved for use are
etanercept, adalimumab, infliximab, certolizumab, and golimumab.
Other biological therapies commonly used are rituximab and
abatacept.
◉ 15. Mrs. Owen, 70 years old, is being discharged from the
rehabilitation center to go home. Her RA pain is under currently
control. What does the nurse practitioner include in the follow-up
instructions? Select all that apply.
1. Get plenty of rest during the day.
2. Exercise and move throughout the day.
3. Learn about the side effects of your medication.
4. Read literature for antidotes that cure RA.
,5. Keep your regular health-care visits, as there are no support
organizations for RA.. Answer: 15. Answer: 1, 2, 3
Page: 325
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1.
Patients should be taught the importance of incorporating periods of
rest into their daily lives.
2.
Patients should be taught the importance of incorporating periods of
exercise into their daily lives.
3.
Medication education is important in RA because of the potential for
side effects associated with a complicated drug regimen.
4.
Because there is no cure for RA, patients must be skeptical about
antidotes promised for RA and check with their health-care
providers if they have any concerns about treatments.
5.
Patients can contact the Arthritis Foundation (1-800-282-7800) for
information; a booklet, Overcoming Rheumatoid Arthritis, is
available.
, ◉ 1. Mrs. Borden is 67 years old and her primary care physician
wants her to be seen by a nurse practitioner who specializes in
geriatric issues. On completing the interview and examination, the
nurse practitioner tells Mrs. Borden that she will order a blood
laboratory specimen for thyroid function and pancreatic function.
Mrs. Borden asks what the reason is. Which of the following is the
nurse practitioner's best response?
1. Diabetes is more common in older patients.
2. Thyroid issues are less common in older patients.
3. These are common tests to be done on any new patient.
4. These tests are necessary to obtain baseline information.. Answer:
1. Answer: 1
Page: 361
Feedback
1.
The nurse practitioner recognizes that normal aging changes of the
endocrine system primarily are related to a decrease in pancreatic
function (inability to sufficiently secrete insulin), resulting in
diabetes mellitus.
2.