ATI Musculoskeletal System Test

A nurse is teaching about self-administering methotrexate to a client who has RA. Which of the following statements should the nurse make?

Drink 2 -3 L of water per day to promote the drug's excretions

A nurse is teaching a client about raloxifene. Which of the following information should the nurse include?

- Increase psychical activity by taking walks

- Use BC if there is any possibility of pregnancy

- Increased intake of calcium and Vit D

A nurse is caring for a client who has a new prescription for etanercept. Which of the following actions should the nurse take?

Admin a TB skin test prior to starting the medication

A nurse is teaching a client about methotrexate therapy for RA. Which of the following statements by the client indicated understanding of the teaching?

"I will take a birth control every day."

A nurse is teaching a client who has a new prescription for etanercept. Which of the following statements should the nurse make?

"You should report signs of infection to your provider immediately"

A nurse is teaching a client about methotrexate therapy for RA? Which of the following information should be included?

- Avoid being near people who are sick with a communicable illness

- Periodic lab tests are required

- Report busing or petechiae

- Avoid drinking alcohol

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 of an adverse reaction to this drug?

Calf pain

A nurse is teaching a client about calcitonin-salmon intranasal spray to treat osteoporosis. Which of the following information should the nurse include?

- Report rash or itching

- Prime the pump before the first dose

- Report nasal irritation

A nurse is teaching a client about adverse effects 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"

A nurse is caring for a client who has a prescription of etanercept. The nurse should identify that etanercept treats RA by which of the following actions?

Inactivation of tumor necrosis factor

A nurse is teaching a client who has a prescription for prednisone and take 1,500 mg/day of calcium carbonate to reduce the risk of osteoporosis. Which of the following information should the nurse include?

- Drink 240 mL of water with the calcium tablets

- Chew calcium tablets before swallowing them

- Take the drugs 1 hour apart

- Divide the daily dosage of calcium into three 500 mg doses

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 AD?

Bone marrow depression

Which of the following is a therapeutic action of raloxifene?

Mimics the effects of estrogen on bone tissue

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 RA?

Ibuprofen

A nurse is preparing to admin alendronate to a client who has osteoporosis. The nurse should recognize which of the following as an adverse effect?

Joint pain

A nurse should instruct a client who is taking alendronate to monitor for which of the following AD?

- Jaw pain

- Blurred vision

- Muscle pain

A nurse is caring for a client who is currently taking methotrexate for RA. The nurse should identify that which of the following is an AE?

Thrombocytopenia

Alendronate is contraindicated for administration to client who have which of the following conditions?

Inability to sit upright

A nurse is teaching a client who has a prescription for calcitonin-salmon about manifestation of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?

Vomiting

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which AE?

Infection

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

A nurse is caring for a client who is taking etanercept for RA. The nurse should monitor the client for which of the following indications of a serious AE?

Shortness of breath

A nurse is teaching a client who is taking etanercept for RA. The nurse should instruct the client to monitor for which of the following indications of a serious AE?

Skin rash

A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following indications of a serious AE?

Black, tarry stools

A nurse is caring for a client who is taking alendronate to treat postmenopausal osteoporosis. The nurse should explain to the client that this medication increases bone mass by which of the following actions?

Decreases activity of osteoclasts