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References Mailings Review View Help 二、三 21 T Аавьссос Аавьссос Аавос Аавьссс Аав 1 Normal 1 No Spac… Heading 1 Heading 2 Title Paragraph IS Styles La Musculoskeletal Drug Worksheet PNSG 1512 Use your textbooks, ATI, Power Points, and any other resources you need to answer the following questions. Choose the best answer for each question, you might feel that more than one answer is but you need to use your critical thinking skills. Please remember to cite all resources used for this assignment. “correct”, a. 1. A patient is diagnosed with low back pain and is prescribed the muscle relaxant cyclobenzaprine. Which instructions should the nurse teach this patient? Take the medication just before leaving home for work each day. b. Drink a full glass of water with each dose of medication C. The medication can cause drowsiness that may make driving unsafe. d. Divide the dose of medication between early morning and bedtime. 2. The nurse is administering medications to patients on the orthopedic unit. Which medication should the nurse question? a. Ibuprofen for a patient with back pain and a history of ulcers. b. Morphine for a patient with back pain rated as “6” out of 10. Methocarbamol for a patient with chronic back pain. d. Tramadol for a patient with moderately severe back pain. C. 3. A patient with osteoarthritis is prescribed the COX-2 inhibitor celecoxib. Which statement by the patient would warrant intervention by the nurse? scloskeletal Worksheet – Word References Mailings Review View Help E 21 T Аавьссос Аавьссос Аавbc AaBbccc Аав A 1 Normal I No Spac… Heading 1 Heading 2 Title Paragraph Styles 3. A patient with osteoarthritis is prescribed the COX-2 inhibitor celecoxib. Which statement by the patient would warrant intervention by the nurse? “I take aspirin daily to help prevent heart disease.” b. “am allergic to penicillin and aminoglycosides.” C. “I know I am overweight and need to lose 50 pounds.” d. “I walk 30 minutes or more at least three times a week.” a. a. 4. While overseeing several nurses in the medication room, the charge nurse observes the primary nurse crushing an enteric-coated aspirin. Which action should the charge nurse implement? Take no action because this is an acceptable standard of practice. b. Correct the primary nurse immediately in front of other staff. Pull the nurse aside and privately explain that enteric-coated medication should not be crushed. d. Complete an adverse occurrence report on the primary nurse without saying anything to her about it. C. 5. A patient with osteoarthritis who is taking celecoxib calls the clinic and reports having black, tarry stools. Which action should the clinic nurse take? a. Ask if the patient is taking any type of iron preparation. b. Tell the patient not to take any more of the celecoxib. Instruct the patient to bring a stool specimen to the clinic. d. Explain that this is a side effect of the medication. c. – O Styles 6. A patient with severe osteoarthritis of the hands is prescribed capsaicin cream. Which intervention should the nurse discuss with the patient concerning this medication? a. Wash the hands immediately after applying the cream. b. Remove cream immediately if a burning sensation of the skin occurs. C. Apply a heating pad to the affected area after applying the cream. d. Do not remove the cream for at least 30 minutes after application. 7. A postmenopausal patient is prescribed alendronate to help prevent osteoporosis. Which information should the nurse discuss with the patient? a. Chew the tablet thoroughly before swallowing. b. Eat a meal prior to taking the medication. c. Take the medication at night before going to sleep. d. Remain upright 30 minutes after taking the medication. C. 8. A patient with postmenopausal osteoporosis is prescribed calcitonin intranasal. Which instructions should the nurse discuss with the patient? a. Notify the healthcare provider immediately if mild nausea occurs at the beginning of treatment. b. Decrease calcium and vitamin D intake during drug therapy. Remove the nasal spray from the refrigerator immediately before using each day. d. Expect to experience rhinitis when taking the medication. 9. A patient with rheumatoid arthritis is prescribed hydroxychloroquine sulfate, a disease- modifying antirheumatic drug (DMARD). Which statement indicates the client needs more teaching concerning the medication? a. “I will get my eyes checked every six months.” Focu w View Help 三三三三u T AaBbCcDc AaBbCcDc AaBbcc Aabbccc AaB 1 Normal 11 No Spac… Heading 1 Heading 2 Title Paragraph Styles 9. A patient with rheumatoid arthritis is prescribed hydroxychloroquine sulfate, a disease- modifying antirheumatic drug (DMARD). Which statement indicates the client needs more teaching concerning the medication? “I will get my eyes checked every six months.” b. “I should not drink alcohol while taking this drug.” “It is important to take this medication with milk.” d. “I will call my HCP if the pain is not gone in two weeks.” a. 10. Which assessment data would the nurse expect for a patient with rheumatoid arthritis who is taking sulfasalazine? Orange or yellowish discoloration of the urine. b. Ulcers and irritation of the mouth. c. Ecchymosis of the lower extremities. d. A red, raised skin rash over the back. a. 11. A patient with rheumatoid arthritis has been taking methotrexate, a DMARD, for two weeks. Which laboratory data would warrant an intervention by the nurse? A serum creatinine level of 0.9 mg/dL. b. A red blood cell count of 2.5 million/mm. A white blood cell count of 9000/mm. d. A hemoglobin of 14.5 g/dL and hematocrit of 43%. C. D Focus W O JUL S AL 1 AaBbCcDc AaBb CcDc AaBb Cc Aabbccc AaB 1 No Spac… Heading 1 Heading 2 Normal Title IS Paragraph Styles 12. A patient with rheumatoid arthritis is prescribed prednisone, a glucocorticoid, for an acute episode of pain. The patient asks the nurse, “Why can’t I be on this forever since it helps the pain so much?” Which statement would be the nurse’s best response? “The medication will cause you ho have a buffalo hump or moon face.” b. “The medication has long-term side effects, such as osteoporosis.” C. “If you continue taking the medication, it may cause an Addisonian crisis.” d. “There are other medications that can be prescribed to help the pain.” a. a. 13. A patient with rheumatoid arthritis is taking etodolac, a nonsteroidal anti-inflammatory drug (NSAID). The patient is complaining of a headache. Which action should the nurse implement? Administer two aspirins to the patient. b. Administer an additional dose of etodolac. Administer one oral narcotic analgesic. d. Administer two acetaminophen tablets. C. a. 14. A patient diagnosed with an acute gout attack is prescribed allopurinol. Which data indicates the medication is effective? The patient has been symptom-free for several days. b. The patient has developed an aversion reaction to alcohol. C. The serum uric acid levels are within normal limits. d. The patient develops tophi in the joints of the feet. skeletal Worksheet – Word References Mailings Review View Help 二、三 1 AaBbCcDc AaBbCcDc AaBbcc Aabbccc Aal I Normal 1 No Spac… Heading 1 Heading 2 Title Paragraph Styles 15. A female patient with osteoarthritis tells the clinic nurse she started taking ginkgo biloba. Which action should the nurse take first? a. Determine what medications the patient is currently taking. b. Praise the patient because this herb helps decrease inflammation. c. Notify the healthcare provider immediately that the patient is taking ginkgo. d. Examine why the patient thought she needed to take the herb.
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