A patient is taking hydroxychloroquine sulfate. The physician will have the patient checked frequently for which of the following conditions?
A. foot drop
B. skin rash
C. hearing loss
D. retinopathy
D. retinopathy
Methotrexate is used in the treatment of which of the following conditions?
A. severe back pain
B. chronic gout pain
C. osteoarthritis
D. rheumatoid arthritis
D. rheumatoid arthritis
Gold compounds used to slow joint destruction and prevent deformity in arthritis work by:
A. facillitating COX-2 action within the joint
B. decreasing platelet aggregation
C. interfering with a wide range of biochemical reactions on a cellular level
D. in
C. interfering with a wide range of biochemical reactions on a cellular level
A patient has been taking aspirin on a regular basis for general aches and pains. She is a nervous, emaciated, 46-year-old, unmarried alcoholic. She is now at the clinic feeling weak and dizzy. She reports increasingly severe abdominal pain that developed
D. the patient may have GI bleeding because of the aspirin and alcohol
The patient has been started on colchicines for an acute gouty attack. What will the nurse tell the patient about why this medicine is given?
A. it reduces pain
B. it reduces the level of uric acid in the blood
C. it increases the level or uric acid in th
B. it reduces the level of uric acid in the blood
With allopurinol therapy, continued gouty attacks can occur during the initial treatment phase. Which of the following other medications can be used to prevent these attacks?
A. ASAID
B. celebrex
C. colchicine
D. zanaflex
C. colchicine
A patient is diagnosed with osteoarthritis. The nurse would expect the patient to be started on which of the following medications?
A. NSAIDs
B. salicylates
C. acetaminophen
D. mucomyst
C. acetaminophen
A gout patient�۪s creatinine clearance is less than 80 mL/min. The nurse expects this patient to be started on which of the following medications?
A. ASAID
B. allopurinol
C. ASA
D. salicylates
B. allopurinol
In caring for a patient who is taking anti-inflammatory drugs, the nurse should not include which of the following patient teaching points?
A. Check stool for blood
B. Medications should be taken as ordered
C. Medications should be discontinued once impro
C. Medications should be discontinued once improvement is experienced
A drug prescribed to treat rheumatoid arthritis by reducing signs and symptoms and limiting the worsening damage of the joint is:
A. leflunomide (Arava)
B. methotrexate (amethopterin)
C. auranofin (Ridaura)
D. infliximab (Remicade)
D. infliximab (Remicade)
The patient is admitted to the emergency department and suspected of having an MI. The first medication the patient will probably be given is:
A. morphine
B. nitroglycerine
C. an aspirin
D. acetaminophen (Tylenol)
C. an aspirin
The nurse tells a mother not to give her 10-year-old son aspirin (ASA) for his fever. This information is important for which of the following reasons?
A. ASA has a bad taste for children
B. salicylate products are not recommended for children because the
B. salicylate products are not recommended for children because they have been linked to Reye syndrome
Which of the following conditions is treated with skeletal muscle relaxants?
A. fever related to influenza
B. low back pain syndrome
C. osteoarthritis
D. rheumatoid arthritis
B. low back pain syndrome
A patient comes into the clinic complaining of swelling, heat, and severe pain in the right great toe. The laboratory values are likely to show elevated serum levels of which of the following?
A. calcium
B. potassium
C. uric acid
D. glucose
C. uric acid
A patient tells the nurse she regularly forgets to take her anti-inflammatory medication. Which of the following is the nurse�۪s best response to the patient?
A. ��medication levels need to be maintained��
B. ��take a dose when you remember��
C. ��double
A. medication levels need to be maintained
A 67-year-old patient who weighs 285 pounds comes to the doctor�۪s office with a history of progressive onset of pain in her knees and hips. The doctor may tell her which of the following about her treatment?
A. nothing can be done for her because of her
C. she should take two aspirins four to six times per day
Minor musculoskeletal pain is commonly treated with which of the following medications?
A. celecoxib (Celebrex)
B. baclofen (Lioresal)
C. Ibuprofen (Advil)
D. carisoprodol (Soma)
C. Ibuprofen (Advil)
The patient has severe buttocks and back pain from a ruptured disk but refuses to have surgery. Which type of NSAID might be useful for long term analgesia?
A. aspirin
B. acetaminophen (Tylenol)
C. indomethacin (Indocin)
D. celecoxib (Celebrex)
A. aspirin
The patient recovers from their acute gouty attack. What drug are they most likely to take next?
A. febuxostat (Uloric)
B. ACTH injections into joings
C. allopurinol (Zyloprim)
D. naproxyn (Aleve)
C. allopurinol (Zyloprim)
A patient recently fell while she was out jogging and has severely sprained her left ankle. When discussing how much medication she should take to reduce her symptoms, the nurse should tell her which of the following?
A. high doses of NSAIDs may be necess
A. high doses of NSAIDs may be necessary to get to the anti-inflammatory response.
_________________ is a complementary and alternative therapy used to aid relief of joint pain by rebuilding cartilage.
A. grapeseed
B. cat�۪s claw
C. glucosamine sulfate
D. turmeric
C. glucosamine sulfate
A patient has been on muscle relaxants for a few months. The physician is discontinuing this medication. Which of the following schedules should be used when stopping this medication?
A. stop the medication after the last dose
B. gradually reduce the medi
B. gradually reduce the medication
The nurse is educating the patient who takes uricosuric agents. An important administration consideration is to:
A. take this drug between meals on an empty stomach
B. take this drug with meals to avoid gastric upset
C. take this drug at the first symptom
B. take this drug with meals to avoid gastric upset
When a patient is on aspirin therapy, the nurse should instruct the patient to watch for and report to the physician which of the following symptoms?
A. increase in appetite
B. edema in bilateral feet
C. burning on urination
D. blood in stools
D. blood in stools
With the higher doses of salicylates that are given for arthritis, the nurse would expect the physician to do which of the following?
A. decrease the medication
B. stop the medication after 1 month
C. do serum levels for the medication
D. get urine levels
C. do serum levels for the medication
Allopurinol is not used in the treatment of an acute attack of gout for which of the following reasons?
A. it has no analgesic properties
B. it cannot work alone
C. it will not reduce uric acid levels
D. it causes edema in the feet
A. it has no analgesic properties
Methotrexate is used in the treatment of which of the following conditions?
A. severe back pain
B. chronic gout pain
C. osteoarthritis
D. rheumatoid arthritis
D. rheumatoid arthritis
A patient taking anti-inflammatory drugs tells the nurse he has been missing some of his doses of medications. Which of the following guidelines for missed medications is incorrect?
A. Skip all missed medications dosages
B. If possible, take the missed do
A. Skip all missed medications dosages
An overweight 53-year-old patient complains of severe pain in his right big toe. He has never had any problem like this before. Aspiration of the joint reveals uric acid crystals. The doctor will probably order which of the following medications?
A. salic
D. colchicine
Which of the following nonsteroidal anti-inflammatory drugs is available in both IM and oral forms and used for short-term (5 days or fewer) management of pain?
A. ibuprofen (Motrin)
B. ketorolac (Toradol)
C. tolmetin (Tolectin)
D. oxaprozin (Daypro)
B. ketorolac (Toradol)
Older adult patients on NSAIDs should be monitored for which of the following?
A. incidence of peptic ulcers
B. decreased urine
C. blood in urine
D. night fevers
A. incidence of peptic ulcers
Antiinflammatory analgesics should be used with caution by patients with which of the following conditions?
A. Liver disease
B. Bronchitis
C. Headaches
D. Weight loss
A. Liver disease
A drug prescribed to treat rheumatoid arthritis by reducing signs and symptoms and limiting the worsening damage of the joint is:
A. leflunomide (Arava)
B. methotrexate (amethopterin)
C. auranofin (Ridaura)
D. infliximab (Remicade)
D. infliximab (Remicade)
A patient competed recently in a marathon. After running 16 miles, he had to drop out because of severe muscle spasms. The doctor might suggest which of the following types of medication?
A. salicylates
B. NSAIDs
C. muscle relaxants
D. uricosurics
C. muscle relaxants
A patient comes into the doctor�۪s office complaining of lower back pain. He has reported feeling tightness in his lower back area following a vigorous game of basketball in which he was knocked to the floor. He takes no other medications and has no chro
B. a salicylate or an NSAID
Which of the following antigout medications is used to treat acute attacks?
A. sulfinpyrazone (Anturan)
B. probenecid (Benemid)
C. colchicine
D. allopurinol (Zyloprim)
C. colchicine
Uricosuric agents work by:
A. blocking tubular reabsorption of urate salts in the kidney
B. enhancing the anti-inflammatory response within the body
C. providing analgesia during acute attacks
D. potentiating salicylate drug actions
A. blocking tubular reabsorption of urate salts in the kidney
Which of the following is the most common complication when taking NSAIDs?
A. GI upset
B. constipation
C. fluid overload
D. headaches
A. GI upset
Penicillamine would be contraindicated if combined with which of the following arthritis medications?
A. salicylates (aspirin)
B. ibuprofen (Advil)
C. methotrexate (Amethopterin)
D. acetaminophen (Tylenol)
C. methotrexate (Amethopterin)
A patient was seen in the emergency department following an auto accident. He is being discharged on a muscle relaxant and anti-inflammatory medications. Which of the following is the most important discharge instruction the nurse should give this patient
D. avoid driving and using machinery
Patients who are started on NSAIDs or salicylates for musculoskeletal pain may be prescribed which of the following other medications for spastic discomfort?
A. soma (carisoprodol)
B. acetaminophen
C. celebrex (celecoxib)
D. tolectin (tolmetin)
A. soma (carisoprodol)