Deck 48: Drugs for Bone and Joint Disorders

Question 1

Which assessment should the nurse include in the treatment plan for a client receiving calcium intravenously (IV)?

A) Serum glucose levels
B) Intravenous (IV) site
C) Serum potassium levels
D) Level of consciousness

Answer 1

Intravenous (IV) site

Question 2

Which symptoms associated with an adverse effect of alendronate (Fosamax) should the nurse instruct the client to report?

A) Ringing in the ears
B) Flushed skin
C) Visual changes
D) Muscle spasms

Answer 2

Muscle spasms

Question 3

Which is a contributing factor to the symptoms of gout?

A) An increase in the excretion of uric acid
B) Buildup of uric acid in the blood
C) Cartilage loss in the joints
D) Decrease in uric acid in the blood

Answer 3

Buildup of uric acid in the blood

Question 4

Which statement made by a client supports their diagnosis of acute gouty arthritis?

A) "I experience numbness in my joints."
B) "My muscles feel very weak."
C) "My attacks occur at night."
D) "I have a great deal of stiffness in the morning."

Question 5

Which describe the goals of pharmacotherapy for a client with rheumatoid arthritis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Increase rheumatoid factors
B) Reduce pain
C) Prevent fractures
D) Minimalize disability
E) Control inflammation

Question 6

Which pharmacological effects are used to prevent hyperuricemia for a client with gout? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Break down the uric acid
B) Inhibit the formation of uric acid
C) Excrete the uric acid
D) Convert uric acid to a less toxic form
E) Eliminate the uric acid

Question 7

The nurse has completed medication education for a client prescribed allopurinol (Zyloprim). Which client statements indicate an understanding of the information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "It may take a few days or weeks for me to get the full effect of this medication."
B) "I should not drink alcohol while taking this drug."
C) "If I develop a skin rash, I should contact the prescriber."
D) "I should not crush this medication."
E) "I should take this medication with food."

Question 8

Which conditions should the nurse associate with the development of hypocalcemia despite normal dietary intake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Malabsorption syndrome
B) Hyperparathyroidism
C) Chronic kidney disease
D) Excessive vomiting
E) Multiple blood transfusions

Question 9

Which statement should the nurse include in a client's education when discussing calcium supplementation?

A) "This drug may cause insomnia."
B) "Take your calcium with a meal."
C) "The vitamin D supplement can be taken separately."
D) "Take the calcium on an empty stomach."

Question 10

Which testing should the nurse instruct the client receiving hydroxychloroquine sulfate (Plaquenil) to do on a regular basis?

A) Hearing tests
B) Eye exams
C) Serum glucose
D) Blood pressure

Question 11

Which assessment findings should the nurse anticipate for the client that has overdosed on vitamin D? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Abdominal cramping
B) Muscle twitching
C) Vomiting
D) Fatigue
E) Excessive thirst

Question 12

Which is an important function of calcium?

A) Regulate acid-base balance
B) Improve glucose absorption
C) Increase energy
D) Regulate nerve transmission

Question 13

Which should the nurse plan to administer to a client to restore their calcium balance?

A) Calcium supplements and dark green, leafy vegetables
B) Calcium supplements and milk products
C) Calcium supplements and potassium
D) Calcium supplements and vitamin D

Question 14

Which is the next step in the process of vitamin D activation after the dietary products are consumed?

A) Calcium is absorbed in the small intestine.
B) Calcifediol is formed.
C) Calcitriol is formed.
D) Cholecalciferol is synthesized.

Question 15

The nurse has provided education for a client prescribed (Fosamax). Which statements made by the client indicate an understanding of the information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I cannot lie down for at least 30 minutes after taking the prescription."
B) "Milk will help with the absorption of this medication."
C) "I should call my healthcare provider if I experience heartburn."
D) "I must take this with a full glass of water."
E) "The prescription can be taken with or without food."

Question 16

Which is the nurse's primary concern for a client with a low calcium level?

A) Seizures
B) Bone fractures
C) Hypoglycemia
D) Depression

Question 17

Which assessment is the best to determine the effectiveness of bisphosphonate therapy for a client with osteoporosis?

A) Normal serum calcium levels
B) Absence of fractures
C) Bone density scan
D) Absence of bone pain

Question 18

The nurse has taught the client with osteoporosis about how to manage the illness. Which statement by the client indicates that additional teaching is necessary?

A) "I will avoid drinking alcohol."
B) "I will walk for 30 minutes every day."
C) "I will take my calcium when I wake up."
D) "I will drink milk regularly."

Question 19

Which describes the mechanism of action of selective estrogen receptor modulators (SERMs)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Increase bone density
B) Increase calcium levels in the bone
C) Decrease bone resorption
D) Inhibit synthesis of microtubules
E) Increase bone mass

Question 20

Which information should the nurse include in the education for the parent of a child with rickets?

A) Avoid dairy products while taking vitamin D.
B) Be sure to take brand name, not generic, vitamin D.
C) Spend at least 20 minutes/day in the sunlight.
D) Take your vitamin D on an empty stomach.

Question 21

A nurse is presenting community education for a group of patients with osteoarthritis. The nurse gives which information regarding the goals of pharmacotherapy for osteoarthritis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Prescriptions for osteoarthritis help to prevent development of rheumatoid arthritis."
B) "Prescriptions are given to help reduce the pain of osteoarthritis."
C) "Some of the prescriptions for osteoarthritis focus on reducing inflammation."
D) "There are prescriptions that can prevent the development of osteoarthritis."
E) "Antibiotics are given to treat common infections caused by osteoarthritis."

Question 22

Which statements made by a client prescribed bisphosphonate for treatment of osteoporosis require education? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "It will take at least 4 years for the maximum effect of the prescription to occur."
B) "The bone density improvement will rapidly disappear if I stop taking this prescription."
C) "I still need to eat foods high in phosphorus."
D) "I should spend 15 to 20 minutes in the sun on most days."
E) "The medication I took to correct my vitamin D deficiency was in preparation for this new treatment."

Question 23

Which is the most important symptom that the nurse should instruct the client prescribed a bisphosphonate to immediately report to the healthcare provider?

A) Diarrhea
B) Metallic taste
C) Headache
D) Jaw pain

Question 24

Which conditions support the diagnosis of rheumatoid arthritis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Hypothyroidism
B) Diabetes mellitus
C) Pulmonary disease
D) Pericarditis
E) Chronic kidney disease

Question 25

The nurse is preparing to provide education for a client prescribed Raloxifene. Which common adverse effects should the nurse include in the teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Flu like symptoms
B) Leg cramps
C) Hot flashes
D) Peripheral edema
E) Weight gain

Question 26

Which prescriptions increase the client's risk for gout? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Aspirin
B) Thiazide diuretics
C) Acetaminophen
D) Cyclosporine
E) Aminoglycosides

Question 27

The nurse has provided education to a client prescribed Adalimumab (Humira). Which statement made by the client indicates further teaching is required?

A) "I am glad I do not have to take the prescription daily."
B) "I will practice drawing up the prescription in a syringe."
C) "I will store the prescription in the refrigerator."
D) "I will stop using echinacea."

Question 28

Which information should the nurse include in the education for a client prescribed denosumab (Prolia)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "I will administer your prescription in the form of an injection."
B) "You may feel more fatigued than usual when taking this prescription."
C) "Be certain to keep your appointments for follow-up."
D) "Do not take any kind of calcium supplement or vitamin D supplement while taking this drug."
E) "We must monitor your cholesterol while you are taking this drug."

Question 29

Which should the nurse anticipate to be included in the treatment of advanced osteoarthritis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Acetaminophen
B) Topical ointments
C) Tramadol
D) Biological response modifiers
E) Intraarticular corticosteroids

Question 30

The nurse is preparing to provide education for a client prescribed sodium hyaluronate (Hyalgan). Which information should the nurse plan on including in the instructions?

A) "You will be receiving one injection a month."
B) "You will need to return to the clinic every 3 months."
C) "This will help prevent friction of the joints."
D) "Sodium hyaluronate is a synthetic fluid that is injected around your joints."