The Musculoskeletal System Test

Question 1

A nurse should instruct a client who is taking alendronate to monitor for which of the following adverse effects? (Select all that apply.)

Answer 1

Jaw pain/ Blurred vision/ Muscle pain

Question 2

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

Answer 2

Report rash or itching / Prime the pump before the first dose/ Report nasal irritation/

Question 3

A nurse is caring for a client who is taking etanercept for rheumatoid arthritis. The nurse should monitor the client for which of the following indications of a serious adverse reaction to the drug?

Answer 3

Shortness of breath

Question 4

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?

Answer 4

Calf pain

Question 5

A nurse is teaching a client who has a prescription for calcium citrate about manifestations of hypercalcemia. Which of the following manifestations should the nurse include in the teaching?

Answer 5

Vomiting

Question 6

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 adverse effects?

Answer 6

Bone marrow depression

Question 7

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

Answer 7

Decreases activity of osteoclasts

Question 8

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

Answer 8

Inability to sit upright

Question 9

Which of the following is a therapeutic action of raloxifene?

Answer 9

Mimics the effects of estrogen on bone tissue

Question 10

A nurse is teaching a client about raloxifene. Which of the following information should the nurse include? (Select all that apply.)

Answer 10

Increase physical activity by taking walks/
Use a contraceptive if there is any possibility of pregnancy/
Increase intake of calcium and vitamin D

Question 11

A nurse is teaching a client about methotrexate. The nurse should inform the client to monitor for which of the following as an adverse e!ect of this drug?

Answer 11

Black, tarry stools

Question 12

A nurse should identify that a client who has diabetes mellitus and is taking etanercept is at an increased risk for which of the following adverse e!ects?

Answer 12

Infection

Question 13

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

Answer 13

“Drink a minimum of 2 liters of water per day to promote the drug’s excretion.”

Question 14

A nurse is teaching a client who is taking etanercept for rheumatoid arthritis. The nurse should instruct the client to monitor for which of the following indications of an adverse reaction to this drug?

Answer 14

Skin rash

Question 15

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 rheumatoid arthritis?

Answer 15

Ibuprofen

Question 16

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

Answer 16

“You should report signs of infection to your provider immediately.”

Question 17

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following information should the nurse include? (Select all that apply.)

Answer 17

Avoid being near people who are sick with a communicable illness/ Periodic laboratory tests are required / Report bruising or petechiae/ Avoid drinking alcohol

Question 18

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?

Answer 18

Use skin testing to check the client for allergies.

Question 19

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

Answer 19

Drink 240 mL (8 oz) of water with the calcium tablets/ Chew calcium tablets before swallowing them/ Take the drugs 1 hr apart /
Divide the daily dosage of calcium into three 500-mg doses

Question 20

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

Answer 20

Inactivation of tumor necrosis factor

Question 21

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

Answer 21

Joint pain

Question 22

A nurse is teaching a client about methotrexate therapy for rheumatoid arthritis. Which of the following statements by the client indicates understanding of the teaching?

Answer 22

“I will take a birth control pill every day.”

Question 23

A nurse is teaching a client about adverse effects of etanercept. Which of the following statements by the client indicates understanding of the teaching?

Answer 23

“I will need to get my blood drawn periodically while on this medication.”

Question 24

A nurse is caring for a client who is currently taking methotrexate for rheumatoid arthritis. The nurse should identify that which of the following is an adverse effect of this medication?

Answer 24

Thrombocytopenia

Question 25

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

Answer 25

Administer a tuberculin skin test prior to starting the medication.