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Author Question: Which laboratory data is important to communicate to the health care provider for a patient who is ... (Read 58 times)

jhjkgdfhk

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on: Jun 25, 2018
Which laboratory data is important to communicate to the health care provider for a patient who is taking methotrexate (Rheumatrex) to treat rheumatoid arthritis?
 
  a. The blood glucose is 90 mg/dL.
  b. The rheumatoid factor is positive.
  c. The white blood cell (WBC) count is 1500/L.
  d. The erythrocyte sedimentation rate is elevated.

Question 2

Which finding for a patient who is taking hydroxychloroquine (Plaquenil) to treat rheumatoid arthritis is likely to be an adverse effect of the medication?
 
  a. Blurred vision
  b. Joint tenderness
  c. Abdominal cramping
  d. Elevated blood pressure


31809pancho

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
Bone marrow suppression is a possible side effect of methotrexate, and the patient's low WBC count places the patient at high risk for infection. The elevated erythrocyte sedimentation rate and positive rheumatoid factor are expected in rheumatoid arthritis. The blood glucose is normal.

Answer to Question 2

ANS: A
Plaquenil can cause retinopathy. The medication should be stopped. The other findings are not related to the medication although they will also be reported.


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