Author Question: A patient will begin taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The patient is ... (Read 45 times)

ARLKQ

  • Hero Member
  • *****
  • Posts: 571
A patient will begin taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The patient is currently taking high-dose NSAIDs and methotrexate. What will the nurse teach the patient?
 
  a. That an eye exam is necessary at the beginning of therapy with this drug
  b. That the dose of NSAIDs may be decreased when beginning hydroxychloroquine
  c. To obtain tests of renal and hepatic function while taking this drug
  d. To stop taking methotrexate when starting hydroxychloroquine

Question 2

A patient will begin taking etanercept (Enbrel) for severe rheumatoid arthritis. The patient has been taking methotrexate (Rheumatrex). The patient asks if the etanercept is stronger than the methotrexate.
 
  The nurse will tell the patient that etanercept _____ methotrexate.
  a. has synergistic effects with
  b. helps reduce adverse effects associated with
  c. is better at delaying progression of joint damage than
  d. has fewer adverse effects than



poopface

  • Sr. Member
  • ****
  • Posts: 339
Answer to Question 1

ANS: A
Hydroxychloroquine can cause retinal damage so an eye exam is necessary at the onset of treatment as well as every 6 months during treatment. Patients taking other drugs should continue to take those when beginning treatment with hydroxychloroquine since full therapeutic effects take months to develop. Renal and hepatic toxicity are not concerns. The drug is usually combined with methotrexate.

Answer to Question 2

ANS: C
Etanercept has been shown to reduce symptoms in patients with moderate to severe RA who have not responded to methotrexate. It does not have synergistic effects with methotrexate or reduce adverse effects of methotrexate. It has many adverse effects.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

The average adult has about 21 square feet of skin.

Did you know?

Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

The most dangerous mercury compound, dimethyl mercury, is so toxic that even a few microliters spilled on the skin can cause death. Mercury has been shown to accumulate in higher amounts in the following types of fish than other types: swordfish, shark, mackerel, tilefish, crab, and tuna.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

For a complete list of videos, visit our video library