Author Question: A client with rheumatoid arthritis is prescribed hydroxychloroquine (Plaquenil). To encourage ... (Read 32 times)

jasdeep_brar · **on:** Jul 23, 2018

A client with rheumatoid arthritis is prescribed hydroxychloroquine (Plaquenil). To encourage compliance, the nurse should advise the client to expect the effects of this drug to begin within:

1. 36 days.
2. 69 months.
3. 7 days.
4. 46 weeks.

Question 2

A client is prescribed a disease-modifying antirheumatic agent. What will the nurse explain as the mechanism of action for this medication?

1. Provides rapid relief of symptoms
2. Prevents the need for orthopedic surgery
3. Reduces damage and delays disease progression
4. Allows the client to be more active

juwms · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: Hydroxychloroquine (Plaquenil) requires longer than 36 days to achieve therapeutic effects.
Rationale 2: The effects of hydroxychloroquine (Plaquenil) occur before 36 months.
Rationale 3: Hydroxychloroquine (Plaquenil) requires longer than 7 days to achieve therapeutic effects.
Rationale 4: Hydroxychloroquine (Plaquenil) requires 46 weeks to achieve a therapeutic response.
Global Rationale: Hydroxychloroquine (Plaquenil) requires 46 weeks to achieve a therapeutic response.

Answer to Question 2

Correct Answer: 3
Rationale 1: Disease-modifying antirheumatic agents do not provide rapid relief of symptoms.
Rationale 2: Orthopedic surgery might be needed at some point in a client's life to replace damaged joints. These drugs do not prevent the need for surgery.
Rationale 3: Disease-modifying antirheumatic drugs reduce joint damage and delay disease progression.
Rationale 4: Once the drug has become effective, the client might become more active, but this is not the mechanism of action of these drugs.
Global Rationale: Disease-modifying antirheumatic drugs reduce joint damage and delay disease progression. Disease-modifying antirheumatic agents do not provide rapid relief of symptoms. Orthopedic surgery might be needed at some point in a client's life to replace damaged joints. These drugs do not prevent the need for surgery. Once the drug has become effective, the client might become more active, but this is not the mechanism of action of these drugs.