Author Question: A patient will begin taking hydroxychloroquine (Plaquenil) for rheumatoid arthritis. The patient is ... (Read 73 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?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

For a complete list of videos, visit our video library