Author Question: When caring for a patient diagnosed with rheumatoid arthritis, the patient tells the nurse that he ... (Read 34 times)

Evvie72 · **on:** Jul 23, 2018

When caring for a patient diagnosed with rheumatoid arthritis, the patient tells the nurse that he or she has had insufficient response to nonsteroidal anti-inflammatory drugs (NSAIDs) and his or her condition continues to worsen.

What drug does the nurse anticipate will be ordered next for this patient? A) Auranofin (Ridaura)
B) Ibuprofen (Motrin)
C) Acetaminophen (Tylenol)
D) Ketorolac (Toradol)

Question 2

The patient, diagnosed with angina, tells the nurse he is having chest pain. There is an order for oral sublingual nitroglycerin as needed. What action should the nurse take?

A) Place two nitroglycerin tablets under the patient's tongue and call the physician.
B) Place one tablet under the patient's tongue and repeat every 5 minutes for total of three tablets until pain has been relieved.
C) Have the patient swallow a tablet with a full glass of water and repeat in 10 minutes.
D) Apply a nitroglycerin transdermal patch to the patient's back.

Moriaki · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Gold compounds such as auranofin are prescribed when more usual anti-inflammatory therapies are ineffective and the patient's condition worsens despite weeks or months of standard pharmacological treatment. Ibuprofen and ketorolac are NSAIDs, which have been tried without good results. Acetaminophen is not an anti-inflammatory and would not be appropriate to control this patient's condition.

Answer to Question 2

B
Feedback:
The correct administration for sublingual administration is to place one tablet under the patient's tongue and repeat every 5 minutes for a total of three tablets until pain is relieved. If pain is not relieved after three sublingual tablets, the health care provider should be notified. Transdermal application would be inappropriate and nitroglycerin is not swallowed. Administering two tablets at one time would be an inappropriate dosage and could cause serious adverse effects.