Author Question: The primary care NP follows a patient who is being treated for RA with methotrexate. The patient ... (Read 43 times)

mckennatimberlake · **on:** Jul 24, 2018

The primary care NP follows a patient who is being treated for RA with methotrexate. The patient asks the NP why the medication does not seem to alleviate pain. The NP tells the patient that:

a. an immunomodulator may be needed to control pain.
b. a higher dose of methotrexate may be needed to achieve pain control.
c. if methotrexate does not control pain, an opioid analgesic may be necessary.
d. methotrexate is used to slow disease progression and preserve joint function.

Question 2

An 80-year-old female patient with a history of angina has increased TSH and decreased T4 . The primary care NP should prescribe _____ mcg of _____.

a. 25; liothyronine
b. 75; liothyronine
c. 25; levothyroxine
d. 75; levothyroxine

coreycathey · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
Disease-modifying antirheumatic drugs (DMARDs) have antiinflammatory effects that may slow disease progression and preserve joint function. Acetaminophen and nonsteroidal antiinflammatory drugs (NSAIDs) are common adjuncts to therapy to treat pain.

Answer to Question 2

C
Elderly individuals may experience exacerbation of cardiovascular disease and angina with thyroid hormone replacement. It is advisable to start low at 25 mcg and work up as tolerated. Liothyronine is a synthetic T3