The nurse in the rheumatology clinic is assessing clients with rheumatoid arthritis (RA). Which client should the nurse see first?
a. Client taking celecoxib (Celebrex) and ranitidine (Zantac)
b. Client taking etanercept (Enbrel) with a red injection site
c. Client with a blood glucose of 190 mg/dL who is taking steroids
d. Client with a fever and cough who is taking tofacitinib (Xeljanz)
ANS: D
Tofacitinib carries a Food and Drug Administration black box warning about opportunistic infections, tuberculosis, and cancer. Fever and cough may indicate tuberculosis. Ranitidine is often taken with celecoxib, which can cause gastrointestinal distress. Redness and itchy rashes are frequently seen with etanercept injections. Steroids are known to raise blood glucose levels.
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Which data collected during the respiratory assessment would indicate the pediatric client is compromised? Select all that apply
1. Lung sounds clear to auscultation 2. Stridor 3. Substernal retractions 4. Nasal flaring 5. Strong cry
When using the health measure of death rates for working-age adults, the nurse could expect to find the highest rates in which areas?
A. Large metropolitan areas B. Most rural and highly populated urban areas C. Most rural and suburban areas Incorrect D. Small suburban and all urban areas
When transferring a patient to another unit, you should
A. leave the chart and medications on the desk and return to your unit. B. place all the patient's belongings on the desk and return to your unit. C. give the chart and medications directly to the nurse. D. obtain the patient's vital signs after you have put her to bed.