A patient has been taking a COX-2 selective NSAID to treat pain associated with a recent onset of RA. The patient tells the primary care NP that the pain and joint swelling are becoming worse
The patient does not have synovitis or extraarticular manifestations of the disease. The NP will refer the patient to a rheumatologist and should expect the specialist to prescribe: a. methotrexate.
b. corticosteroids.
c. opioid analgesics.
d. hydroxychloroquine.
D
In mild RA disease, patients are given NSAIDs first for 2 to 3 months, and then either hydroxychloroquine or sulfasalazine is added if the disease does not remit. Methotrexate is a first-line drug for patients with more aggressive symptoms, such as synovitis or extraarticular symptoms. Opioid analgesics are used as adjuncts for pain relief along with DMARDs.
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You are the PACU nurse caring for a patient who is ready to go the floor after her surgery. What would you be responsible for reporting to the nurse on the floor? (Mark all that apply.)
A) The kind of anesthetic gas that was used B) The staff in the operating room C) The patient's preoperative level of consciousness D) The presence of family and/or significant others E) Identification of the patient by name
The nurse is preparing an in-service presentation for a group of middle school nurses. Which statements by the nurse would indicate that the nurse understands the role of culture in adolescent pregnancy? Select all that apply
1. "Eighty-five percent of teen mothers are middle class, and give birth to gain adult status." 2. "Teens who have a lot of time without adult supervision are more sexually active." 3. "Although the rate has dropped, teens of color are more likely to become pregnant." 4. "Young teens who have a child are more likely to have another while still a teen." 5. "Most pregnant teens do not have any relatives who had their first child as teens."
A patient has a localized skin infection, which is most likely caused by a gram-positive cocci. Until the culture and sensitivity results are available, the nurse will expect the provider to order a _____-spectrum _____ agent
a. broad; systemic b. broad; topical c. narrow; systemic d. narrow; topical
An emergency department nurse is confirming that a child's ordered dose of IV analgesia is congruent with her body surface area (BSA). In order to calculate the child's BSA, the nurse must know which of the following variables? Select all that apply
A) The child's height B) The child's percentage of body water C) The child's weight D) The usual adult dose of the drug E) The child's age in months