When the nurse brings medications to a patient with rheumatoid arthritis, the patient refuses the prescribed methotrexate (Rheumatrex). The patient tells the nurse, "My arthritis isn't that bad yet
The side effects of methotrexate are worse than the arthritis." The most appropriate response by the nurse is
a. "You have the right to refuse to take the methotrexate."
b. "Methotrexate is less expensive than some of the newer drugs."
c. "It is important to start methotrexate early to decrease the extent of joint damage."
d. "Methotrexate is effective and has fewer side effects than some of the other drugs."
ANS: C
Disease-modifying antirheumatic drugs (DMARDs) are prescribed early to prevent the joint degeneration that occurs as soon as the first year with RA. The other statements are accurate, but the most important point for the patient to understand is that it is important to start DMARDs as quickly as possible.
You might also like to view...
A patient has been suffering from senile dementia, Alzheimer's type, for over 5 years. Her family has kept her at home, and each member has participated in her care
The community health nurse has been supporting the family in this effort. Recently, the patient has stopped interacting with the family, refuses to eat, and sleeps a great deal. The family is conflicted over how to care for their dying mother. The nurse understands that her role in this conflict is to: A. Say nothing; this is a family issue. B. Speak with the members individually and persuade them to do "what is best for their mother." C. Discuss the conflicting opinions with the physician. D. Persuade the family members to meet together to express their feelings to one another.
A client recovering from MTG sexual reassignment surgery asks what can be done to change the sex and name on the client's driver's license. What should the population health nurse do to assist the client with this issue?
1. Nothing-birth gender cannot be legally changed. 2. Complete paperwork through the client's automotive club. 3. Recommend waiting until the surgery is considered successful. 4. Provide information to have gender identification legally changed.
The results of an applied research study for anxiety management in children were published in both a highly respected nursing research journal and a second journal specific to pediatrics that focused on practice issues
The first article contained detailed statistical analyses and discussions of the results, as an extension of the author's previous basic research. The second presented the research in much simpler language, providing pictures of the children and discussing practice applications. Why does this represent or not represent duplicate publication? a. It does represent duplicate publication, because both articles reported results of the same study. b. It does not represent duplicate publication, because the language was completely different in the two articles, and the journal audience was different. c. It does represent duplicate publication, because the second article was a paraphrase of the first. d. It does not represent duplicate publication, because the second article referenced the first and focused heavily on practice applications, which were not included in the first.
When teaching the pregnant patient about self-medicating for pain during labor, why did the nurse instruct the patient to avoid taking acetylsalicylic acid?
A) Development of respiratory depression in the newborn B) Interference with the ability to concentrate on contractions C) Interference with blood coagulation with increased risk of bleeding in mother or infant D) Competition with bilirubin-binding sites in fetal circulation increases risk of kernicterus.