A patient who has been diagnosed with rheumatoid arthritis (RA) for 1 month and has generalized symptoms is taking high-dose nonsteroidal anti-inflammatory drugs (NSAIDs) and an oral glucocorticoid

The provider has ordered methotrexate [Rheumatrex]. The patient asks the nurse why methotrexate is necessary since pain and swelling have been well controlled with the other medications. The nurse will tell the patient that:

A)  a methotrexate regimen can reduce overall costs and side effects of treatment.
B)  starting methotrexate early can help delay joint degeneration.
C)  starting methotrexate now will help increase life expectancy.
D)  with methotrexate, doses of NSAIDs can be reduced to less toxic levels.


Ans: B)  starting methotrexate early can help delay joint degeneration.

Nursing

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A nurse is caring for a laboring woman from an unfamiliar culture who has limited English skills. Which nursing actions are important to provide nursing care to this patient? (Select all that apply.)

A. Allow artifacts that have religious or cultural significance to remain with the woman. B. Assess the woman's beliefs about childbirth, breastfeeding, and postpartum nutrition. C. Communicate with the woman and family using a professional interpreter. D. Identify community resources that are culturally appropriate and acceptable. E. Restrict visitors to one person who can then communicate with the other family members.

Nursing

A 75-year-old patient has normal age-related changes in his ear. What change should not be considered a normal change in the aging patient?

a. Dry and wrinkled skin on the auricle b. Otitis externa c. Dry cerumen d. Hair in the ear canal

Nursing

After a client has had a surgical resection for a head and neck cancer, which is the priority nursing diagnosis?

1. Risk for Impaired Gas Exchange related to new tracheotomy 2. Knowledge Deficit related to necessary home care 3. Risk for Injury related to CSF leak 4. Anxiety related to changes in health status

Nursing

In the unconscious patient with an obstructed airway, probe the airway with your fingers to determine if a foreign body is present

Indicate whether the statement is true or false

Nursing