A patient who has RA has been taking methotrexate for 6 months and tells the primary care NP that symptoms seem to be getting worse. The NP refers the patient back to the rheumatologist and should expect the rheumatologist to:
a. add prednisone to the drug regimen.
b. add adalimumab to the drug regimen.
c. change to a combination of adalimumab and etanercept.
d. discontinue methotrexate because 50% of patients do not respond.
B
Combination therapy generally is used because it is more effective and provides a more sustained response. Immunomodulators such as adalimumab are often used with methotrexate. Prednisone is not indicated. Immunomodulators are generally not used in combination.
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Which of the following characteristics assessed by the nurse is considered normal for an adult's feces?
A) Pungent in odor B) Yellow in color C) Cylindrical in shape D) Black in color
The infant is bathed immediately upon admission to the nursery.
Answer the following statement true (T) or false (F)
A highly organized company with a defined customer-oriented philosophy ensures itself of having sales success.
a. true b. false
A 78-year-old who has been admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care?
a. Apply absorbent incontinent pads. b. Restrict fluids after the evening meal. c. Insert an indwelling catheter until the symptoms have resolved. d. Assist the patient to the bathroom every 2 hours during the day.