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Text Mode – Text version of the exam 1. A nurse is providing instructions to a client receiving Baclofen (Lioresal). Which of the following would be included in the teaching plan? 2. A nurse is analyzing the laboratory studies on a client receiving Dantrolene Sodium (Dantrium). Which of the following laboratory test would identify an adverse effect associated with the use of the medication? 3. A nurse is caring for a client who is receiving Cyclobenzaprine hydrochloride (Flexeril) for the treatment of muscle spasm. Which of the following medical condition is contraindicated with the use of the medication? 4. A client is receiving Methocarbamol (Robaxin) as an adjunct to physical therapy for the relief of painful muscle discomfort. Which of the following is not true regarding with the use of the medication? 5. Allopurinol (Zyloprim) is prescribed for a client for the treatment of gout. And the nurse is providing medication instructions. The nurse tells the client to? 6. A client is prescribed Colchicine. After taking three doses, the client complaints of nausea, vomiting, and loose bowel stools. Which of the following should the client do? 7. Colchicine is prescribed for a client with gout. The nurse reviews the client’s record, knowing that this medication would be used in caution in which of the following medical condition? 8. A client taking probenecid is complaining of gout pain. Which of the following medication should the nurse expect to be administered? 9. Gold sodium thiomalate is prescribed to a client with rheumatoid arthritis. Which of the following side effects indicates an overdosage of the medication? 10. Gold salt toxicity can be reversed using which medication? 11. Adalimumab (Humira) is given to a client for the treatment of rheumatoid arthritis. Which of the following side effect is associated with the medication? 12. A client receiving Azathioprine (Imuran) complains of hair loss. The nurse tells the client that? 13. The client is about to start the treatment for juvenile rheumatoid arthritis. Before the administration of etanercept (Enbrel), it is important for the nurse to: 14. A nurse is giving medicinal instructions to a female client receiving Leflunomide(Arava). Which of the following is an appropriate instruction with the use of the medication? 15. A client with rheumatoid arthritis is receiving Hydroxychloroquine (Plaquenil) in the recent months. The nurse tells the client to visit which of the following while on the treatment? 16. A client has just been prescribed with Methotrexate (Trexall) for the treatment of rheumatoid arthritis who did not respond to any other treatment. An important reminder for the client is to? 17. A client who is taking Methotrexate (Trexall) ask the nurse on what is the appropriate activity while taking the medication. The nurse advise the client to play which activity? 18. The nurse is reviewing the client’s history who is about to take Methotrexate. Which of the following drugs can be safely administered together with methotrexate? 19. Alendronate (Fosamax) is given to a client with osteoporosis. The nurse advises the client to? 20. A client with osteoporosis is asking the nurse regarding the use of Salmon calcitonin (Miacalcin) nasal spray. The nurse tells the client to do the following, except? 1. Answer: C. Restrict alcohol intake. Baclofen is a skeletal muscle relaxant. The client should be cautioned against the use of alcohol and other central nervous system depressants because baclofen potentiates the depressant activity of these agents. 2. Answer: C. Liver function test. Liver damage is the most serious adverse effect of dantrolene. To reduce the risk of liver damage, liver function test should be performed before and during the duration of the treatment. 3. Answer: B. Angle-closure glaucoma. Cyclobenzaprine hydrochloride (Flexeril) has an anticholinergic effect, so it is used in caution with patients with angle-closure glaucoma, urinary retention, and increased intraocular pressure. 4. Answer: C. The use of a cold or allergy medicine will lessen the side effects of the medication. Methocarbamol is a muscle relaxant. Medicines such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety add to the sleepiness caused by methocarbamol. 5. Answer: B. To limit the use of vitamin C. Instruct the client not to take larger doses of Vitamin C while taking allopurinol because kidney stones may occur. 6. Answer: B. Withhold the medication and the physician is notified. If gastrointestinal symptoms occur (nausea, vomiting, diarrhea and abdominal pain), the medication is withheld and the physician is notified. 7. Answer: B. Aplastic Anemia. Colchicine is contraindicated in patients with a known hypersensitivity to the drug, in those with serious gastrointestinal, renal, hepatic, or cardiac disorders, and in those with blood dyscrasias such as aplastic anemia. 8. Answer: A. Acetaminophen (Tylenol). The concurrent use of antigout medications and aspirin causes an increase in the uric acid level in the body; The client should be instructed to use acetaminophen (Tylenol) if prescribed rather than aspirin. 9. Answer: D. Metallic taste. Gold sodium thiomalate toxicity signs are pruritus, diarrhea, dermatitis, stomatitis, and metallic taste. 10. Answer: B. Dimercaprol. Dimercaprol is used to treat arsenic, gold, or mercury poisoning. 11. Answer: A. Numbness. Adalimumab (Humira) has been associated with neurological side effects such as numbness, tingling, dizziness, visual disturbances, and weakness in the legs). 12. Answer: C. Hair loss is temporary. Temporary hair loss may occur. Normal hair growth will return after treatment has ended. 13. Answer: A. Ask for an allergy to latex. Before using etanercept, tell the physician or the nurse for any allergy to latex or natural dry rubber that can be found in the prefilled syringes or autoinjectors form of the medication. 14. Answer: A. To use an effective form of birth control while on the treatment. Use an effective form of birth control to avoid pregnancy while taking leflunomide because of its teratogenic effect. 15. Answer: B. Ophthalmologist. Plaquenil can adversely affect the eyes such as retinal damage. Clients taking this medicine should be seen by an ophthalmologist at least once a year. 16. Answer: C. Strict hand washing. Clients taking Methotrexate are more likely to get infections or may worsen any current infections. Therefore, hand washing will help to prevent the spread of infection. 17. Answer: D. Tennis. Avoid contact sports or other situations where bruising or injury could occur because the medication can lower the number of platelets, which are necessary for proper blood clotting. 18. Answer: B. Folic Acid Clients who take folic acid supplements lowered the risk of GI problems and mouth sores brought about by the use of methotrexate. 19. Answer: C. Take the medication with a glass of water after rising in the morning. Alendronate needs to be taken with a glass of water after rising in the morning in order to prevent gastrointestinal effects. 20. Answer: B. If you do not feel the spray while using it, repeat the dose on the other nostrils. Miacalcin spray delivers a fine mist into the nose. Even if the client does not feel the spray while using it, the medication is still being absorbed by the nasal passages.Practice Mode
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NCLEX Practice Exam for Pharmacology: Musculoskeletal Medications
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