A 31-year-old woman is taking methotrexate (Rheumatrex) to treat rheumatoid arthritis. Which information from the patient's health history is important for the nurse to report to the health care provider about the methotrexate?
a. The patient had a history of infectious mononucleosis as a teenager.
b. The patient is trying to get pregnant before her disease becomes more severe.
c. The patient has a family history of age-related macular degeneration of the retina.
d. The patient has been using large doses of vitamins and health foods to treat the RA.
Question 2Which laboratory data is important to communicate to the health care provider for a patient who is taking methotrexate (Rheumatrex) to treat rheumatoid arthritis?
a. The blood glucose is 90 mg/dL.
b. The rheumatoid factor is positive.
c. The white blood cell (WBC) count is 1500/L.
d. The erythrocyte sedimentation rate is elevated.
Question 3Which finding for a patient who is taking hydroxychloroquine (Plaquenil) to treat rheumatoid arthritis is likely to be an adverse effect of the medication?
a. Blurred vision
b. Joint tenderness
c. Abdominal cramping
d. Elevated blood pressure
Question 4A patient with an acute attack of gout in the right great toe has a new prescription for probenecid (Benemid). Which information about the patient's home routine indicates a need for teaching regarding gout management?
a. The patient sleeps about 8 to 10 hours every night.
b. The patient usually eats beef once or twice a week.
c. The patient takes one aspirin a day to prevent angina.
d. The patient usually drinks about 3 quarts water daily.
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