A patient diagnosed with rheumatoid arthritis is about to begin therapy with Etanercept, a tumor necrosis factor antagonist. The nurse anticipates the patient will be tested for

CYP450 genetic variants.

HLA-B genetic variants.

latent hepatitis B virus.

Blood type and crossmatch.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Testing for CYP450 genetic variants is more relevant for medications metabolized by the cytochrome P450 system.
Choice B rationale: HLA-B genetic variants are more associated with certain drug hypersensitivity reactions, not specifically for etanercept.
Choice C rationale: Etanercept can increase the risk of reactivating latent infections, including hepatitis B. Screening for latent hepatitis B virus is essential before starting therapy.
Choice D rationale: Blood type and crossmatch are not typically required for starting etanercept therapy.

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Correct Answer is B

Explanation

Choice A rationale: Phenylephrine can help relieve nasal congestion and improve breathing.
Choice B rationale: Using the nasal spray as often as needed can lead to rebound congestion and should be avoided. Phenylephrine nasal spray should be used according to the healthcare provider's instructions.
Choice C rationale: Increasing oral fluids can help with hydration, especially when using a decongestant nasal spray.

A. At bedtime to minimize adverse effects. B. For a maximum of 1 to 2 years. C. While sitting upright with plenty of water. D. With coffee or orange juice to increase absorption.

Correct Answer is C

Explanation

Choice A rationale: Alendronate should be taken in the morning, not at bedtime, and the patient should remain upright for at least 30 minutes afterward to reduce the risk of esophageal irritation and ulceration.
Choice B rationale: Alendronate is often prescribed for longer durations, and the maximum duration is not typically limited to 1 to 2 years. The duration of treatment is individualized based on the patient's risk factors.
Choice C rationale: Alendronate should be taken while sitting upright with plenty of water to ensure proper esophageal transit and minimize the risk of irritation.
Choice D rationale: Alendronate should be taken with plain water, and taking it with coffee or orange juice is not recommended, as it may decrease absorption.

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A patient diagnosed with rheumatoid arthritis is about to begin therapy with Etanercept, a tumor necrosis factor antagonist. The nurse anticipates the patient will be tested for

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse cares for a patient with seasonal allergies. The provider recommends phenylephrine [Neo-synephrine], an adrenergic agonist nasal spray to treat symptoms of allergic rhinitis. The nurse is most concerned if the patient makes which of the following statements?

Correct Answer is B

Explanation

A client diagnosed with osteoporosis will begin taking alendronate. The nurse will teach this patient to take the

Correct Answer is C

Explanation

The client with osteopenia (low bone mass) has been prescribed calcium supplementation. Teaching for reducing risk of osteoporosis will include:

The nurse will suspect a disulfiram reaction (acetaldehyde syndrome) in a client with alcohol use disorder (AUD) with the following assessment findings:

The nurse teaches a 16-year-old female patient about methylphenidate. Which statement by the patient indicates that more teaching is needed?

The nurse receives a phone call from a patient who has been taking a CNS drug for 3 days. The patient medication causes nausea. Which response by the nurse is best?

A client is prescribed the dopamine agonist pramipexole. Which statement made by the patient indicates a need for further teaching?

The client was prescribed Prazosin for benign prostatic hypertrophy (BPH). His wife calls saying he lost consciousness 60 minutes after taking his first dose. He is now alert and oriented but they are worried. The nurse should respond

The nurse is administering diphenhydramine (Benedryl), a neuropharmacologic agent that works by doing what?

A patient is prescribed a drug that causes the selective stimulation of beta2 receptors. The nurse should assess the patient for what?