A patient who has been diagnosed with rheumatoid arthritis for 1 month and has generalized symptoms is taking high-dose NSAIDS and an oral glucocorticoid. The provider has prescribed methotrexate. 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 methotrexate regimen will prevent fatal toxicities.
Starting methotrexate early can delay the disease process of joint degeneration.
Starting methotrexate now will help increase life expectancy.
The Correct Answer is B
Choice A rationale: While methotrexate can help prevent fatal toxicities associated with rheumatoid arthritis, this is not the primary reason for its use in this context.
Choice B rationale: This is correct. Starting methotrexate early in the course of rheumatoid arthritis can help delay the disease process of joint degeneration and prevent irreversible damage.
Choice C rationale: While controlling symptoms is important for the patient's quality of life, starting methotrexate is more about preventing joint damage and progression of the disease than increasing life expectancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Stopping aspirin immediately may not be necessary and can increase the risk of rebound thrombosis. A gradual discontinuation is often recommended.
Choice B rationale: Stopping aspirin 3 days prior to surgery is a common recommendation to minimize the risk of bleeding during and after the surgical procedure.
Choice C rationale: Reducing the aspirin dosage may not be sufficient, and complete discontinuation is often advised before surgery.
Choice D rationale: Continuing aspirin as scheduled can increase the risk of bleeding during and after surgery. It is generally recommended to discontinue aspirin before elective surgical procedures.
Correct Answer is A
Explanation
Choice A rationale: Prednisone can potentiate the effects of beta-blockers like metoprolol, and dose adjustments may be necessary to avoid excessive bradycardia.
Choice B rationale: Acetaminophen is not typically affected by prednisone in a way that requires dose adjustment.
Choice C rationale: Lisinopril is not typically affected by prednisone in a way that requires dose adjustment.
Choice D rationale: Insulin may need adjustment due to the hyperglycemic effects of prednisone.
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