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: Selective stimulation of beta2 receptors is less likely to cause hypoglycemia; beta1 receptors are more involved in glucose metabolism.
Choice B rationale: Beta2 receptors are primarily found in the bronchioles of the lungs, and their stimulation leads to improved breathing.
Choice C rationale: Tachycardia is more commonly associated with the selective stimulation of beta1 receptors.
Choice D rationale: Beta2 receptors are not typically involved in the modulation of pain perception.
Correct Answer is C
Explanation
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
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