A nurse is teaching a female adult client who has a new prescription for azathioprine to treat active rheumatoid arthritis. The nurse should inform the client about the need for which of the following diagnostic tests prior to starting the medication?

Bone density scan

Pregnancy test

Electrocardiogram

HbA1c

Answer and Explanation

The Correct Answer is B

A. Bone density scan: Bone density scans assess for osteoporosis risk but are not required before starting azathioprine. They are unrelated to the medication’s safety profile.

B. Pregnancy test: Azathioprine can be teratogenic, posing risks to a developing fetus. A pregnancy test is essential before initiating therapy to ensure the client is not pregnant and to guide safe use of the medication.

C. Electrocardiogram: ECGs are used to assess cardiac function and detect arrhythmias. Azathioprine does not typically affect cardiac conduction, so this test is not required prior to therapy.

D. HbA1c: HbA1c measures long-term blood glucose control for diabetes management. It is not necessary for assessing safety before starting azathioprine for rheumatoid arthritis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C,E,A,B,D

Explanation

C. Cleanse the skin using a circular motion: Cleaning the site first prevents infection and prepares the area for safe injection. Using a circular motion from the center outward helps remove microorganisms without contaminating the injection site.

E. Hold the needle with the bevel facing up: Positioning the needle bevel up ensures a smoother entry into the dermis and reduces tissue trauma, which is important for accurate intradermal administration.

A. Insert the needle into the dermis layer of skin: The needle is inserted at a very shallow angle into the dermis. Proper placement is essential for the tuberculin test to produce a valid reaction.

B. Inject the medication slowly with the skin pulled taut: Slowly injecting the medication ensures it remains in the dermis and prevents leakage into subcutaneous tissue. Pulling the skin taut stabilizes the area and allows for precise administration.

D. Produce a small wheal on the surface of the skin: The appearance of a small, raised wheal confirms that the medication has been correctly administered intradermally. This wheal is necessary for the subsequent reading of the tuberculin test.

A. History of gastrointestinal bleeding B. Liver impairment C. Allergy to codeine D. History of glaucoma

Correct Answer is A

Explanation

A. History of gastrointestinal bleeding: Ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can inhibit prostaglandin synthesis, increasing the risk of gastrointestinal bleeding or ulceration. A history of GI bleeding is a contraindication due to the heightened risk of serious complications.

B. Liver impairment: While caution is warranted, mild to moderate liver impairment is not an absolute contraindication. Liver function should be monitored, but it does not automatically prevent ketorolac use.

C. Allergy to codeine: Ketorolac is not an opioid and does not contain codeine. An allergy to codeine does not contraindicate its administration.

D. History of glaucoma: Ketorolac does not typically affect intraocular pressure or exacerbate glaucoma. It is not contraindicated in clients with this condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a female adult client who has a new prescription for azathioprine to treat active rheumatoid arthritis. The nurse should inform the client about the need for which of the following diagnostic tests prior to starting the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer an intradermal injection for a tuberculin screening. Identify the sequence of steps the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is C,E,A,B,D

Explanation

A nurse is preparing to administer ketorolac to a client. Which of the following conditions should the nurse include as a contraindication for taking this medication?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory findings of a client who is taking erythropoietin. Which of the following results indicates the medication is effective?

A nurse is caring for a client who has an infection and has been taking penicillin. Which of the following statements by the client should the nurse identify as the priority to report to the provider?

A nurse is providing discharge teaching to a client who has angina and a prescription for aspirin. Which of the following client statements indicates to the nurse an understanding of the teaching?

A nurse is planning care for a client who is to receive a prescription for IV vancomycin. Which of the following interventions should the nurse include in the plan?

A nurse is preparing to administer medications to a client. Which of the following resources should the nurse use to obtain information about medications they have never administered?

A nurse is teaching a client how to use patient-controlled analgesia with morphine. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is diagnosed with benign prostatic hyperplasia. The client refuses to take the prescribed medication and states they would like to try saw palmetto. Which of the following actions should the nurse take?

A nurse is teaching a client who has a new prescription for phenytoin extended-release capsules. Which of the following instructions should the nurse include?