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 A

Explanation

Choice A rationale: Norepinephrine is a neurotransmitter that is active in both the peripheral and central nervous systems.
Choice B rationale: Serotonin is primarily active in the central nervous system.
Choice C rationale: Substance P is a neurotransmitter that functions more in the peripheral nervous system.
Choice D rationale: Dynorphins primarily function in the central nervous system.

A. stop using aspirin immediately. B. stop using aspirin 3 days prior to surgery. C. reduce the aspirin dosage by half until after surgery. D. continue to use aspirin as scheduled.

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.

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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

Which neurotransmitter is active in both the peripheral and central nervous system (CNS)?

Correct Answer is A

Explanation

A patient who takes daily doses of aspirin is scheduled for surgery in one week. The nurse should advise the patient

Correct Answer is B

Explanation

The nurse administers cholinergic (muscarinic agonist) medication, Bethanechol to a patient. The nurse should assess the patient for which intended effect?

The nurse is asked by a client to explain the differences and similarities between methadone and buprenorphine for treatment of opioid use disorder. The nurse's best response is

After an intramuscular injection of penicillin, a patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer?

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?

A nurse is instructing a client regarding Carbidopa-levodopa (Sinemet) for the treatment of Parkinson's Disease. The nurse tells the client which of the following is a side effect of the medication?

The nurse learns that a patient will receive an infusion of Propofol for a procedure. The nurse knows that the following will increase risk for adverse effects with this infusion:

A patient is prescribed phenytoin for epileptic seizures. Which of the following is the priority for patient teaching?

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