Musculoskeletal Medications

A client has been on treatment for rheumatoid arthritis for 3 weeks. During the administration of etanercept, which is most important for the nurse to assess?

Allopurinol is prescribed for a client and the nurse provides medication instructions to the client. Which instruction should the nurse provide?

Colchicine is prescribed for a client with a diagnosis of gout. The nurse reviews the client’s record, knowing that this medication would be used with caution in which disorder?

Alendronate is prescribed for a client with osteoporosis, and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide?

The nurse is preparing discharge instructions for a client who sustained a skeletal muscle injury and is receiving baclofen. Which instruction should be included in the teaching plan?

The nurse is analyzing the laboratory studies on a client receiving dantrolene to treat muscle spasms from an injury. Which laboratory test would identify an adverse effect associated with the administration of this medication?

Cyclobenzaprine is prescribed for a client for muscle spasms, and the nurse is reviewing the client’s record. Which disorder, if noted in the record, would indicate a need to contact the primary health care provider about the administration of this medication?

In monitoring a client’s response to disease-modifying antirheumatic drugs (DMARDs), which assessment findings would the nurse consider acceptable responses? Select all that apply.

1. Control of symptoms during periods of emotional stress
2. Normal white blood cell, platelet, and neutrophil counts
3. Radiological findings that show no progression of joint degeneration
4. An increased range of motion in the affected joints 3 months into therapy
5. Inflammation and irritation at the injection site 3 days after the injection is given
6. A low-grade temperature on rising in the morning that remains throughout the day

The nurse is administering an intravenous dose of methocarbamol to a client with a muscle skeletal injury. For which adverse effect should the nurse monitor?