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WorksheetsMusculoskeletal Meds Practice 2
Total questions: 20
Worksheet time: 10mins
Low-dose methotrexate is used in rheumatology mainly to:
Treat infections
Slow joint damage in rheumatoid arthritis
Cure simple fractures
Replace calcium in bones
A serious potential adverse effect of methotrexate is:
Improved liver function
Bone marrow suppression and liver toxicity
Instant weight loss
Increased joint damage
A critical nursing consideration for methotrexate dosing is:
It should be taken three times daily
It must be taken only as needed
It is usually given once weekly, not daily
It must always be given IV
What is MOST important to teach a patient taking methotrexate for RA?
“You can drink as much alcohol as you want.”
“Take it only on the scheduled day and avoid alcohol to protect your liver.”
“You should share this medication with family members.”
“You never need blood tests while on this drug.”
Alendronate is primarily used to:
Treat muscle spasms
Treat and prevent osteoporosis to reduce fracture risk
Lower blood sugar
Stop seizures
A notable adverse effect of alendronate is:
Irritation of the esophagus and heartburn
Sudden hair regrowth
Instant muscle rupture
Skin turning blue
A major nursing consideration when administering alendronate is:
Give it at bedtime with a snack
Let the patient lie down right away
Give it with a full glass of water and keep the patient upright for at least 30 minutes
Crush and mix it with milk
Which teaching is MOST important for a patient taking alendronate?
“You can lie down right after taking it.”
“Take it first thing in the morning on an empty stomach with water, and stay upright.”
“You can chew it with breakfast cereal.”
“Take it with fruit juice and then nap.”
Calcium and vitamin D are commonly given to:
Treat infections
Support bone health in osteoporosis and fracture healing
Lower blood pressure
Thin the blood
A possible adverse effect of high-dose calcium supplements is:
Instant blindness
Constipation and possible kidney stone risk
Severe hair loss
Lung collapse
An important nursing consideration with calcium supplements is to:
Check total intake from diet and supplements to avoid excessive dosing
Encourage taking as many brands as possible
Always give IV
Avoid giving fluids
Which patient teaching is MOST appropriate for calcium + vitamin D?
“You can take unlimited amounts without any risk.”
“Take as directed, drink fluids, and combine with weight-bearing exercise.”
“You must avoid all physical activity.”
“This will replace the need for healthy eating.”
Cyclobenzaprine is usually prescribed to treat:
Short-term muscle spasms from strains or sprains
Broken bones only
Autoimmune joint damage
Bacterial infections
A common adverse effect of cyclobenzaprine is:
Severe rash in every patient
Drowsiness and dizziness
Chronic diarrhea
Loss of smell
A key nursing consideration when giving cyclobenzaprine is:
It has no sedating effects
It should always be taken with alcohol
Use caution with other sedating medications (opioids, benzos, alcohol)
It must be taken long-term for years
What should patients be taught about cyclobenzaprine?
“You will feel more alert while taking this medication.”
“This can make you sleepy—be careful driving or operating machinery.”
“You should always drink alcohol with it.”
“It will fix the injury permanently without any PT or exercises.”
Opioid pain medications are most appropriate for:
Mild, occasional aches
Long-term treatment of minor arthritis
Severe acute pain, such as major fractures or post-op ortho surgery
Mild headaches that go away on their own
A serious adverse effect of opioids is:
Respiratory depression (slowed breathing)
Permanent blindness
Instant bone regrowth
Increased lung capacity
A major nursing consideration when a patient is receiving opioids is to:
Ignore respiratory rate
Give extra doses if the patient is sleepy
Monitor breathing, level of sedation, and pain relief
Encourage mixing them with alcohol
Which patient teaching is MOST important regarding opioid pain medicine?
“This medication is not strong enough to cause any problems.”
“You should take extra doses if your pain returns.”
“Take only as prescribed, avoid alcohol, and don’t drive until you know how it affects you.”
“You will not need to taper off when your pain improves.”
