Exam 37: Disease-Modifying Antirheumatic Drugs and Immune Modulators

A patient who is being treated for RA reports having continued pain,which the patient describes as moderate and persistent.The NP should prescribe:

A patient has been taking a COX-2 selective NSAID to treat pain associated with a recent onset of RA.The patient tells the primary care NP that the pain and joint swelling are becoming worse.The patient does not have synovitis or extraarticular manifestations of the disease.The NP will refer the patient to a rheumatologist and should expect the specialist to prescribe:

A patient who has just been diagnosed with RA is experiencing minimal pain and mild symptoms.The primary care NP should consult with a rheumatologist and should recommend:

A patient who is taking methotrexate for RA sees the primary care NP for an annual physical examination.The patient's alanine aminotransferase (ALT)and AGT are elevated.The NP should:

A patient has recent weight loss,fatigue,and recurrent low-grade fever along with pain and stiffness of knees and hands.The primary care nurse practitioner (NP)notes symmetric joint swelling and warmth of these joints.The NP should:

The primary care NP follows a patient who is being treated for RA with methotrexate.The patient asks the NP why the medication does not seem to alleviate pain.The NP tells the patient that:

A patient who has a history of stomach ulcers is taking a nonselective NSAID along with a DMARD for RA.The primary care NP should:

A patient is taking a cytokine immunomodulator to treat RA.The primary care NP caring for this patient should:

A patient who has RA has been taking methotrexate for 6 months and tells the primary care NP that symptoms seem to be getting worse.The NP refers the patient back to the rheumatologist and should expect the rheumatologist to: