Nokea
The patient has had RA for some time but has not had success with previous medications. Although there is an increased risk for tuberculosis, which monoclonal antibody is used with methotrexate to best treat symptoms?
- A. Parenteral gold
- B. Certolizumab (Cimzia)
- C. Tocilizumab (Actemra)
- D. Hydroxychloroquine (Paquenil)
Correct Answer: C
Rationale: Tocilizumab targets IL-6 receptors.
You may also like to solve these questions
The ability that humans have to perform very skilled movements such as writing is controlled by the:
- A. Basal ganglia.
- B. Corticospinal tract.
- C. Spinothalamic tract.
- D. Extrapyramidal tract.
Correct Answer: B
Rationale: The correct answer is B: Corticospinal tract. The corticospinal tract is responsible for controlling voluntary skilled movements like writing. It carries motor commands from the primary motor cortex to the spinal cord, enabling precise movements of the hands and fingers. The basal ganglia (A) are involved in motor planning and coordination but not direct control of skilled movements. The spinothalamic tract (C) is responsible for transmitting sensory information related to pain and temperature, not motor control. The extrapyramidal tract (D) is involved in involuntary movements and posture regulation, not skilled movements like writing.
Which action requires intervention by the charge nurse for an LPN/LVN caring for a patient with Paget's disease?
- A. Administers 600 mg of ibuprofen to the patient.
- B. Encourages the patient to perform PT recommended exercises.
- C. Applies ice and gentle massage to the patient's lower extremities.
- D. Reminds the patient to drink milk and eat cottage cheese.
Correct Answer: C
Rationale: Applying ice and massage without specific instructions may not be appropriate and could potentially cause harm.
In the care plan for Mr. Thompson, a 78-year-old man with Parkinson's disease, Nurse Edwards is identifying tasks that can be safely delegated to a nursing assistant (NA). Considering the responsibilities and scope of practice for a nursing assistant, which of the following tasks is most appropriate for Nurse Edwards to delegate?
- A. Checking for orthostatic changes in pulse and blood pressure.
- B. Monitoring for improvement in tremor after levodopa (L-dopa) is given.
- C. Adjusting the dosage of levodopa (L-dopa) based on the patient's response.
- D. Monitoring for abnormal involuntary jerky movements of extremities.
Correct Answer: A
Rationale: Checking for orthostatic changes is within the scope of practice for a nursing assistant and is important for monitoring the side effects of PD medications.
Regarding parasympathetic nervous system
- A. Supply all viscera
- B. Have connector cells in brainstem and sacrum
- C. ?
- D. ?
Correct Answer: B
Rationale: The parasympathetic nervous system has connector cells in the brainstem (cranial nerves III, VII, IX, X) and the sacral spinal cord (S2-S4). It is responsible for rest-and-digest functions.
Which of the following animals is NOT a typical reservoir for the spread of rabies?
- A. dog
- B. bat
- C. skunk
- D. chicken
Correct Answer: D
Rationale: The correct answer is D: chicken. Chickens are not typical reservoirs for rabies as they are not known to carry the rabies virus. Dogs, bats, and skunks can serve as reservoirs for rabies due to their susceptibility to the virus. Dogs are a common source of rabies transmission to humans, while bats and skunks are known carriers of the virus. Therefore, the correct answer is D as chickens do not play a role in the spread of rabies.