Question

a patient with rheumatoid arthritis has been prescribed sulfasalazine and now presents with chest pain that worsens when lying down and improves when sitting up. the nurse suspects pericarditis. considering the patients medication and presentation, which action should the nurse prioritize?

• encourage the patient to increase fluid intake to reduce inflammation.
• notify the healthcare provider immediately to evaluate for possible drug - induced pericarditis.
• advise the patient to rest and monitor vital signs closely for any changes.
• administer prescribed nsaids to manage pain and inflammation without delay.

Explanation:

The patient has chest pain consistent with pericarditis, and sulfasalazine can cause drug-induced pericarditis. This is a potentially serious condition requiring immediate provider evaluation to confirm the diagnosis and adjust management, as other actions do not address the root cause of a possible adverse drug reaction.

Answer:

B. Notify the healthcare provider immediately to evaluate for possible drug-induced pericarditis.