Question 1

The nurse conducts group education for clients with seasonal allergies, and teaches about the role of histamine. The nurse evaluates that the education has been effective when the clients make which response?

A) "Histamine is inhibited by non -steroidal anti -inflammatory drugs (NSAIDs)."
B) "Histamine dilates the vessels in the nose, so it is congested and stuffy."
C) "Histamine constricts vessels, causing capillaries to become more permeable."
D) "Histamine is primarily stored in phagocyte cells in the skin."

"Histamine dilates the vessels in the nose, so it is congested and stuffy."

Accepted Answer

Histamine is a chemical released by certain cells in response to an allergen, causing symptoms such as nasal congestion, sneezing, and itching. In the case of seasonal allergies, histamine causes the blood vessels in the nasal passages to dilate, leading to congestion and stuffiness. Option A is incorrect because NSAIDs are not used to inhibit histamine, but rather to reduce pain and inflammation. Option C is incorrect because histamine actually increases capillary permeability, allowing fluids and white blood cells to leak out of blood vessels and leading to swelling and inflammation. Option D is incorrect because while histamine can be stored in several types of cells, including mast cells and basophils, it is not primarily stored in phagocytes (cells that engulf and digest foreign substances).

Question 2

The nurse teaches clients with rheumatoid arthritis about the side effects of non -steroidal anti -inflammatory drugs (NSAIDs). The nurse evaluates that education has been effective when the clients make which statement?

A) "We must be sure and keep all scheduled doctors' appointments".
B) "We must take the medicine just as the doctor said to take it."
C) "We must have our blood tests monitored with this medication."
D) "We must be careful about falling with this medication."

"We must have our blood tests monitored with this medication."

Accepted Answer

Monitoring blood tests is important when using NSAIDs because they can cause kidney and liver damage. Maintaining scheduled appointments and taking medication as prescribed are general medication instructions but do not specifically pertain to the side effects of NSAIDs. Fall prevention may be important for clients with rheumatoid arthritis, but it is not directly related to the side effects of NSAIDs.

Question 3

The client experienced a sports -related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess? Select all that apply.&#10;A) swelling&#10;B) warmth&#10;C) pallor&#10;D) pain&#10;E) pitting edema

Accepted Answer

Swelling, warmth, and pain are all clinical signs of inflammation that may present in a sports-related injury. Pallor and pitting edema are not necessarily indicative of inflammation and may be present in other conditions or injuries.

Question 4

The nurse plans to teach a class on acetaminophen (Tylenol) to mothers with young children. What will the best plan of the nurse include?&#10;A) &#34;Acetaminophen (Tylenol) will only need to be given once a day because it is long -lasting.&#34;&#10;B) &#34;It is best to give your child acetaminophen (Tylenol) with a high -carbohydrate meal.&#34;&#10;C) &#34;It is okay to substitute a baby aspirin for acetaminophen (Tylenol) if you run out of acetaminophen (Tylenol).&#34;&#10;D) &#34;Read the labels of all over -the -counter (OTC) medications for the amount of acetaminophen (Tylenol) in them.&#34;

Accepted Answer

It is important for mothers to know how much acetaminophen (Tylenol) is in any over-the-counter medications they may give their child to avoid accidental overdose. Choice A is incorrect because the dosing frequency will depend on the child's age and weight. Choice B is incorrect because there is no evidence that giving acetaminophen with a high-carbohydrate meal enhances its effects. Choice C is incorrect because baby aspirin should not be given to children due to the risk of Reye's syndrome.

Question 5

A mother calls the clinic and tells the nurse that her 4 -month -old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10 -year -old child. What is the best response by the nurse?

A) It is best if the pediatrician is called; he can be asked this question.
B) Infants should not have acetaminophen (Tylenol) because it damages the liver.
C) It is fine to use the same medicine for both children.
D) Infant drops should be used for the baby; they are different from liquid medicine.

Accepted Answer

Infants require different dosages and formulations of medication than older children and adults. The nurse should advise the mother to use infant drops specifically for the 4-month-old and not to use the same medication that is used for the older child. This is because infant drops have a smaller concentration of the medication and are designed for the appropriate dosage for an infant's size and weight.

Question 6

The client has been taking hydrocortisone (Cortef) for a month, and abruptly stops it. What will the best assessment of the nurse include?&#10;A) tachycardia and weight gain.&#10;B) hyperglycemia and depression.&#10;C) dilated pupils and auditory hallucinations.&#10;D) fatigue and anorexia.

Accepted Answer

Abruptly stopping hydrocortisone can result in adrenal suppression, leading to fatigue and anorexia. Tachycardia and weight gain may occur with long-term use of hydrocortisone, but not necessarily with abrupt cessation. Hyperglycemia and depression may occur with prolonged use of high doses of hydrocortisone, but not typically with abrupt discontinuation. Dilated pupils and auditory hallucinations are not typical side effects of hydrocortisone or withdrawal from it.

Question 7

The nurse teaches a group of clients with arthritis about the use of ibuprofen (Motrin), emphasizing the maximum daily amount. The nurse evaluates education has been most effective when the clients make which statement?

A) "We cannot take over 4,000 mg/day."
B) "We cannot take over 3,200 mg/day."
C) "We cannot take over 3,000 mg/day."
D) "We cannot take over 3,600 mg/day."

Accepted Answer

The maximum daily dose of ibuprofen (Motrin) is 3,200 mg/day. Option A is incorrect as 4,000 mg/day is the maximum daily dose for acetaminophen (Tylenol). Option C is incorrect as it is below the recommended maximum dose. Option D is incorrect as it is above the recommended maximum dose.

Question 8

The nurse in the emergency department frequently sees clients who have overdosed on acetaminophen (Tylenol). Which client is at highest risk for developing hemolysis?&#10;A) a Jewish client&#10;B) a First nations client&#10;C) a Caucasian client&#10;D) an African -American client

Accepted Answer

African-American clients are at a higher risk for developing hemolysis following an acetaminophen overdose due to a higher prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency in this population. G6PD deficiency can lead to hemolysis when exposed to oxidative stress from certain drugs, infections, or other factors.

Question 9

The client has experienced a sports -related injury. He asks the nurse how long it will take for him to heal and feel better. What is the best response by the nurse?&#10;A) &#34;It will take about a week and a half for symptoms to resolve.&#34;&#10;B) &#34;It will depend on your response to the medications.&#34;&#10;C) &#34;The inflammatory process is too complex to predict a time frame for healing.&#34;&#10;D) &#34;With proper care, it will take about a month for symptoms to resolve.&#34;

Accepted Answer

The answer of The client has experienced a sports -related...

Question 10

The physician orders acetaminophen (Tylenol) for a client with a fever. The nurse would plan to validate which other order with the physician?&#10;A) Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time.&#10;B) Warfarin (Coumadin) 2 mg orally every day.&#10;C) Paroxetine (Paxil) 37.5 mg orally every day.&#10;D) Heparin 5,000 units subcutaneously every 8 hours.

Accepted Answer

Warfarin (Coumadin) interacts with acetaminophen, as high doses or long-term use of acetaminophen can affect the anticoagulant effect of warfarin, potentially leading to an increased risk of bleeding. It's important to validate the warfarin order to ensure safe concurrent use.

Question 11

The client receives prednisone (Apo -Prednisone) as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?

A) "No, your body would get used to it and it would lose its effectiveness."
B) "No, because your illness is in remission and you don't need medication now."
C) "No, because this medication has serious adverse effects."
D) "No, your doctor said the best treatment for your illness is to alternate medications."

Accepted Answer

The answer of The client receives prednisone (Apo -Prednisone) as...

Question 12

The nurse plans care for the elderly client receiving non -steroidal anti -inflammatory drug (NSAID) therapy. What is the best outcome for this client as relates to side effects of non -steroidal anti -inflammatory drug (NSAIDs)?

A) The client will report any bleeding or bruising while taking the non -steroidal anti -inflammatory drug (NSAID).
B) The client will avoid the use of caffeine while taking the non -steroidal anti -inflammatory drug (NSAID).
C) The client will report any mood changes while taking the non -steroidal anti -inflammatory drug (NSAID).
D) The client will refrain from taking other medications with the non -steroidal anti -inflammatory drug (NSAID).

Accepted Answer

The answer of The nurse plans care for the elderly...

Question 13

The physician orders ibuprofen (Advil) for the elderly client with arthritis. The client asks the nurse if he can take propoxyphene (Darvon) because this is what his neighbour uses. What is the best response by the nurse?

A) "No because propoxyphene (Darvon) is not an effective pain medication."
B) "Just because your neighbour uses it does not make it right for you."
C) "That might be possible; I will contact your doctor."
D) "No, because propoxyphene (Darvon) will not help your inflammation."

Accepted Answer

The answer of The physician orders ibuprofen (Advil) for the...

Question 14

The nurse is managing care for clients who receive nonsteroidal anti -inflammatory drugs (NSAIDs). What are the primary laboratory tests the nurse will assess prior to initiation of therapy? Select all that apply.

A) serum amylase
B) creatine clearance
C) electrolytes
D) liver function tests
E) complete blood count (CBC)

Accepted Answer

The answer of The nurse is managing care for clients...

Question 15

The client receives a non -steroidal anti -inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?&#10;A) &#34;Drink at least eight glasses of water a day.&#34;&#10;B) &#34;Take your medication with food.&#34;&#10;C) &#34;Take your medication on an empty stomach.&#34;&#10;D) &#34;Constipation is common; include roughage in your diet.&#34;

Accepted Answer

The answer of The client receives a non -steroidal anti...

Deck 31: Drugs for Inflammation, Fever, and Allergies