Question 1

A 6-year-old child who has chickenpox also has a fever of 102.9&#176; F (39.4&#176; C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse?&#10;A) &#34;It's best to wait to see if the fever gets worse.&#34;&#10;B) &#34;You can use the aspirin, but watch for worsening symptoms.&#34;&#10;C) &#34;Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin.&#34;&#10;D) &#34;You can use aspirin, but be sure to follow the instructions on the bottle.&#34;

Accepted Answer

Aspirin is contraindicated in children with flu-like symptoms because the use of this drug has been strongly associated with Reye syndrome. This is an acute and potentially life-threatening condition involving progressive neurologic deficits that can lead to coma and may also involve liver damage. Acetaminophen is appropriate for this patient. The other responses are incorrect.

Question 2

The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?&#10;A) &#34;Fluids should be restricted while on colchicine therapy.&#34;&#10;B) &#34;Take colchicine with meals.&#34;&#10;C) &#34;The drug will be discontinued when symptoms are reduced.&#34;&#10;D) &#34;Call your doctor if you have increased joint pain or blood in the urine.&#34;

Accepted Answer

Colchicine may cause renal effects; therefore, the presence of blood in the urine must be reported immediately. In addition, the therapeutic effect should be decreased joint pain, not increased pain. The drug is taken on an empty stomach for better absorption, and fluids should be increased unless contraindicated. Successful treatment depends upon continuing the medication as ordered.

Question 3

A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?

A) Photosensitivity and nervousness
B) Tinnitus and hearing loss
C) Acute gastrointestinal bleeding
D) Hyperventilation and drowsiness

Accepted Answer

The most common manifestations of chronic salicylate intoxication in children are hyperventilation and CNS effects, such as dizziness, drowsiness, and behavioral changes. The effects in adults are tinnitus and hearing loss.

Question 4

There is a new order for Naproxen (Naprosyn) 250 mg PO twice daily. The drug is available as an oral suspension that contains 125 mg/5 mL. Identify how many milliliters the nurse will administer for 1 dose of this medication. _______

Accepted Answer

The answer of There is a new order for Naproxen...

Question 5

The nurse notes in a patient's medication history that the patient is taking allopurinol (Zyloprim). Based on this finding, the nurse interprets that the patient has which disorder?&#10;A) Rheumatoid arthritis&#10;B) Gout&#10;C) Osteoarthritis&#10;D) Systemic lupus erythematosus

Accepted Answer

Allopurinol is indicated for the treatment of gout but is not indicated for the other disorders listed.

Question 6

A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?&#10;A) Decreased uric acid levels&#10;B) Decreased prothrombin time&#10;C) Decreased white blood cell count&#10;D) Increased hemoglobin and hematocrit levels

Accepted Answer

Treatment of gout with allopurinol should result in decreased uric acid levels. The other options are incorrect.

Question 7

During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?&#10;A) Renal disease&#10;B) Diabetes mellitus&#10;C) Headaches&#10;D) Rheumatoid arthritis

Accepted Answer

Contraindications to NSAIDs include known drug allergy and conditions that place a patient at risk for bleeding, such as vitamin K deficiency, and peptic ulcer disease. Patients with documented aspirin allergy must not receive NSAIDs. Other common contraindications are those that apply to most drugs, including severe renal or hepatic disease. The other options are not contraindications.

Question 8

A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The patient asks about the purpose of this aspirin. Which response by the nurse is correct?

A) "Aspirin is given reduce anxiety."
B) "It helps to reduce inflammation."
C) "Aspirin is given to relieve pain."
D) "It will help to prevent clot formation."

Accepted Answer

Aspirin can reduce platelet aggregation; low doses of aspirin (81 to 325 mg once daily) are used for thromboprevention. Higher doses are required for pain relief, reduction of inflammation, and reduction of fever. The other options are incorrect.

Question 9

The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?&#10;A) Anxiolytic&#10;B) Sedative&#10;C) Antipyretic&#10;D) Antimicrobial

Accepted Answer

NSAIDs have antipyretic effects but not the other effects listed.

Question 10

A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal anti-inflammatory drug and misoprostol (Cytotec). The patient asks the nurse, "Why am I now taking two pills for arthritis?" What is the nurse's best response?

A) "Cytotec will also reduce the symptoms of your arthritis."
B) "Cytotec helps the action of the NSAID so that it will work better."
C) "Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation."
D) "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

Accepted Answer

Cytotec inhibits gastric acid secretions and stimulates mucous secretions; it has proved successful in preventing the gastric ulcers that may occur in patients taking NSAIDs.

Question 11

A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?

A) Type 2 diabetes mellitus
B) Hypothyroidism
C) Hypertension
D) Angina

Accepted Answer

The answer of A patient calls the clinic to ask...

Question 12

The nurse is reviewing the history of a patient who has a new order for a nonsteroidal anti-inflammatory drug (NSAID) to treat tendonitis. Which conditions are contraindications to the use of NSAIDs?&#10;A) Vitamin K deficiency&#10;B) Arthralgia&#10;C) Peptic ulcer disease&#10;D) Documented aspirin allergy&#10;E) Pericarditis

Accepted Answer

The answer of The nurse is reviewing the history of...

Question 13

A 75-year-old woman has been given a nonsteroidal anti-inflammatory drug (an NSAID for the treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication history and notes that which types of medications could have an interaction with the NSAID?

A) Antibiotics
B) Decongestants
C) Anticoagulants
D) Beta blockers
E) Diuretics
F) Corticosteroids

Accepted Answer

The answer of A 75-year-old woman has been given a...

Question 14

A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?&#10;A) Tachycardia&#10;B) Nervousness&#10;C) Nausea and vomiting&#10;D) Dizziness

Accepted Answer

The answer of A patient is taking the nonsteroidal anti-inflammatory...

Deck 44: Anti-Inflammatory and Antigout Drugs