Deck 33: Drugs for Inflammation and Fever

Question 1

A client asks the nurse if they can use liquid acetaminophen (Tylenol) that is used for an older child for their 4-month-old baby with a fever. Which response should the nurse provide?

A) "Infants should not be given acetaminophen (Tylenol) because it damages the liver."
B) "You can use the same medication, just use half the recommended dosage."
C) "You can use the same prescription for both children."
D) "Infant drops should be used because they are different from liquid medicine."

Answer 1

"Infant drops should be used because they are different from liquid medicine."

Question 2

Which should the nurse monitor a client for that is receiving a salicylate? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Neurotoxicity
B) Ototoxicity
C) Nephrotoxicity
D) Cardiotoxicity
E) Pulmonary toxicity

Answer 2

Ototoxicity
Nephrotoxicity

Question 3

Which statement should the nurse include in the parental teaching for the administration of acetaminophen (Tylenol) to a child?

A) "Acetaminophen (Tylenol) should be administered with a high-carbohydrate meal."
B) "Read the labels of all over-the-counter medications for the amount of acetaminophen (Tylenol)."
C) "Due to the lasting effects, acetaminophen (Tylenol) should only be given to children once a day."
D) "Baby aspirin can be substituted for acetaminophen (Tylenol)."

Answer 3

"Read the labels of all over-the-counter medications for the amount of acetaminophen (Tylenol)."

Question 4

For which finding should the nurse notify the healthcare provider for a client prescribed prednisone?

A) Unexplained fever
B) History of heart failure
C) Asthma
D) Arthritis

Question 5

Which is an early laboratory marker of inflammation?

A) Prostaglandins
B) Bradykinin
C) C-Reactive protein
D) Histamine

Question 6

Which statement made by a client indicates an understanding of the maximum daily amount of ibuprofen (Motrin)?

A) "I cannot take over 4000 mg/day."
B) "I cannot take over 3600 mg/day."
C) "I cannot take over 3200 mg/day."
D) "I cannot take over 3000 mg/day."

Question 7

Which findings are symptoms of inflammation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Redness
B) Warmth
C) Itching
D) Rash
E) Pain

Question 8

Which finding is a common adverse effect of an anti-inflammatory prescription?

A) Diarrhea
B) Palpitations
C) Heartburn
D) Hypotension

Question 9

Which signs of inflammation should the nurse anticipate for a client that has experienced a sports-related injury to their leg? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Swelling
B) Pain
C) Warmth
D) Pallor
E) Pitting edema

Question 10

Which of the client's current prescriptions should the nurse consult the healthcare provider about who has prescribed acetaminophen (Tylenol) four times a day?

A) Heparin 5000 units subcutaneously every 8 hours
B) Warfarin (Coumadin) 2 mg orally every day
C) Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time
D) Paroxetine (Paxil) 37.5 mg orally every day

Question 11

Which should a client be monitored for when prescribed a glucocorticoid?

A) Hypoglycemia
B) Hypotension
C) Bruising
D) Weight loss

Question 12

Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen (Advil) for long-term therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Electrolytes
B) Hemoglobin and hematocrit
C) Bleeding times
D) Liver function tests
E) Serum amylase

Question 13

Which describes the mechanism of action for Ibuprofen (Advil)?

A) Directly acts on the hypothalamus
B) Inhibition of prostaglandin synthesis
C) Blocks pain impulses sent to the brain
D) Decreases stimulation of sensory nerve fibers

Question 14

A client tells the nurse they would prefer to indefinitely take prednisone to treat their inflammatory disease. Which is the best response by the nurse?

A) "This is not recommended due to the serious side effects."
B) "The best treatment for your condition is to alternate prescriptions."
C) "The prescription will lose its effect after your body builds up a tolerance to it."
D) "When you experience remission you will not need the prescription."

Question 15

Which describes the direct action of acetaminophen (Tylenol) for fever reduction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

A) Constriction of peripheral blood vessels
B) Increase activity of the sweat glands
C) Dilation of peripheral blood vessels
D) Direct action at the level of the hypothalamus
E) Decreases tissue inflammation

Question 16

Which instructions should the nurse include in the teaching for a client prescribed aspirin (ASA)?

A) Take the aspirin with a glass of milk.
B) Discontinue taking the aspirin if you experience stomach upset.
C) Take the aspirin with orange juice in the morning.
D) Take the aspirin on an empty stomach in the morning.

Question 17

Which statement should the nurse include in the education for a client prescribed a nonsteroidal anti-inflammatory drug (NSAID)?

A) "Constipation is common; include roughage in your diet."
B) "Dizziness may occur due to a decrease in blood pressure."
C) "Take your medication with food."
D) "The prescription may exacerbate your asthma."

Question 18

A client that is experiencing inflammation from an injury asks the nurse how long it will take to respond to treatment. Which is the best response by the nurse?

A) "With proper care, it will take about a month for symptoms to resolve."
B) "It will depend on your response to the prescriptions."
C) "It will take about a week and a half for the symptoms to resolve."
D) "The inflammatory process is too complex to predict a time frame for healing."

Question 19

The nurse has provided education about the action of histamines for a client. Which statement indicates an understanding of the information?

A) "Histamine is inhibited by nonsteroidal 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."

Question 20

Which outcome should the nurse include in the plan of care for the older client receiving nonsteroidal anti-inflammatory drug (NSAID) therapy?

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

Question 21

Which prescription may be a causative factor in a client's fever of unknown origin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Paroxetine (Paxil)
B) Chlorpromazine (Thorazine)
C) Penicillin G
D) Metformin (Glucophage)
E) Furosemide (Lasix)

Question 22

Which education should the nurse provide a client that has been prescribed a second 10-day course of a corticosteroid? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Make certain you do weight-bearing exercises at least three times each week."
B) "Weigh yourself every day."
C) "Let us know if you develop a fever."
D) "Monitor the color of your urine."
E) "If you feel jittery or anxious, discontinue the medication."

Question 23

Which describes the mechanism of action of corticosteroids on the inflammatory response? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Suppress the release of histamine
B) Inhibit certain functions of phagocytes
C) Inhibit the release of C-Reactive protein
D) Inhibit the biosynthesis of prostaglandins
E) Inhibit certain functions of lymphocytes

Question 24

A client with severe inflammation of the knee prescribed a corticosteroid asks why they need to return to the clinic for a 10-day follow-up. Which information should the nurse provide the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "Your prescribed treatment will be evaluated."
B) "The knee should be re-examined."
C) "Corticosteroids should only be taken for 1 to 3 weeks."
D) "Your prescription may be changed to an NSAID."
E) "You may require additional treatment for several more weeks with a corticosteroid."

Question 25

The nurse has provided education for a client prescribed a nonsteroidal anti-inflammatory. Which statement made by the client indicates an understanding of the information?

A) "I will make sure I increase my fluid intake."
B) "I may experience dark tarry stools."
C) "If I experience lightheadedness I will sit down immediately."
D) "I will cut back on my alcohol intake while taking this prescription."

Question 26

Which client statement made by the client indicates the treatment with an anti-inflammatory has been successful? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) "My fever went away yesterday."
B) "I've not been coughing up so much phlegm."
C) "The skin over my knee is only slightly red and hot to the touch."
D) "The pain in my shoulder is gone."
E) "My rash has not spread any further."

Question 27

A client tells the nurse they have been taking aspirin to treat muscle pain. Based on this statement, which findings in the client's history should the nurse be concerned about? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Myocardial infarction at age 61
B) Helicobacter pylori infection treatment last month
C) No influenza vaccine in last 2 years
D) Mild hypertension
E) History of migraine headaches

Question 28

Which information should the nurse include in the explanation of inflammation for a client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) When cells are damaged nearby vessels get bigger.
B) The vessels in the area allow fluids to escape.
C) Inflammation produces pus.
D) Inflammation causes bleeding and inability to clot.
E) Inflammation causes pain.

Question 29

Which symptom should the nurse instruct the client prescribed a salicylate to report immediately to the healthcare provider?

A) Edema
B) Drowsiness
C) Fatigue
D) Decreased urine output
E) Darkening of urine

Question 30

Which information in the health history should the nurse be concerned about for a client prescribed ibuprofen for a mild ankle sprain? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Hypertension
B) History of injury to the same ankle
C) Alcohol abuse
D) Allergy to aspirin
E) Recent history of a peptic ulcer