Deck 49: Anti-Inflammatory and Antigout Drugs

Question 1

A 55-year-old female patient is being administered ketorolac intramuscularly after having orthopedic surgery.What information should the nurse give this patient about this drug?

A)Laboratory work will be monitored weekly.
B)The medication is given slowly intramuscularly into a large muscle mass.
C)The medication is given subcutaneously, and the sites are rotated.
D)Therapeutic blood levels will occur within a month of therapy.

Answer 1

The medication is given slowly intramuscularly into a large muscle mass.

Question 2

An older adult patient tells the nurse that he uses acetylsalicylic acid for "anything that ails me." What are the most common signs of chronic salicylate intoxication in adults?

A)Photosensitivity and nervousness
B)Tinnitus and hearing loss
C)Acute gastrointestinal bleeding and anorexia
D)Hyperventilation and central nervous system (CNS) effects

Answer 2

Tinnitus and hearing loss

Question 3

Which types of effects are possible therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

A)Anxiolytic effects
B)Diuretic effects
C)Antipyretic effects
D)Antimicrobial effects

Answer 3

Antipyretic effects

Question 4

A 6-year-old patient has a fever of 39.5°C during a bout of chicken pox.His mother asks the nurse for advice to help reduce his fever.The nurse will likely suggest which medication?

A)acetylsalicylic acid (Aspirin)
B)ketorolac (Toradol)
C)indomethacin
D)ibuprofen (Motrin)

Question 5

A patient has used buffered acetylsalicylic acid (Aspirin)for several years as treatment for osteoarthritis.However,the patient's symptoms are worsening,and now something stronger is needed.The physician prescribes an NSAID and misoprostol.The patient asks the nurse why two pills now have to be taken for the arthritis.Which is the nurse's best response to the patient?

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

Question 6

A 75-year-old female patient has been given naproxen sodium (Aleve)for the treatment of rheumatoid arthritis.Which type of medication will have a possible interaction with this NSAID?

A)Antibiotics
B)Decongestants
C)Anticoagulants
D)Antihistamines

Question 7

Which are contraindications to the use of NSAIDs? (Select all that apply.)Express your answer in small letters followed by a comma and a space (e.g.,a,b,c,d)

A)Rhinitis
B)Arthralgia
C)Peptic ulcer disease
D)Breastfeeding
E)Neuropathy
F)Epistaxis
G)Pericarditis

Question 8

A patient is prescribed colchicine for the treatment of gout.What important information should the nurse give the patient about this drug?

A)Fluids should be restricted while on colchicine therapy.
B)Colchicine should be taken with meals.
C)The drug should be discontinued when symptoms are reduced.
D)Report to the health care provider the occurrence of increased pain, blood in the urine, or excessive fatigue.

Question 9

A patient is being treated with allopurinol (Zyloprim)for gout.Which therapeutic result should the nurse monitor for?

A)Decreased uric acid levels
B)Adequate prothrombin time
C)Increased white blood cell count
D)Increased hemoglobin and hematocrit levels

Question 10

Which natural health product is sometimes used to treat the pain of osteoarthritis?

A)St.John's wort
B)Ginger
C)Glucosamine
D)Dandelion root

Question 11

A patient who has a history of coronary artery disease has been instructed to take one 81-mg tablet of acetylsalicylic acid (Aspirin)each day.What is the purpose of this dose of acetylsalicylic acid?

A)To prevent fever
B)To reduce inflammation
C)To relieve pain
D)To prevent thrombus formation