Deck 8: Anti-Inflammatory Drugs

Question 1

A patient is prescribed triamcinolone (Kenalog)ointment for an allergic skin rash.Which precaution is most important for the nurse to teach?

A) "Always wear gloves when applying this ointment."
B) "Do not use the ointment on an infected skin area."
C) "Keep the drug refrigerated between applications."
D) "Do not wash the ointment off until the area is healed."

Answer 1

"Do not use the ointment on an infected skin area."

Question 2

A patient who has been taking 30 mg of prednisone daily for the last 10 days reports crying more often and then suddenly getting angry at small issues.What is the nurse's best action?

A) Document the patient's response as the only action.
B) Hold the next dose and notify the prescriber immediately.
C) Reassure the patient that this is an expected drug response.
D) Suggest that the patient see a counselor or attend an anger management class.

Answer 2

Reassure the patient that this is an expected drug response.

Question 3

A nursing home resident has been prescribed to take 20 mg of prednisolone immediately.The facility does not have prednisolone,only prednisone.What is the nurse's best action?

A) Substitute prednisone for prednisolone because they are both corticosteroids.
B) Hold the dose until the pharmacy opens the next day.
C) Notify the prescriber immediately of this situation.
D) Administer the parenteral form of the drug.

Answer 3

Notify the prescriber immediately of this situation.

Question 4

A patient is prescribed ibuprofen (Advil)200 mg four times a day as needed for inflammation and pain related to arthritis.The patient is scheduled for oral surgery.What priority teaching does the nurse provide for this patient?

A) "The Advil will help relieve your pain after surgery."
B) "Report any bruising to your prescriber immediately."
C) "Ask about having the injectable form of this drug after surgery."
D) "Stop taking this drug at least 1 week before your scheduled surgery."

Question 5

A patient who has been prescribed long-term low-dose prednisone to control inflammation reports concern about the changes in her appearance caused by the drug.What is the nurse's best response?

A) "This often happens when a person takes this drug. You now have Cushing's disease."
B) "When you stop taking this drug, the changes will disappear, but it may take a while."
C) "You can make use of different styles of clothes to minimize changes in appearance."
D) "Changes in your diet and an exercise program will eliminate these changes while you are on this drug."

Question 6

A patient is prescribed 20 mg of ketorolac (Toradol)intramuscularly.How many milliliters does the nurse draw up from a vial of ketorolac containing 30 mg/mL?

A) 0.5
B) 0.7
C) 1
D) 2

Question 7

Why is inflammation considered a nonspecific body response?

A) Inflammation is the basis for almost every type of chronic disease.
B) Infection by bacteria or viruses is always a part of inflammation.
C) The same tissue responses occur regardless of the type of triggering event.
D) The discomfort associated with inflammation can be reduced by over-the-counter drugs.

Question 8

Which symptoms of inflammation are caused by leakage of blood plasma into the tissues at the site of injury or invasion?

A) Increased production and migration of leukocytes
B) Phagocytosis and fever
C) Warmth and redness
D) Swelling and pain

Question 9

The nurse is teaching a patient about the use of nonsteroidal anti-inflammatory drugs (NSAIDs).Which statement made by the patient indicates that more teaching is needed?

A) "I should avoid taking acetaminophen (Tylenol) any time I am also taking an over-the-counter NSAID."
B) "Because aspirin causes me to have asthma, I should never take another NSAID like ibuprofen (Advil)."
C) "I should try to avoid taking any NSAID, even over-the-counter NSAIDs, for more than a few days or a week."
D) "Because Celebrex (celecoxib) has so few side effects, I don't have to worry about how often I take it."

Question 10

Which statement about corticosteroid use and pediatric patients is true?

A) Adrenal atrophy does not occur during long-term use because this organ is younger and healthier in children.
B) Because these drugs slow cell division, they can interfere with normal growth and are not used in children.
C) Children are at the same risk for every side effect of long-term corticosteroid use that adults experience.
D) Drug doses are usually higher than for adults because children metabolize corticosteroids faster than adults.

Question 11

The nurse is providing care to an older adult patient who has been prescribed a topical corticosteroid.Which assessment is most important for the nurse to perform?

A) Skin assessment
B) Intake and output
C) Cognition or mental status
D) Urinary tract infection

Question 12

Why are aspirin and aspirin-containing drugs avoided for use in children?

A) Aspirin is associated with the development of Reye's syndrome.
B) Aspirin would drop a child's body temperature below normal.
C) Children are at higher risk for bleeding with aspirin use.
D) A child's liver is unable to metabolize aspirin.

Question 13

Why are corticosteroid drugs usually prescribed for a short period of time?

A) The inflammatory process cannot be controlled with less powerful drugs.
B) Inhalation of corticosteroid drugs causes irreversible damage to the lungs.
C) These drugs work less effectively when given over an extended period.
D) Corticosteroids have many adverse effects and side effects.

Question 14

A patient is prescribed an oral corticosteroid for a chronic inflammatory health problem.Which precaution is most important for the nurse to teach?

A) "Never stop taking this drug without consulting your prescriber."
B) "Avoid crowds and people who are ill."
C) "Be sure to take this drug with food."
D) "Reduce your salt intake."

Question 15

The nurse asks a patient about an allergy to "sulfa" drugs before administering which nonsteroidal anti-inflammatory drug (NSAID)?

A) aspirin (Bufferin)
B) ketorolac (Toradol)
C) celecoxib (Celebrex)
D) oxaprozin (Daypro)

Question 16

Which statement about stage I of the inflammatory process is true?

A) Vascular changes occur, including dilation of blood vessels and capillary leak.
B) White blood cells (WBCs) secrete chemicals that trigger resolution of pain and swelling.
C) The body prepares to replace scar tissue with healthy tissue to maintain function.
D) An exudate called pus is formed and white blood cell levels are four to five times above normal.

Question 17

When is an inflammatory response a health problem rather than a helpful protection?

A) When a patient's immune system is suppressed
B) When infection accompanies inflammation
C) When inflammation is prolonged
D) When pain is experienced

Question 18

An older adult is prescribed naproxen (Naprosyn)250 mg orally twice daily for management of arthritis pain.Which precaution is most important for the nurse to teach?

A) "Weigh yourself daily every morning, and if you gain more than 3 to 4 pounds in a week, report it to your prescriber."
B) "Avoid taking blood pressure medicine at the same time as this drug because Naprosyn inactivates these drugs."
C) "Go to the emergency department for an injection of Naprosyn if you are vomiting and cannot keep the drug down."
D) "Drink a full glass of water every time you take a dose of Naprosyn."

Question 19

A patient taking a nonsteroidal anti-inflammatory drug (NSAID)tells the nurse that the drug causes an upset stomach.What is the nurse's best response?

A) "Always take this drug with food or with milk."
B) "Stop taking the drug and notify your prescriber."
C) "Try chewing the drug instead of swallowing it whole."
D) "Take the drug on an empty stomach to avoid vomiting."

Question 20

A patient is prescribed topical hydrocortisone 0.1% for skin inflammation.What does the nurse teach the patient for applying this drug?

A) "Use a thick layer of drug just to the area that needs treatment."
B) "Apply a thin layer to the affected area and to the skin near the area."
C) "Apply a thick layer over and 1 inch around the affected area."
D) "Use as thin a layer as possible just to the area that needs treatment."

Question 21

Which main signs and symptoms does the nurse teach a patient to recognize as inflammation?

A) Warmth
B) Redness
C) Headache
D) Swelling
E) Pain
F) Bleeding
G) Decreased function

Question 22

Which conditions are examples of an inflammatory response to injury,but without infection?

A) Appendicitis
B) Bacterial pneumonia
C) Dermatitis
D) Myocardial infarction
E) Otitis media
F) Osteoarthritis
G) Sprained ankle
H) Tonsillitis

Question 23

A patient has all of the following health problems and seasonal allergies.Which one must the nurse warn the patient can be made worse by over-the-counter antihistamines?

A) Asthma
B) Breast cancer
C) Rheumatoid arthritis
D) High blood pressure

Question 24

Which factors determine the size and severity of the inflammatory response?

A) Intensity of the injury
B) Type of tissue injured
C) Severity of the invasion
D) Gender of the patient
E) Extent of injury
F) Duration of the invasion

Question 25

A patient who has been prescribed diphenhydramine (Benadryl)reports a dry mouth and feeling sleepy.What is the nurse best action?

A) Document the finding and notify the prescriber.
B) Remind the patient that naps provide needed rest.
C) Suggest sucking on hard candy to relieve dry mouth.
D) Reassure the patient that these are expected side effects.

Question 26

A 78-year-old man has been taking diphenhydramine (Benadryl)for seasonal allergies.Which new symptom would the nurse report to the prescriber?

A) Decreased urination
B) Drowsiness
C) Dry mouth
D) Cough

Question 27

A patient who has been taking montelukast (Singulair)for 3 months reports having urine the color of coffee.What is the nurse's best response?

A) "You need to increase your intake of water and decrease your intake of coffee."
B) "You need to stop taking this drug and notify your prescriber today."
C) "Don't worry. All patients taking this drug have dark urine."
D) "Do not take this drug any more often than prescribed."

Question 28

A patient with an inflammatory response is prescribed ranitidine (Zantac)75 mg once a day.What is the nurse's best action?

A) Give the drug as ordered.
B) Hold the drug and notify the prescriber.
C) Teach the patient to take the drug first thing in the morning.
D) Ask the patient if he or she is allergic to any drugs or other substances.

Question 29

A patient prescribed zileutin (Zyflo)has yellowing of the sclera.Which laboratory test result is most important for the nurse to check?

A) Kidney function tests
B) Complete blood count
C) Liver function tests
D) Serum electrolytes