Deck 44: Antiinflammatory and Antigout Drugs

Question 1

A 6-year-old child who has chickenpox also has a fever of 102.9° F ( 39.4° 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?

A) "It's best to wait to see if the fever gets worse."
B) "You can use the aspirin, but watch for worsening symptoms."
C) "Acetaminophen ( Tylenol ) should be used to reduce his fever, not aspirin."
D) "You can use aspirin, but be sure to follow the instructions on the bottle."

Answer 1

"Acetaminophen ( Tylenol ) should be used to reduce his fever, not aspirin."

Question 2

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 antiinflammatory drug ( NSAID ) 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."

Answer 2

"Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

Question 3

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

Answer 3

Type 2 diabetes mellitus

Question 4

A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?

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

Question 5

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?

A) "Fluids should be restricted while on colchicine therapy."
B) "Take colchicine with meals."
C) "The drug will be discontinued when symptoms are reduced."
D) "Call your doctor if you have increased pain or blood in the urine."

Question 6

The nurse is reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effect?

A) Anxiolytic
B) Sedative
C) Antipyretic
D) Antimicrobial

Question 7

A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?

A) Tachycardia
B) Nervousness
C) Nausea and vomiting
D) Dizziness

Question 8

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?

A) Rheumatoid arthritis
B) Gout
C) Osteoarthritis
D) Systemic lupus erythematosus

Question 9

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

Question 10

A 75-year-old woman has been given a nonsteroidal antiinflammatory drug ( 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? (Select all that apply.)

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

Question 11

A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to

A) reduce anxiety.
B) reduce inflammation.
C) relieve pain.
D) prevent thrombus formation.

Question 12

The nurse is reviewing the history of a patient who has a new order for a nonsteroidal antiinflammatory drug ( NSAID ) to treat tendonitis. Which conditions are contraindications to the use of NSAIDs? (Select all that apply.)

A) Rhinitis
B) Arthralgia
C) Peptic ulcer disease
D) Neuropathy
E) Pericarditis

Question 13

An elderly patient tells the nurse that he uses aspirin for "anything that hurts." The nurse will assess for which 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

Question 14

Naproxen (Naprosyn) 250 mg PO every 6 hours is ordered. The drug is available as an oral suspension that contains 125 mg/5 mL. How many milliliters will the nurse administer for one dose of this medication?

Question 15

During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal antiinflammatory drugs (NSAIDs)?

A) Renal disease
B) Diabetes mellitus
C) Headaches
D) Rheumatoid arthritis