Deck 45: Anti-Inflammatory, Anti-arthritic, and Related Drugs

Question 1

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

Answer 1

To prevent thrombus formation

Question 2

An older adult patient tells the nurse that he uses acetylsalicylic acid (ASA)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

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

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

Answer 3

Anticoagulants

Question 4

Which of the following conditions are contraindications to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)? Select all that apply.

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

Question 5

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 of the following?

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

Question 6

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

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

Question 7

A 55-year-old female patient is beginning gold sodium thiomalate (Myochrysine)therapy for treatment of severe arthritis.What information should the nurse tell this patient about her therapy?

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

Question 8

A patient is prescribed colchicine (Colchicine-Odam)for the treatment of gout.What important information should the nurse tell 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 physician the occurrence of increased pain,blood in the urine,or excessive fatigue.

Question 9

A patient is being treated with allopurinol (Alloprin)for gout.Which of the following therapeutic results 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

A patient has used buffered acetylsalicylic acid (Aspirin)for several years as treatment for osteoarthritis.However,her symptoms are worsening,and she now needs something stronger.The physician prescribes a nonsteroidal anti-inflammatory drug (NSAID)and misoprostol (Apo-Misoprostol).She asks the nurse why she is now taking two pills for arthritis.Which of the following statements 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 11

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

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