Question 1

A client is taking aspirin (ASA) for arthritis. The nurse will advise the client to take the medication

Accepted Answer

Aspirin can cause stomach irritation, so it is recommended to take it with food or a glass of milk to help protect the stomach lining.

Question 2

The client experienced a sports-related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess?

Accepted Answer

Swelling, pain, and warmth are classic signs of inflammation. Pallor and pitting edema are not typically associated with the inflammatory response.

Question 3

The nurse is managing care for clients who will receive ibuprofen (Advil) for long-term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?

Accepted Answer

B,C,D

Question 4

Histamine release produces which response?

Accepted Answer

Histamine release typically causes vasodilation, which is the widening of blood vessels.

Question 5

A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse?

Accepted Answer

Infant drops should be used for the baby; they are different from liquid medicine.

Question 6

The nurse plans to teach a class on acetaminophen (Tylenol) to mothers with young children. What will the best plan by the nurse include?

Accepted Answer

Acetaminophen is present in many OTC medications, and it's important to read labels to avoid overdose.

Question 7

The nurse teaches a group of clients with arthritis about the use of ibuprofen (Motrin), emphasizing the maximum daily amount. The nurse evaluates that education has been most effective when the clients make which statement?

Accepted Answer

The maximum recommended daily dose of ibuprofen for adults is 3200 mg.

Question 8

Which finding is a common adverse effect of anti-inflammatory drugs, such as ibuprofen?

Accepted Answer

Heartburn is a common adverse effect of anti-inflammatory drugs like ibuprofen due to their potential to irritate the stomach lining.

Question 9

Acetaminophen reduces fever by

Accepted Answer

Acetaminophen reduces fever by directly acting on the hypothalamus, which is the part of the brain that regulates body temperature.

Question 10

The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?

Accepted Answer

Prednisone can have serious adverse effects, especially with long-term use, so it should not be continued indefinitely without medical supervision.

Question 11

The nurse plans care for an older adult receiving nonsteroidal anti-inflammatory drug (NSAID) therapy. What is the best outcome for this client as it relates to side effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

Accepted Answer

NSAIDs can cause gastrointestinal bleeding and bruising, so it is important for the client to report any signs of bleeding or bruising.

Question 12

After the client begins taking glucocorticoid medications, the nurse would observe for adverse effects of

Accepted Answer

Glucocorticoids can cause thinning of the skin and increased fragility of blood vessels, leading to easy bruising.

Question 13

The client has experienced a sports-related injury. He asks the nurse how long it will take for him to respond to treatment. What is the best response by the nurse?

Accepted Answer

The answer of The client has experienced a sports-related injury....

Question 14

The nurse teaches clients with rheumatoid arthritis about the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs). The nurse evaluates that education has been effective when the clients make which statement?

Accepted Answer

NSAIDs can cause side effects such as gastrointestinal bleeding and kidney issues, which may require blood tests for monitoring.

Question 15

The physician orders acetaminophen (Tylenol) four time a day for a client with arthritis. The nurse would plan to validate which other order with the physician?

Accepted Answer

Acetaminophen can increase the risk of bleeding when taken with warfarin, so the nurse should validate the warfarin order with the physician.

Question 16

The nurse in the emergency department frequently sees clients who have overdosed on acetaminophen (Tylenol). Which client is at highest risk for developing hemolysis?

Accepted Answer

African American clients are at higher risk for hemolysis due to a higher prevalence of glucose-6-phosphate dehydrogenase (G6PD) deficiency, which can lead to hemolytic anemia when exposed to certain drugs, including acetaminophen.

Question 17

The client has been taking hydrocortisone (Cortef) for a month and abruptly stops it. What will the best assessment by the nurse include?

Accepted Answer

Abruptly stopping hydrocortisone, a corticosteroid, can lead to adrenal insufficiency, which often presents with symptoms like fatigue and anorexia.

Question 18

The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?

Accepted Answer

The answer of The client receives a nonsteroidal anti-inflammatory drug...

Question 19

Which finding is a sign or symptom of inflammation?

Accepted Answer

Redness is a classic sign of inflammation, often due to increased blood flow to the affected area.

Question 20

The nurse conducts group education for clients with seasonal allergies and teaches about the role of histamine. The nurse evaluates that the education has been effective when the clients make which statement?

Accepted Answer

Histamine causes vasodilation in the nasal passages, leading to congestion and stuffiness, which is a common symptom of seasonal allergies.

Quiz 33: Drugs for Inflammation and Fever