Pharm 2 exam 1

Which of the following do all bacteria have in common?

A. They are all the same shape

B. They all require a cell wall

C. They all need oxygen to reproduce

D. They are all Gram negative

B

What does spectrum mean?

A. Bacteria can no longer be eradicated by a specific antibiotic.

B. The range of antibiotic activity.

C. A laboratory test that determines which antibiotics will successfully treat a specific infection.

D. An agent which inhibits the growth of bacteria.

E. An agent which kills bacteria.

B

What does bacteriostatic mean?

A. Bacteria can no longer be eradicated by a specific antibiotic.

B. The range of antibiotic activity.

C. A laboratory test that determines which antibiotics will successfully treat a specific infection.

D. An agent which inhibits the growth of bacteria.

E. An agent which kills bacteria.

D

What does bactericidal mean?

A. Bacteria can no longer be eradicated by a specific antibiotic.

B. The range of antibiotic activity.

C. A laboratory test that determines which antibiotics will successfully treat a specific infection.

D. An agent which inhibits the growth of bacteria.

E. An agent which kills bacteria.

E

What does sensitivity mean?

A. Bacteria can no longer be eradicated by a specific antibiotic.

B. The range of antibiotic activity.

C. A laboratory test that determines which antibiotics will successfully treat a specific infection.

D. An agent which inhibits the growth of bacteria.

E. An agent which kills bacteria.

C

What does resistance mean?

A. Bacteria can no longer be eradicated by a specific antibiotic.

B. The range of antibiotic activity.

C. A laboratory test that determines which antibiotics will successfully treat a specific infection.

D. An agent which inhibits the growth of bacteria.

E. An agent which kills bacteria.

A

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A

Which organism is causing this infection?

A. Staph aureus

B. Strep pneumoniae

C. Herpes simplex

D. Clostridium botulinum

A

What is this called?

A. Cellulitis

B. Impetigo

C. Positive TB test

D. Bullseye lesion

B

What is this called?

A. Cellulitis

B. Impetigo

C. Positive TB test

D. Bullseye lesion

D

\
What is this called?

A. A Bull’s eye lesion

B. A laceration

C. A positive tuberculin skin test

D. A birthmark

C

\
What is this called?

A. Cellulitis

B. Impetigo

C. Positive TB test

D. Bullseye lesion

A

What is this diagnostic of?

A. Cellulitis

B. Impetigo

C. TB

D. Lyme

D

What is this?

A. Shingles

B. Small pox

C. Herpes

D. Impetigo

B

What is this?

A. Shingles

B. Small pox

C. Herpes

D. Jaundice

C

What is this? ATA

A. Herpes zoster

B. Shingles

C. An infection due to varicella virus

D. A severe sunburn

E. Poison ivy

a, b, c

What is this?

A. Shingles

B. Small pox

C. Herpes

D. Jaundice

D

What are these photos of?

A. Shingles

B. Small pox

C. Herpes

D. HIV

D

What are A-C photos of?

A. Cellulitis

B. Kaposi sarcoma

C. Positive TB test

D. Bullseye lesion

B

What is this?

A. Shingles

B. Small pox

C. Herpes

D. Candida

D

What organism is responsible for the infection seen in the image?

A. Candida

B. Staph

C. Tinea

D. Herpes simplex

A

Which of the following applies to COVID-19? Select all that apply.

A. Communicability

B. Toxigenicity

C. Virulence

D. Pathogenicity

a, c, d

What type of organism is candida?

A. Bacteria

B. Virus

C. Parasite

D. Fungi

D

What type of organism is herpes?

A. Bacteria

B. Virus

C. Parasite

D. Fungi

B

What type of organism is strep

A. Bacteria

B. Virus

C. Parasite

D. Fungi

A

What type of organism is trichomonas?

A. Bacteria

B. Virus

C. Parasite

D. Fungi

C

On which of the following would it be appropriate to use a disinfectant? Select all that apply.

A. Surgical wounds

B. Exam Tables

C. Intact skin

D. Surgical Instruments

E. Counter tops

b, d, e

On which of the following would it be appropriate to use a antiseptic? Select all that apply.

A. Surgical wounds

B. Exam Tables

C. Intact skin

D. Surgical Instruments

E. Counter tops

a, c

A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. The nurse should recognize that which of the following drugs can be safely administered to this client?
A: Nafcillin
B: Azithromycin
C: Cphalexin
D: Amoxicillin/clavulanic acid

B: Azithromycin

A nurse is administering cefetetan IV to a client to treat an intra-abdominal infection. The nurse notes that the IV insertion site is warm, edematous, and painful to the touch. Which of the following actions should the nurse take?
A: Decrease the rate of the cefotetan infusion
B: Administer diphenhydramine to the client
C: Request a prescription for another antibiotic
D: Stop the cefotetan infusion

D: Stop the cefotetan infusion

A nurse is caring for a client who has a new prescription for aztreonam to treat respiratory tract infection. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider?
A: Glaucoma
B: Closed-head injury
C: Heart failure
D: Renal impairment

D: Renal impairment

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat tuberculosis. Which of the following instructions should the nurse include?
A: Increase the rifampin dose
B: Increase the oral contraceptive dose
C: Allow 2 hr between taking the two drugs
D: Use a non-hormonal form of contraception

D: Use a non-hormonal form of contraception

A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? ATA

A: Nitrofurantoin

B: Amoxicillin

C: Aztreonam

D: Cefotetan

E: Metronidazole

D: Cefotetan
E: Metronidazole

A nurse is caring for a client who is about to begin recieving acyclovir IV to treat a viral infection. The nurse should recognize that cautious use of the drug is essential if the client also has which of the following conditions.
A: Heart failure
B: Dehydration
C: Asthma
D: Tinnitus

B: Dehydration

explanation: can cause renal toxicity

A nurse in a provider's office recieves a call from a client who was recently hospitalized and treated with impenem IV for a bacterial infection and reports an inability to eat due to mouth pain. The nurse should identify that the client might be experiencing which of the following as an adverse effect of this drug?
A: Malabsorption
B: Superinfection
C: Anorexia
D: Dental caries

B: Superinfection

A nurse is reviewing a client's prescriptions prior to administering gentamicin to the client to treat a systemic infection. The nurse should clarify the use of gentamicin with the provider if the client is taking which of the following drugs?
A: Ethacrynic acid
B: Diphenhydramine
C: Acetaminophen
D: Levothyroxine

A: Ethacrynic acid

explanation: ethacrynic acide is also ototoxic

When administering oral erythromycin to a client who has acute diphtheria, a nurse should monitor for which of the following adverse effects?
A: Hypothermia
B: Blurred vision
C: Constipation
D: Cardiac dysrhythmias

D: Cardiac dysrhythmias

A nurse is caring for a client who is taking warfarin and has a new prescription for trimethoprim/sulfamethoxazole to treat a urinary tract infection. The nurse should clarify the prescriptions with the provider because taking these two drugs concurrently can increase the client's risk for which of the following?
A: Bleeding
B: Thrombosis
C: ECG changes
D: Ototoxicity

A: Bleeding

A nurse is caring for a client whose sputum culture results indicate methicillin-resistant Staphyococcus aureus (MRSA). The nurse should recognize that which of the following medications will likely be administered to this client?
A: Trimethoprim/sulfamethoxazole
B: Tetracycline
C: Cephalexin
D: Vancomycin

D: Vancomycin

explanation: vancomycin is used in those allergic to penicillin and for resistant bacteria

A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse should instruct the client to report which of the following adverse effects of the drug? ATA

A: Jaundice

B: Numbness of the hands

C: Dizziness

D: Hearing loss

E: Oral ulcers

A: Jaundice
B: Numbness of the hands
C: Dizziness

A nurse is caring for a client who has a prescription for rifampin to treat tuberculosis. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin?
A: Gentamicin
B: Vancomycin
C: Isoniazid
D: Metronidazole

C: Isoniazid

A nurse is caring for a client who is about to beging taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions?
A: Seizure disorder
B: Hearing loss
C: Asthma
D: Anemia

A: Seizure disorder

explanation: serious adverse effects include seizures, peripheral neuropathy, and bone marrow suppression

A nurse is caring for a client who is about to begin gentamicin therapy to treat an infection. The nurse should monitor the client for an alteration in which of the following?
A: Bowel function
B: Peripheral pulses
C: Urine output
D: Level of consciousness

C: Urine output

explanation: nephrotoxic

A nurse is caring for a client who is about to begin taking nitrofurantoin to treat a urinary tract infection. The nurse should tell the client to report which of the following adverse effects of the drug?
A: Constipation
B: Dark brown urine
C: Cough
D: Tremors

C: Cough

explanation: respiratory symptoms may indicate acute or subacute allergic reaction

A nurse in a provider's office recieves a call from a client who is taking tetracycline orally to treat a chlamydia infection and reports severe blood-tinged diarrhea. The nurse should suspect the client is experiencing which of the following?
A: Hemorrhoids
B: Clostridium difficile-associated diarrhea
C: Diverticular disease
D: Small bowel obstruction

B: Clostridium difficile-associated diarrhea

explanation: bloody diarrhea ,ay be caused by an overgrowth of clostridium difficile

A nurse in a provider's office recieves a call from a client who is taking ciprofloxacin to treat a respiratory tract infection and rports dyspepsia. Which of the following instructions should the nurse give the client?
A: Take an antacid at least 2 hr after taking the drug
B: Take the drug with a cup of coffee
C: Take an iron supplement with the drug
D: Take the drug with 240 mL (8 oz) of milk

A: Take an antacid at least 2 hr after taking the drug

A nurse is preparing to administer amphotericin B IV to a client who has a systemic fungal infection. Which of the following drugs should the nurse prepare to administer prior to the infusion to prevent or minimize adverse reactions? ATA

A: Aspirin

B: Hydrocortisone

C: Acetaminophen

D: Diphenhydramine

E: Ibuprofen

C: Acetaminophen
D: Diphenhydramine

A nurse is caring for a client who is taking ciprofloxacin to treat a urinary tract infection. The client also takes prednisolone to treat rheumatoid arthritis. Recognizing the adverse effects of ciprofloxacin, the nurse should instruct the client to report which of the following adverse effects?
A: Tachycardia
B: Hair loss
C: Insomnia
D: Tendon pain

D: Tendon pain

A nurse in a provider's office recieves a call from a client who has been taking penicillin V three times daily and reports abdominal cramping with bloody diarrhea for several days. Which of the followign instructions should the nurse give the client?
A: "Bring in a stool sample for testing"
B: "Take the drug only twice daily"
C: "Use an over-the-counter anti-dairrheal medication"
D: "Return to the clinic for blood work"

A: "Bring in a stool sample for testing"

A nurse in a provier's office recieves a call from a client who is taking amoxicillin to treat a respiratory infection and reports a rash and wheezing. Which of the following instructions should the nurse give the client?
A: Wait 1 hr and contact the provider if there is no improvement
B: Skip today's dse of amoxicillin and resume taking the drug tomorrow
C: Call emergency services immediaely
D: Take an NSAID to reduce skin and airway inflammation

C: Call emergency services immediaely

A nurse is caring for a client who is about to being taking itraconazole to treat a fungal infection. The nurse should instruct the client to report which of the following adverse effects of the drug?
A: Tingling in the hands and feed
B: Joint pain
C: Swelling of hands and feet
D: Excessive sweating

C: Swelling of hands and feet

A nurse is caring for a client who has a new diagnosis of bacterial meningitis. The nurse should expect the provider to prescribe a drug from which of the following classifications of antibiotics?
A: First generation cephalosporins
B: Third generation cephalosporins
C: Monobactams
D: Macrolides

B: Third generation cephalosporins

A nurse is caring for a client who has a new prescription for acyclovir to treat a herpes simplex infection. Which of the following laboratory values should the nurse monitor for this client?
A: Prothrombin time
B: Hct
C: BUN
D: Aspartate aminotransferase

C: BUN

explanation: can cause renal toxicity

The nurse is caring for a client who is receiving vincristine to treat lung cancer. The nurse should monitor the client and recognize which of the following manifestations as an indication that the client is experiencing an adverse effect of the drug.

a. weak hand grasps
b. constricted pupils
c. bradycardia
d. crackles

Weak hand grasps

explanation: Vincristine interferes with the normal functioning of the microtubules within nerve cells, which play a key role in the proper functioning of the nervous system; dose dependent

A nurse is preparing to administer paclitaxel IV to a client who has ovarian cancer. Which of the following actions should the nurse take? Select all that apply.

a. give the client an antihistamine
b. infuse the drug over 1 hr
c. administer the drug through non PVC tubing
d. use an in-line filter
e. add heparin to the paclitaxel solution

a. Give the client an antihistamine
c. administer the drug through non-PVC
d. use an in-line filter

A nurse is teaching a guardian of a child about the recommended age range to receive the human papillomavirus (HPV) vaccine. Which of the following age ranges should the nurse include?

a. 11 to 12 years old
b. 7-9 y.o.
c. 13-15 y.o
d. 15-17 y.o

a. 11 to 12 y.o.

A nurse is caring for a client who has a new prescription for intrathecal cytarabine therapy to treat meningeal leukemia. The nurse should inform the client that they will also receive which of the following drugs to reduce the risk of neurotoxicity.

a. diphenhydramine
b. leucovorin
c. folic acid
d. dexamethasone

d. dexamethasone

explanation: dexamethasone decreases inflammation of the arachnoid

A nurse is caring for a client who has a new prescription for cisplatin to treat testicular cancer. The nurse should instruct the client to report which of the following adverse effect? Select all that apply.

a. paresthesia
b. sore throat
c. flank pain
d. tinnitus
e. conjunctivitis

a. paresthesia
b. sore throat
c. flank pain
d. tinnitus

explanation: cisplatin is nephrotoxic (flank pain), ototoxic (tinnitus), can cause peripheral neuropathy (paresthesia), and can cause bone marrow depletion (sore throat)

A nurse is caring for a client who has a new prescription for topotecan therapy to treat resistant, small-cell lung cancer. The nurse should advise the client against taking which of the following types of over-the-counter drugs while receiving the therapy?

a. folic acid
b. st johns wort
c. ibuprofen
d. aluminum hydroxide

c. ibuprofen

explanation: NSAIDs increase bleeding risk

A nurse is teaching a client about maraviroc. Which of the following instructions should the nurse include?

a. "it is important to report any noticeable rash immediately as it might indicate an issue with your liver."

b. "Make sure you take this medication without any other medications first thing in the morning"

c. "You might experience flu-like symptoms for which you can take any otc medication."

d. "the side effects of this medication are minimal, so you can continue to work and drive as normal."

a. It is important to report an noticeable rash immediately as it might indicate an issue with your liver

explanation: damaged liver cells release large amounts of histamine into the bloodstream, leading to widespread itching and an itchy rash

A nurse should recognize that enfuvirtide can be prescribe to clients who have which of the following conditions?

a. advanced prostate cancer
b. primary brain tumors
c. advanced HIV
d. metastatic ovarian cancer

c. Advanced HIV

A nurse is teaching a client who has a new diagnosis of breast cancer about the drug tamoxifen. The nurse should tell the client that which of the following conditions is a contraindication for taking tamoxifen?

a. deep vein thrombosis
b. COPD
c. Diabetes mellitus
d. alcohol use disorder

a. deep vein thrombosis

explanation: tamoxifen can affect the balance of proteins in the blood that regulate blood clotting

tamoxifen may also contribute to the development of thromboembolism by causing changes in blood flow. For example, tamoxifen can cause changes in blood vessel wall tone, making it more difficult for blood to flow normally and increasing the risk of clots forming

A nurse should recognize that maraviroc is used in the treatment of which of the following conditions?

a. diabetes mellitus
b. meningeal infection
c. pancreatitis
d. Chemokine receptor 5 (CCR5)-tropic HIV-1

d. Chemokine receptor 5 (CCR5)-tropic HIV-1

A nurse is preparing to administer enfuvirtide to a client. Which of the following actions should the nurse plan to perform? Select all that apply

a. Administer the drug subcutaneously
b. Discard the unused portion.
c. Roll the vial gently to reconstitute the solution.
d. Inject the solution at room temperature.
e. Expect a cloudy solution.

a. Administer the drug subcutaneously
c. roll the vial gently
d. inject at room temp

A nurse is caring for a client who has a new prescription for delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug?

a. Rash
b. Insomnia
c. Rhinitis
d. Alopecia

a. rash

explanation: rash may develop into SJS

A nurse is caring for a client who has a new prescription for maraviroc therapy. The nurse should instruct the client to report which of the following adverse effects. Select all that apply.

a. Paresthesia
b. Cough
c. Tinnitus
d. Jaundice
e. Fever

a. paresthesia
b. cough
d. jaundice
e. fever

A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a child. The nurse should recognize that the MMR vaccine provides which of the following types of immunity?

a. Artificial active immunity
b. Active
c. Passive
d. Artificial passive immunity

a. Artificial Active Immunity

A nurse is considering drug therapy options for a client who has metastatic breast cancer that is positive for human epidermal growth factor 2 receptor (HER2). Which of the following drugs should the nurse expect the provider to prescribe.

a. Trastuzumab
b. Imatinib
c. Leuprolide
d. Flutamide

a. trastuzumab

explanation: only effective in HER2 cancer

A nurse should recognize that raltegravir is used to treat clients who have which of the following conditions?

a. Hairy cell leukemia
b. Thyroid cancer
c. Kaposi's sarcoma
d. Resistant HIV

d. resistant HIV

A nurse is teaching a client who has a new prescription for imatinib to treat chronic myeloid leukemia. Which of the following instruction should the nurse include? Select all that apply

a. Clean fruits and vegetables thoroughly.
b. Increase calcium intake.
c. Weigh yourself daily.
d. Perform hand hygiene frequently.
e. Avoid grapefruit and grapefruit juice

a. Clean fruits and vegetables thoroughly.
c. Weigh yourself daily.
d. Perform hand hygiene frequently.
e. Avoid grapefruit and grapefruit juice

A nurse is instructing a client how to self administer enfuvirtide. Which of the following instructions should the nurse include?

a. "Allow the vial to sit until the solution is completely clear and without particulates."
b. "After reconstituting with sterile water, vigorously shake the vial to mix the solution."
c. "Use the medication immediately upon removing from the refrigerator."
d. "Use the same location for five injections before rotating to a new site."

a. "Allow the vial to sit until the solution is completely clear and without particulates."

A nurse is teaching a client who has a new prescription for mercaptopurine to treat leukemia. Which of the following instructions should the nurse include? Select all that apply.

a. Use contraception if pregnancy is a risk.
b. Perform oral hygiene frequently.
c. Avoid activities that require mental alertness.
d. Perform hand hygiene frequently.
e. Avoid activities that can cause injury.

a. Use contraception if pregnancy is a risk.
b. Perform oral hygiene frequently.
d. Perform hand hygiene frequently.
e. Avoid activities that can cause injury.

explanation: pregnancy category D

minimize stomatitis

medication cause neutropenia

medication can cause thrombocytopenia

A nurse is teaching the guardian of a 4-month old infant about recommended immunizations for the infant. Which of the following immunizations should the nurse include?

a. Haemophilus influenzae type B vaccine (Hib)
b. Varicella vaccine
c. Meningococcal conjugate vaccine (MCV4)
d. Tetanus-diphtheria-acelluar pertussis vaccine (Tdap)

a. Haemophilus influenzae type B vaccine (Hib)

explanation: prevents a certain type of meningitis in infants and children

A nurse is teaching a client about recommended immunizations. Which of the following immunizations should the nurse recommend the client receive starting at 50 years of age?

a. Herpes zoster vaccine
b. Human papillomavirus vaccine (HPV)
c. Pneumococcal vaccine
d. Haemophilus influenzae type B vaccine (Hib)

a. Herpes zoster vaccine

A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons?

a. To prevent an infusion reaction
b. To increase platelet production
c. To protect healthy cells from the toxic effects of ritonavir
d. To prevent drug resistance

d. To prevent drug resistance

A nurse is teaching a client about immunizations. Which of the following information should the nurse include in the teaching?

a. "You should receive a tetanus booster every 10 years."
b. "You should not receive the influenza immunization if you have a common cold."
c. "You do not have to receive the shingles vaccine if you have received two doses of the varicella virus vaccine."
d. "As long as you don't have risk factors, you will start receiving the pneumococcal vaccine when you are 50 years old."

a. "You should receive a tetanus booster every 10 years."

A nurse is assessing a client following a trastuzumab infusion to treat metastatic breast cancer. Which of the following findings should the nurse recognize as an indication that the client is experiencing an adverse reaction to the drug? Select all that apply

a. Wheezing

b. Dysrhythmias

c. Hypotension

d. Fever

e. Ascites (edema)

a. wheezing
b. dysrhythmias
c. hypotension
d. fever

A nurse is caring for a client who is prescribed zidovudine. Which of the following lab values should the nurse report to the provider?

a. Hemoglobin 7.1 g/dL
b. RBC count 5.2/mm3
c. Neutrophil 57%
d. Triglycerides 125 mg/dL

a. Hemoglobin 7.1 g/dL

Which of the following disorders involve the inflammatory response? Select all that apply.

A. Appendicitis

B. Sprained ankle

C. COVID-19 infection

D. Rheumatoid arthritis

E. Gout

a, b, c, d, e

Which of the following signs and symptoms are characteristic of inflammation? Select all that apply.

A. Swelling

B. Shortness of breath

C. Nausea and vomiting

D. Redness

E. Itching

a, d, e

Which of the following is the best initial treatment for acute, localized inflammation?

A. Ice

B. Heat

C. Ibuprofen

D. Acetaminophen

A

Which of the following was thought to be an advantage of COX-2 inhibitors versus aspirin or NSAIDs?

A. Cost

B. Less risk of upper GI bleeding

C. More potent anti-inflammatory effects

D. Safety

B

Which of the following is not associated with corticosteroid use?

A. Hypertension

B. Diabetes

C. Growth delay in children

D. Cataract formation

E. Asthma

e

Which of the following are benefits of treatment with acetaminophen? Select all that apply.

A. Cost

B. Anti-inflammatory properties

C. Liver toxicity

D. Safety

E. No risk of upper GI bleeding

a, d, e

Which of these infections would stimulate memory B lymphocytes to provide lifelong immunity?
A. The common cold
B. Influenza
C. Chickenpox
D. COVID-19

C

What category would COVID-19 vaccines fall into?
A. Attenuated
B. Inactivated
C. Toxoid
D. Recombinant

D

Which of the following best describes the roles of T and B lymphocytes?

A. Cytotoxic and helper T cells along with B lymphocytes directly kill bacteria

B. Cytotoxic and helper T cells along with B lymphocytes are all involved in antibody production

C. Cytotoxic and helper T cells provide cell-mediated immunity while B lymphocytes provide humoral immune responses.

D. Cytotoxic and helper T cells provide humoral immune responses while B lymphocytes provide cell-mediated immunity.

C

Why are flulike symptoms likely side effects of immunostimulant therapy?
A. Stimulation of innate immune responses
B. Stimulation of memory B lymphocytes
C. Stimulation of T lymphocytes
D. Antibody production

C

Which statement should the nurse include in the education for a client prescribed a nonsteroidal​ anti-inflammatory drug​ (NSAID)?
A.
​"Dizziness may occur do a decrease in blood​ pressure."
B.
​"Take your medication with​ food."
C.
​"Constipation is​ common; include roughage in your​ diet."
D.
​"The prescription may exacerbate your​ asthma."

B.
​"Take your medication with​ food."

A client asks the nurse if they can use liquid acetaminophen​ (Tylenol) that is used for an older child for their​ 4-month-old baby with a fever. Which response should the nurse​ provide?
A.
​"You can use the same prescription for both​ children."
B.
​"You can use the same​ medication, just use half the recommended​ dosage."
C.
​"Infants should not be given acetaminophen​ (Tylenol) because it damages the​ liver."
D.
​"Infant drops should be used because they are different from liquid​ medicine."

D.
​"Infant drops should be used because they are different from liquid​ medicine."

Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen​ (Advil) for​ long-term therapy?
Select all that apply.
A.
Electrolytes
B.
Hemoglobin and hematocrit
C.
Bleeding times
D.
Liver function tests
E.
Serum amylase

B.
Hemoglobin and hematocrit
C.
Bleeding times
D.
Liver function tests
E.

Which signs of inflammation should the nurse anticipate for a client that has experienced a​ sports-related injury to their​ leg?
Select all that apply.
A.
Swelling
B.
Pain
C.
Warmth
D.
Pallor
E.
Pitting edema

A.
Swelling
B.
Pain
C.
Warmth

A client that is experiencing inflammation from an injury asks the nurse how long it will take to respond to treatment. Which is the best response by the​ nurse?
A.
​"It will depend on your response to the​ prescriptions."
B.
​"The inflammatory process is too complex to predict a time frame for​ healing."
C.
​"With proper​ care, it will take about a month for symptoms to​ resolve."
D.
​"It will take about a week and a half for the symptoms to​ resolve."

D.
​"It will take about a week and a half for the symptoms to​ resolve."

The nurse has provided education about the action of histamines for a client. Which statement indicates an understanding of the​ information?
A.
​"Histamine is inhibited by nonsteroidal​ anti-inflammatory drugs​ (NSAIDs)."
B.
​"Histamine dilates the vessels in the​ nose, so it is congested and​ stuffy."
C.
​"Histamine is primarily stored in phagocyte cells in the​ skin."
D.
​"Histamine constricts​ vessels, causing capillaries to become more​ permeable."

B.
​"Histamine dilates the vessels in the​ nose, so it is congested and​ stuffy."

A client tells the nurse they would prefer to indefinitely take prednisone to treat their inflammatory disease. Which is the best response by the​ nurse?
A.
​"The best treatment for your condition is to alternated​ prescriptions."
B.
​"This is not recommended due to the serious side​ effects."
C.
​"When you experience remission you will not need the​ prescription."
D.
​"The prescription will lose its effect after your body builds up a tolerance to​ it."

B.
​"This is not recommended due to the serious side​ effects."

Which describes the direct action of acetaminophen​ (Tylenol) for fever​ reduction?
Select all that apply.
A.
Constriction of peripheral blood vessels
B.
Increase activity of the sweat glands
C.
Dilation of peripheral blood vessels
D.
Direct action at the level of the hypothalamus
E.
Decreases tissue inflammation

C.
Dilation of peripheral blood vessels
D.
Direct action at the level of the hypothalamus

Which statement made by a client indicates an understanding of the maximum daily amount of ibuprofen​ (Motrin)?
A.
​"I cannot take over 3000​ mg/day."
B.
​"I cannot take over 4000​ mg/day."
C.
​"I cannot take over 3600​ mg/day."
D.
​"I cannot take over 3200​ mg/day."

D.
​"I cannot take over 3200​ mg/day."

Which statement should the nurse include in the parental teaching for the administration of acetaminophen​ (Tylenol) to a​ child?
A.
​"Acetaminophen (Tylenol) should be administered with a​ high-carbohydrate meal."
B.
​"Due to the lasting​ effects, acetaminophen​ (Tylenol) should only be given to children once a​ day."
C.
​"Baby aspirin can be substituted for acetaminophen​ (Tylenol)."
D.
​"Read the labels of all​ over-the-counter medications for the amount of acetaminophen​ (Tylenol)."

D.
​"Read the labels of all​ over-the-counter medications for the amount of acetaminophen​ (Tylenol)."

Which outcome should the nurse include in the plan of care for the older client receiving nonsteroidal​ anti-inflammatory drug​ (NSAID) therapy?
A.
The client will refrain from taking other medications with the nonsteroidal​ anti-inflammatory drug​ (NSAID).
B.
The client will report any mood changes while taking the nonsteroidal​ anti-inflammatory drug​ (NSAID).
C.
The client will report any bleeding or bruising while taking the nonsteroidal​ anti-inflammatory drug​ (NSAID).
D.
The client will avoid the use of caffeine while taking the nonsteroidal​ anti-inflammatory drug​ (NSAID).

C.
The client will report any bleeding or bruising while taking the nonsteroidal​ anti-inflammatory drug​ (NSAID).

For which finding should the nurse notify the healthcare provider for a client prescribed​ prednisone?
A.
Unexplained fever
B.
History of heart failure
C.
Arthritis
D.
Asthma

A.
Unexplained fever