MyLab Drugs for Exam 1 NURS 3110

A patient is prescribed prednisone.

For which reason should the nurse question providing this medication to the patient?

• Osteoarthritis

• Elevated blood glucose

• Bacteria infection

• Pain

Bacteria infection

A patient seeks medical attention for a new onset of of symptoms.

Which symptom should the nurse associate with the release of leukotrienes?

• Warm dry skin

• Flushing

• Sneezing

• Low urine output

Sneezing

A patient is being treated for an infected leg wound.

Which chemical mediator should the nurse recall as the reason for this patient to experience pain?

• Cytokines

• Bradykinin

• Leukotrienes

• Complement

Bradykinin

A patient is experiencing symptoms of an inflammation.

Which laboratory test should the nurse expect to be prescribed?

• Hemoglobin level

• C-reactive protein

• Platelet count

• Serum sodium

C-reactive protein

The nurse is explaining the mechanism of action of nonsteroidal anti-inflammatory drugs (NSAIDs) in treating inflammation.

Which pharmacologic principle of NSAIDs should the nurse include in the response?

• "They block calcium release within the muscle."

• "They inhibit the synthesis of prostaglandins."

• "They work directly at the site of pain."

• "They block the neuromuscular junction."

"They inhibit the synthesis of prostaglandins."

The nurse teaches a patient how to take a liquid anti-inflammatory medication.

For which patient statement should the nurse provide additional teaching?

• "I will notify the healthcare provider if I develop a rash."

• "I can use a household spoon to measure the dose."

• "Liquid anti-inflammatory medications are not safer than pills."

• "I will notify the healthcare provider if my stools become black."

"I can use a household spoon to measure the dose."

A patient has been prescribed ibuprofen (Advil, Motrin) for pain.

For which symptom should the nurse question the appropriateness of this medication?

• Perioperative pain related to coronary artery bypass graft (CABG)

• Rheumatoid arthritis (RA)

• Dental pain

• Dysmenorrhea

Perioperative pain related to coronary artery bypass graft (CABG)

A patient is taking aspirin.

Which effect should the nurse consider?

• The risk for bleeding is localized to the gastrointestinal (GI) tract.

• Renal blood flow through the kidneys increases.

• The medication causes increased prostaglandin production.

• The medication has prolonged antiplatelet action.

The medication has prolonged antiplatelet action.

A patient is prescribed intravenous N-acetylcysteine (Acetadote).

For which medication overdose reason should the nurse suspect this medication was prescribed?

• Acetaminophen

• Ibuprofen

• Alcohol

• Steroid

Acetaminophen

The nurse reviews nonsteroidal anti-inflammatory drugs (NSAIDs) with a new colleague.

Which statement should indicate to the nurse that teaching is effective?

• "NSAIDs decrease the risk for myocardial infarction and stroke."

• "Not all NSAIDs have analgesic properties."

• "Some NSAIDs do not have antipyretic properties."

• "Most NSAIDs are metabolized in the liver and excreted by the kidneys."

"Most NSAIDs are metabolized in the liver and excreted by the kidneys."

The nurse is assessing a patient.

Which finding should the nurse associate with a release of histamine?

• Area of inflammation

• Elevated blood glucose

• Bleeding

• Low blood pressure

Area of Inflammation

A patient reports taking a medication to decrease joint inflammation.

Which medication should the nurse expect to be prescribed for this patient?

• Muromonab-CD3

• Acetaminophen (Tylenol)

• Meloxicam (Mobic)

• Ampicillin

Meloxicam (Mobic)

A patient reports taking acetaminophen (Tylenol) every 2 hours to reduce fever.

Which response should the nurse make?

• "It is okay to take the medication every 2 hours as long as you don't experience gastrointestinal irritation."

• "Do not take more frequently than every 4 to 6 hours, due to the risk for liver damage."

• "Do not take more frequently than every 4 to 6 hours, due to the risk for Reye's syndrome."

• "Do not take more frequently than every 4 to 6 hours, because of the risk for ototoxicity."

"Do not take more frequently than every 4 to 6 hours, due to the risk for liver damage."

A patient is taking acetaminophen (Tylenol).

For which adverse effect should the nurse monitor?

• Lethargy

• Blood dyscrasias

• Tinnitus

• Dyspepsia

Lethargy

A patient is prescribed acetaminophen (Tylenol) to control a fever.

Which patient statement should indicate to the nurse that teaching is effective?

• "I will decrease my fluid intake while taking the medication."

• "I will not drink alcohol while taking the medication."

• "I can take as many doses of Tylenol as I need to treat my fever."

• "I understand that the medication will affect my heart."

"I will not drink alcohol while taking the medication."

The nurse discusses the pathophysiology of inflammation.

Which statement about chronic inflammation should the nurse emphasize?

• Can last between 8 to 10 days.

• Causes a release of chemicals from the gastrointestinal tract.

• It has an immediate onset.

• May persist for years.

May persist for years

The nurse is counseling an adolescent patient about over-the-counter medications that can be used to treat fever.

Which patient statement indicates that teaching is effective?

Answer

• "I will not take acetaminophen, due to the risk of gastric irritation."

• "I will not take ibuprofen, due to the risk of migraine headaches."

• "I will not take aspirin, due to the risk of Reye syndrome."

• "I will not take naproxen, due to the risk of rheumatoid arthritis."

"I will not take aspirin, due to the risk of Reye syndrome."

A group of patients have been prescribed a salicylate.

For which patient should the nurse question this medication?

• Pending surgery for acute appendicitis

• Diagnosis of paroxysmal atrial fibrillation

• Suspected myocardial infarction (MI)

• Diagnosis of transient ischemic attacks (TIAs)

Pending surgery for acute appendicitis

The nurse reviews data provided on assigned patients.

For which patient health problem should the nurse expect a nonsteroidal anti-inflammatory drug (NSAID) to be prescribed?

• Chronic kidney disease (CKD)

• Rheumatoid arthritis (RA)

• Hemorrhagic stroke

• Hemophilia

Rheumatoid arthritis (RA)

A patient taking an antibiotic for an infection develops a fever.

Which information should the nurse provide about the reason for the fever?

• "The fever means the infection is getting worse."

• "A fever means that the incorrect antibiotic was prescribed."

• "The fever has nothing to do with the antibiotic."

• "The antibiotic releases fever-producing chemicals."

“The antibiotic releases fever-producing chemicals.”

A patient's medication is changed from acetaminophen (Tylenol) to meloxicam (Mobic).

Which patient statement should indicate to the nurse that teaching about the new medication was effective?

• "My risk for bleeding is now lower."

• "My risk for stroke is now lower."

• "I can start taking ginger and ginkgo."

• "My joint inflammation should decrease."

“My joint inflammation should decrease.”

A patient's acetaminophen (Tylenol) dose is increased from 325 mg every 6 hours to 650 mg every 4 hours.

For which effect should the nurse monitor?

• Cardiotoxicity

• Hepatotoxicity

• Blood clots

• Reye's syndrome

Hepatotoxicity

The nurse reviews the use of ibuprofen (Advil, Motrin) with a new colleague.

For which statement by the colleague should the nurse provide additional teaching?

• "Ibuprofen causes fewer gastrointestinal effects than aspirin."

• "Ibuprofen decreases cardiovascular risk."

• "It takes 4 hours for ibuprofen to start working."

• "Extra doses of ibuprofen provides better fever control."

“Extra doses of ibuprofen provides better fever control.”

A patient asks why a nonsteroidal anti-inflammatory drug (NSAID) was prescribed for ankylosing spondylitis instead of acetaminophen (Tylenol).

Which information about acetaminophen should the nurse include in response?

• "It does not decrease inflammation."

• "It increases the risk for heart attack and death."

• "It is recommended only to treat fevers."

• "It causes gastrointestinal ulcers."

“It does not decrease inflammation.”

A patient is prescribed prednisone.

Which teaching should the nurse provide?

• Dark, tarry stools are normal.

• Two or more eye exams per year are needed.

• Chew enteric-coated tablets.

• Take the medication on an empty stomach.

Two or more eye exams per year are needed

The nurse provides a patient with a prescribed antibiotic.

Which assessment finding should the nurse expect?

• Increased heart rate

• Drop in blood pressure

• Fever

• Pain

• I don't know yet

Fever