Inflammation and Infection Questions

which of the following medications are used for antipyretic affects? SATA

A. ibuprofen

B. acetaminophen

C. diphenhydramine

D. prednisone

E. Naproxen 

• A. ibuprofen

• B. acetaminophen

• E. Naproxen

the nurse is reviewing a preoperative instructions with a client scheduled for surgery next week. The client reports taking aspirin 81 mg daily. Which statement by the client indicates a further need for teaching? 

A. I should stop taking my aspirin about a week before surgery

B. aspirin can increase my risk of bleeding during the operation 

C. i should continue taking aspirin until the day before my surgery to protect my heart 

D. I need to let my surgeon know that I take aspirin regularly 

C. i should continue taking aspirin until the day before my surgery to protect my heart 

why is it important to monitor acetaminophen use closely?

A. because it can cause damage to the kidneys

B. because it can cause fetal abnormalities

C. because it is present in a lot over the counter meds; easy to overdose and damage the liver 

D. because of the risk of GI bleeds 

C. because it is present in a lot over the counter meds; easy to overdose and damage the liver 

Which of the following are known side effects with long-term use of corticosteroids? SATA

A. increase in potassium 

B. central obesity 

C. hypoglycemia 

D. increased risk of bone fracture (osteoporosis)

E. thinning of skin and striae (also topical routes)

F. mood/personality changes 

• B. central obesity

• D. increased risk of bone fracture (osteoporosis)

• E. thinning of skin and striae (also topical routes)

• F. mood/personality changes 

What are some advantages of using acetaminophen over NSAIDS

A. less GI side effects

B. less risk for bleeding

C. less risk of liver damage 

D. anti-inflammatory properties 

E. it is an antipyretic and NSAIDS are not 

• A. less GI side effects

• B. less risk for bleeding

Which of the following are corticosteroids contraindicated in

A. chronic inflammation 

B. autoimmune disease 

C. pregnancy 

D. systemic infections 

E. uncontrolled hyperglycemia 

• C. pregnancy 

• D. systemic infections 

• E. uncontrolled hyperglycemia 

What should the nurse monitor most closely in a diabetic patient starting prednisone therapy

A. calcium levels

B. blood glucose levels

C. WBC count

D. platelet count

B. blood glucose levels

Which statement by a patient taking acetaminophen indicates the need for further teaching 

A. i won’t take more than 4 grams per day 

B. I use it for headaches and fevers 

C. It’s safe to take with alcohol 

D. It doesn’t upset my stomach like NSAIDS do 

C. It’s safe to take with alcohol 

Which of the following is most important to include in discharge teaching for a patient on long-term corticosteroids

A. ”You can stop taking them when you feel better”

B. “Avoid all dairy products while on steroids”

C. “Do not receive live vaccinations while taking this medication”

D. “Take this medication only on an empty stomach”

C. “Do not receive live vaccinations while taking this medication”

A nurse is teaching a patient about hydroxyzine. Which statement indicates a need for further teaching

A. I’ll avoid alcohol while taking this medication 

B. this medication may make me drowsy 

C. I can take this to help my itching 

D. It’s safe to drive right after I take it 

D. It’s safe to drive right after I take it 

A patient has mildly elevated erythrocyte sedimentation rate. Which of the following would be the most appropriate nursing action?

A. prepare for blood transfusion

B.  immediately administer antibiotics

C. assess for signs of infection or inflammation

D. instruct the patient to fast for 12 hours

C. assess for signs of infection or inflammation

Which of the following conditions is most likely to show a significantly elevated ESR

A. acute myocardial infarction 

B.  diabetes 

C. rheumatoid arthritis 

D. anxiety disorder 

C. rheumatoid arthritis 

A diabetic patient is prescribed corticosteroids for inflammation. What nursing intervention best manages potential side effects 

A. provide high carb snacks to prevent hypoglycemia 

B. monitor blood glucose levels more frequently 

C. reduce insulin dosage temporarily 

D. instruct to take corticosteroids with antacids 

B. monitor blood glucose levels more frequently 

A patient has been on corticosteroids for 3 weeks and will be discontinuing therapy per their doctor’s instructions. What instructions should the nurse give to avoid adrenal crisis 

A. increase the dose if symptoms return 

B.  stop the medication if side effects occur 

C. wean off the medication gradually 

D. switch to a natural supplement instead 

C. wean off the medication gradually 

A patient on ibuprofen develops black tarry stools. What is the best nursing action

A. document and continue monitoring

B.  provide stool softeners

C. notify the provider immediately

D. educate the patient to avoid spicy food

C. notify the provider immediately