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Pharmacology
Chapter 16 questions
| Question | Answer |
|---|---|
| Which instruction would be most important to include when teaching parents about over-the-counter (OTC) anti-inflammatory agents? | “Be sure to read the label for the ingredients and dosage.” |
| A nurse is assigned to care for a patient with arthritis in a health care facility. The patient has been prescribed celecoxib. Celecoxib is contraindicated in clients with: | allergy to sulfonamides. |
| Which drug is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction? | Aspirin |
| A patient is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse effect is most common in acute or chronic overdose of acetaminophen? | Hepatotoxicity |
| A 65-year-old man who just had a heart attack is placed on aspirin, 81 mg daily. The nurse is explaining the purpose of this medication to the client and his wife. What would be the nurses best explanation? | The aspirin is being prescribed because it reduces your risk of a second heart attack. |
| A 16-year-old female client asks the nurse if she can take two Tylenol every 2 hours during exams because it helps relieve her tension headaches. What is the nurse’s most appropriate response? | “Do not exceed recommended doses of acetaminophen due to the risk of life-threatening liver damage.” |
| What drugs used to treat rheumatoid arthritis are contraindicated in a client who has a history of toxic levels of heavy metals? | gold salts |
| A nurse has admitted a 10-year-old to the short-stay unit. The child reports chronic headaches, and his mother states that she gives the child acetaminophen at least twice a day. What will the nurse evaluate? | Hepatic function |
| Which diffuse connective tissue disease is the result of an autoimmune reaction that results in phagocytosis, producing enzymes within the joint that break down collagen and cause edema? | Rheumatoid arthritis (RA) |
| What effects are exerted by aspirin? (Select all that apply.) | Anti-Pyretic Anti-inflammatory Analgesic |
| A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of Reye's syndrome? | Acetylsalicylic acid |
| The nurse understands that the primary adverse reaction with the use of salicylates is which? | gastric distress. |
| The 56-year-old client is diagnosed with osteoarthritis and reports joint pain and stiffness. Which medication would be identified as appropriate for the client to take? | Celecoxib |
| When acetylsalicylic acid (aspirin) is administered, what action prevents the synthesis of thromboxane A2? | Aspirin's acetyl portion dissociates, binding to COX-1 to decrease aggregation. |
| An 80-year-old male client presents to the health care provider’s office with reports of fatigue and a change in the color of stools. He self-administers ibuprofen 400 mg each night for general discomfort. The provider orders a stool test for guaiac, which yields positive results. The provider discontinues the ibuprofen. The nurse is responsible for a client education plan. The client should be educated regarding what as a risk with chronic use of NSAIDs? | GI bleed |
| A salicylate is contraindicated in clients who have had surgery within the past week for which reason? | Increased risk for bleeding |
| A female client with acute joint inflammation asks the nurse why she shouldn't use acetaminophen for her condition. What would be the nurse's best response to this client? | "The drug has no effect on inflammation." |
| Which of the following agents would be least appropriate to use as treatment for ulcerative colitis? | Salsalate |
| Rheumatoid factor (RF) interacts with circulating IgG to form immune complexes that deposit in the joints precipitating an inflammatory reaction. | True |
| How should a nurse best explain the presence of the inflammation process? | as an attempt by the body to remove the damaging agent and repair the damaged tissue |
Created by:
bonitasoul
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