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Mr. Conn, age 65, is taking probenecid for treatment of chronic gouty arthritis. When providing patient and family education, what should a nurse advise the patient to do if he misses a dose and it is almost time for the next dose?
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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?
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Pharm PrepU

Exam 1

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Mr. Conn, age 65, is taking probenecid for treatment of chronic gouty arthritis. When providing patient and family education, what should a nurse advise the patient to do if he misses a dose and it is almost time for the next dose? Advise the patient to take only the second dose and ignore the missed dose.
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
The client has been prescribed celecoxib for osteoarthritis. Which statement by the client indicates the need for further client education? "I will stop taking the medication when I feel better."
The client with chronic gout asks how he can reduce the uric levels in his body when he begins to self-administer colchicine. What would be the nurse’s response? Drink 2 to 3 quarts of fluid daily; this will decrease uric acid levels and help prevent formation of uric acid kidney stones.”
After teaching a local community group about the use of OTC anti-inflammatory agents, the nurse determines that the group needs additional teaching when they state: These drugs are relatively safe since they don’t have adverse effects.”
A client is being discharged following an allergic reaction after ingesting aspirin. Included in patient education about the allergy, the nurse would inform the client that: the client should not take aspirin or non-aspirin NSAIDs.
A patient with arthritis is on nonsteroidal anti-inflammatory drug (NSAID) therapy. What should be evaluated by the nurse to determine the effectiveness of NSAID therapy? Better mobility
A nurse caring for a patient administered an NSAID for fever reduction records a decrease in urinary output for the patient. Which of the following should the nurse consider as a probable reason for the patient's condition? Prolonged temperature elevation
The client is taking NSAIDs for pain. The nurse explains to the client that NSAIDs act by which actions? Inhibiting the synthesis of prostaglandins
How should the nurse counsel a client concerning a new prescription for celecoxib and its affect on long-standing low-dose acetylsalicylic acid therapy? “Continue both therapies as prescribed.”
A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? Liver function tests
What conditions are salicylates are effective in managing? (Select all that apply.) Inflammation, fever, pain
The client has had an open reduction internal fixation (ORIF) of the right hip. Which statement by the client identifies that the use of celecoxib is effective? "My hip pain has decreased."
A male client’s health care provider orders aspirin 81 mg PO each day as a treatment related to his recent myocardial infarction. The client asks the nurse if he can take acetaminophen instead. What is the nurse’s best response? “Acetaminophen is an effective aspirin substitute for pain or fever but not for prevention of heart attack or stroke.”
The nurse would question the health care provider who prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) for which client? The client diagnosed with peptic ulcers
Which drug is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction? Aspirin
A hospitalized client who is being treated for a urinary tract infection has developed a fever. The nurse has responded by administering a dose of acetaminophen. In what way does acetaminophen contribute to a reduction in fever? Acetaminophen inhibits prostaglandin synthesis
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.
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, whic GI bleed
A salicylate is contraindicated in clients who have had surgery within the past week for which reason? increased risk for bleeding
A client is being discharged following an allergic reaction after ingesting aspirin. Included in patient education about the allergy, the nurse would inform the client that: the client should not take aspirin or non-aspirin NSAIDs.
A nurse is reviewing a journal article about a nonsteroidal anti-inflammatory drug (NSAID) that is associated with an increased risk of cardiovascular thrombosis, myocardial infarction, and stroke. The nurse is most likely reading about which drug? celecoxib
A 60-year-old man has told the nurse that he has been treating his joint pain with regular doses of ibuprofen. In order to ascertain the man's risks of experiencing adverse effects, the nurse should assess the patient's alcohol intake.
Aspirin (ASA) is an over-the-counter drug that is found in many other drugs. What is the mechanism of action for aspirin? Blocking the transmission of pain impulses
A nurse is aware that a client prescribed meloxicam is most likely being treated for what health problem? arthritis
A nurse is preparing to teach a client about the adverse effects of prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy. The nurse plans to focus on the most common adverse reactions caused by this group of drugs. Which effects would the nurse stomach
The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? To balance urate concentration and prevent gout attacks
A home care nurse is seeing a 66-year-old female who has just been released from the hospital after being treated for pneumonia. The nurse knows that it is important to assess the client's knowledge of which area? Adverse effects of nonsteroidal anti-inflammatory drugs
The client is concerned about taking nonsteroidal anti-inflammatory drugs (NSAIDs) for pain due to possible GI upset. The nurse identifies which medication causes the least gastrointestinal distress? Celecoxib
A male client is taking aspirin 81 mg by mouth each day for prevention of recurrent myocardial infarction. He makes a dentist appointment for a tooth extraction. He calls the health care provider’s office and asks the nurse if he is at risk for bleeding. “Yes, low doses of aspirin may increase your risk of bleeding; I will call you with your new prescriber's orders.”
A nurse tells a patient to take a prescribed glucocorticoid in the morning based on the understanding that: This time mimics the normal peak diurnal concentration levels.
The nurse is caring for an 84-year-old client with diabetes who is receiving hydrocortisone 40 mg daily PO for treatment of an arthritic flare-up. When writing a plan of care for this client, which nursing intervention would be most appropriate? Monitoring blood glucose levels frequently
A male client taking oral prednisone informs the home care nurse that the medication is upsetting his stomach. What guidance can the nurse provide to help the client? Confirm that the client takes the medication with a meal.
A 2-year-old client is placed on a course of prednisone following a series of hypersensitivity responses. What instruction the nurse provide the client’s family about this drug? “Don’t stop this medication suddenly; you will have to taper dosage gradually.”
Which corticosteroid is classified as a mineralocorticoid? aldosterone
The nurse has just completed client education relative to chronic adrenocortical insufficiency and corticosteroid medication treatment. What statement indicates the client requires further instruction? I will start this medication when I am feeling ill or tired.
A female client has been taking prednisone for her asthma for 1 month. The nurse will teach her to gradually decrease her dose of prednisone to avoid: adrenal insufficiency.
Based on the metabolic action of glucocorticoids, a client who is on long-term glucocorticoid therapy is at risk of developing what disease? Osteoporosis
A 65-year-old client who has been on long-term corticosteroid therapy is admitted to the hospital and will need an IV inserted. What adverse effect of corticosteroid may negatively affect this procedure? Thinning of the skin
What are the most frequently desired pharmacologic effects of exogenous corticosteroids? (Select all that apply.) Anti-inflammatory, Immunosuppressive, Antianxiety
Created by: abenge
 

 



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