Question 1

A client's home medication list includes sulfasalazine (Azulfidine).Which questions would be appropriate for the admitting nurse to ask the client?
Select all that apply.

Accepted Answer

Sulfasalazine is commonly used to treat inflammatory bowel diseases such as Crohn's disease and ulcerative colitis, which can cause blood in the stool. Asking about blood in the stool (A) and whether the patient has inflammatory bowel disease (D) are relevant to understanding the patient's condition and the reason for taking sulfasalazine.

Question 2

The nurse is instructing the parents of a young child on appropriate dosing of acetaminophen.Which instruction should the nurse include?
Select all that apply.

Accepted Answer

The nurse should instruct the parents to use the dosage cup that comes with the acetaminophen to measure the dosage and inform them that the pharmacist may be able to supply a calibrated dosing spoon to use for this medication. It is not appropriate to use an eyedropper, crush pills, or use a cereal spoonful to measure the dose as these methods can lead to incorrect dosing and potential harm to the child.

Question 3

A client has been advised to take a low-dose aspirin daily for prophylaxis of adverse cardiac events.The client states,I can't take aspirin because it upsets my stomach.Can I take ibuprofen instead?" How should the nurse respond?

Accepted Answer

Ibuprofen and aspirin are both nonsteroidal anti-inflammatory drugs, but they work differently in the body. Aspirin is an antiplatelet agent that inhibits blood clotting, while ibuprofen is a pain reliever and anti-inflammatory medication that has no effect on blood coagulation. However, the nurse may want to advise the client to speak with their healthcare provider before taking any new medication to ensure it does not interact with their current medication.

Question 4

A person being seen at a health fair says,I hurt my foot running last week and have been taking aspirin for the pain.Is that okay?" Which questions should the nurse ask before answering this question?
Select all that apply.

Accepted Answer

The answer of A person being seen at a health...

Question 5

A client reports taking the herb goldenseal for a sore throat.How should the nurse respond to this information?

Accepted Answer

The nurse should acknowledge that not many scientific studies have been done on goldenseal. While goldenseal has been traditionally used for medicinal purposes, there is limited empirical evidence to support its effectiveness or safety. It is important to gather more information from the client about their use of goldenseal and educate them about the potential risks and lack of evidence-based support for its use. Simply stating that it is not indicated for use or that it is dangerous may not effectively address the client's concerns or experiences.

Question 6

Last week,a client was advised to drink fluids,rest,and take aspirin to minimize symptoms of a head cold.Today the client calls the clinic and reports dizziness,nausea,and a strange buzzing sound in my head." How should the nurse respond?
Select all that apply.

Accepted Answer

The answer of Last week,a client was advised to drink...

Question 7

The client has been treated with a corticosteroid for the last 3 weeks for a severe inflammatory response.The condition has improved but is not resolved.The nurse plans care for this client based on what prediction?

Accepted Answer

Since the condition has improved but not resolved, it is likely that the healthcare provider will switch to a different therapeutic approach. Discontinuing corticosteroid therapy and starting a nonsteroidal anti-inflammatory drug is a possible alternative treatment option. Increasing the dose of the corticosteroid or changing to a different corticosteroid is unlikely to be the first choice since prolonged use of corticosteroids can cause adverse effects. Discontinuing treatment is not recommended since the inflammatory response is still present.

Question 8

The nurse suspects that a client has an infection.Which assessment findings support that suspicion?

Accepted Answer

Infections often lead to an increased heart rate (tachycardia) and rapid, shallow respirations as the body responds to fight the infection.

Question 9

A client whose knee is inflamed after running a marathon is prescribed a regimen of rest,ice,and elevation.The client says,I don't have time for all of that.Why doesn't the doctor just give me some medication?" How should the nurse respond?
Select all that apply.

Accepted Answer

Rest is important for healing overused muscles, and inflammation is a natural healing process that the body should be allowed to manage initially.

Question 10

A client is brought to the emergency department (ED)after overdosing on acetaminophen last night.The client is conscious and tearful.The nurse prepares to administer the antidote to acetaminophen:
Select all that apply.

Accepted Answer

The antidote for acetaminophen overdose is N-acetylcysteine (NAC), which can be administered in three stages by intravenous administration or orally.

Question 11

A nurse's friend says,I may have to have some dental work done and I am concerned because I take aspirin every day." How should the nurse respond to this information?
Select all that apply.

Accepted Answer

The nurse should advise the friend to report their aspirin use to the dentist and to follow the usual recommendation of stopping the aspirin a week before any dental or surgical procedure if possible. This is because aspirin therapy can lead to increased bleeding during the procedure. Option B is incorrect because even small doses of aspirin can increase bleeding risk. Option D is incorrect because aspirin therapy is indeed associated with bleeding from dental procedures. Option E is incorrect because there is no strong evidence supporting the use of vitamin E to reverse bleeding.

Question 12

Salicylates are very popular anti-inflammatory drugs because they:

Accepted Answer

Salicylates are popular anti-inflammatory drugs because they reduce pain. They are not primarily given by IM or IV route, can have adverse effects on blood clotting, and can have side effects.

Question 13

The nurse is administering an analgesic medication to a client who has an infected surgical incision.Which response at the infection site would the nurse expect?

Accepted Answer

The nurse administering an analgesic medication would expect the client to experience less pain, but this medication alone would not necessarily produce the other changes listed. The medication may help reduce swelling and redness indirectly by relieving the pain that often causes these symptoms, but it would not directly affect skin temperature.

Question 14

Which instructions should be included as part of medication teaching for a client who has been started on a nonsteroidal anti-inflammatory drug (NSAID)?
Select all that apply.

Accepted Answer

- NSAIDs can cause dizziness or light-headedness, so patients should be advised to contact their healthcare provider if they experience such symptoms.- Alcohol can increase the risk of gastrointestinal bleeding associated with NSAID use, so patients should be advised to avoid alcohol.

Question 15

A woman in her third trimester of pregnancy has a history of back pain.The client says,I do best on Doan's pills (magnesium salicylate),so I will just start taking them again." How should the nurse respond?
Select all that apply.

Accepted Answer

Magnesium salicylate, like aspirin, is a salicylate drug and can be harmful during pregnancy, especially in the third trimester. It is important to consult a doctor for a safer medication option (C) and explore nonpharmaceutical pain relief measures (E) that are safer for both the mother and the fetus.

Quiz 41: Pharmacotherapy of Inflammation and Fever Hyperactivity Disorder

A client's home medication list includes sulfasalazine (Azulfidine) .Which questions would be appropriate for the admitting nurse to ask the client? Select all that apply.

The nurse is instructing the parents of a young child on appropriate dosing of acetaminophen.Which instruction should the nurse include? Select all that apply.

A client has been advised to take a low-dose aspirin daily for prophylaxis of adverse cardiac events.The client states,I can't take aspirin because it upsets my stomach.Can I take ibuprofen instead?" How should the nurse respond?

A person being seen at a health fair says,I hurt my foot running last week and have been taking aspirin for the pain.Is that okay?" Which questions should the nurse ask before answering this question? Select all that apply.

A client reports taking the herb goldenseal for a sore throat.How should the nurse respond to this information?

Last week,a client was advised to drink fluids,rest,and take aspirin to minimize symptoms of a head cold.Today the client calls the clinic and reports dizziness,nausea,and a strange buzzing sound in my head." How should the nurse respond? Select all that apply.

The client has been treated with a corticosteroid for the last 3 weeks for a severe inflammatory response.The condition has improved but is not resolved.The nurse plans care for this client based on what prediction?

The nurse suspects that a client has an infection.Which assessment findings support that suspicion?

A client whose knee is inflamed after running a marathon is prescribed a regimen of rest,ice,and elevation.The client says,I don't have time for all of that.Why doesn't the doctor just give me some medication?" How should the nurse respond? Select all that apply.

A client is brought to the emergency department (ED) after overdosing on acetaminophen last night.The client is conscious and tearful.The nurse prepares to administer the antidote to acetaminophen: Select all that apply.

A nurse's friend says,I may have to have some dental work done and I am concerned because I take aspirin every day." How should the nurse respond to this information? Select all that apply.

Salicylates are very popular anti-inflammatory drugs because they:

The nurse is administering an analgesic medication to a client who has an infected surgical incision.Which response at the infection site would the nurse expect?

Which instructions should be included as part of medication teaching for a client who has been started on a nonsteroidal anti-inflammatory drug (NSAID) ? Select all that apply.

A woman in her third trimester of pregnancy has a history of back pain.The client says,I do best on Doan's pills (magnesium salicylate) ,so I will just start taking them again." How should the nurse respond? Select all that apply.