Which statement should the nurse include in the education for a client prescribed a non-steroidal anti-inflammatory drug (NSAID)? - ANSWER Take the medication with food
--Taking medication with food will decrease GI irritation
A client asks the nurse if they can use liquid acetaminophen (Tyle...
Nursing 3100 exam 3 Questions &
Answers(RATED A)
Which statement should the nurse include in the education for a client prescribed a non-
steroidal anti-inflammatory drug (NSAID)? - ANSWER Take the medication with food
--Taking medication with food will decrease GI irritation
A client asks the nurse if they can use liquid acetaminophen (Tylenol) that is used for an
older child for their4-month-old baby with a fever. Which response should the nurse
provide? - ANSWER Infant drops should be used because they are different from liquid
medicine
-- infant drops should be used bc it has a different concentration than a children formula
Which laboratory tests should the nurse anticipate evaluating prior to a client receiving
ibuprofen (Advil) for long-term therapy? - ANSWER Hemoglobin and hematocrit (can be
decreased)
Bleeding times (can be increased)
Liver function (AST and ALT may increase)
Which signs of inflammation should the nurse anticipate for a client that has
experienced a sports-related injury to theirleg? - ANSWER Swelling
Pain
Warmth
-- signs of inflammation
A client that is experiencing inflammation from an injury asks the nurse how long it will
take to respond to treatment. Which is the best response by the nurse? - ANSWER
About a week and a half for symptoms to resolve
-- acute inflammation, 8-10 days standard for symptoms to resolve and repair to begin
The nurse has provided education about the action of histamines for a client. Which
statement indicates an understanding of the information? - ANSWER Histamine dilates
blood vessels causing capillaries to become more permeable. Affected area may
become congested with blood.
A client tells the nurse they would prefer to indefinitely take prednisone to treat their
inflammatory disease. Which is the best response by the nurse? - ANSWER Not
recommended due to the serious side effects
,-- systemic glucocorticoids are reserved for the short-term treatment of severe disease
because of potentially serious AEs
Which describes the direct action of acetaminophen (Tylenol) for fever reduction? -
ANSWER Dilation of peripheral blood vessels
Direct action at level of hypothalamus
-- enables sweating and dissipation of heat
Which statement made by a client indicates an understanding of the maximum daily
amount of ibuprofen (Motrin)? - ANSWER I cannot take over 3200 mg/day
-- 24 hours (80 mg 4x)
Which statement should the nurse include in the parental teaching for the administration
of acetaminophen (Tylenol) to a child? - ANSWER Read the labels of all OTC
medications for amount of Tylenol
-- to avoid overdoing child
Which outcome should the nurse include in the plan of care for the older client receiving
non-steroidal anti-inflammatory drug (NSAID) therapy? - ANSWER Report any bleeding
or bruising while taking NSAID
-- older adults at risk for increased bleeding w NSAID therapy
For which finding should the nurse notify the healthcare provider for a client prescribed
prednisone? - ANSWER Unexplained fever
--not to be used on client with suspected systemic infection, notify healthcare provider
immediately
Which of the client's current prescriptions should the nurse consult the healthcare
provider about who has prescribed acetaminophen (Tylenol) four times a day? -
ANSWER Warfarin (Coumadin) 2 mg orally every day
-- Tylenol inhibits metabolism of warfarin, use of both could result in toxic accumulation
of warfarin
Which should the nurse monitor a client for that is receiving a salicylate? - ANSWER
Ototoxicity
Nephrotoxicity
-- monitored for tinnitus, difficulty hearing, light headedness, difficulty balancing
Urine output and periodic kidney functions should be evaluated
, Which findings are symptoms of inflammation? - ANSWER Redness - antigen reaction
Warmth - vasodialtion
Itching - histamine release
Pain
Which is an early laboratory marker of inflammation? - ANSWER C-reactive protein
-- protein found in plasma and early marker of inflammation
Which finding is a common adverse effect of an anti-inflammatory prescription? -
ANSWER Heartburn and GI upset
Which should a client be monitored for when prescribed a glucocorticoid? - ANSWER
Bruising
-- long-term glucocorticoid use can result in susceptibility to bruising
Which describes the mechanism of action for Ibuprofen (Advil)? - ANSWER Inhibition of
prostaglandin synthesis
Which instructions should the nurse include in the teaching for a client prescribed
aspirin (ASA)? - ANSWER Take the aspirin with a glass of milk
--Aspirin should be taken with milk or food to avoid GI upset
Which symptom should the nurse instruct the client prescribed a salicylate to report
immediately to the healthcareprovider? - ANSWER Edema
Decreased urine output
Darkening of urine
--can be nephrotoxic
The nurse has provided education for a client prescribed a non-steroidal anti-
inflammatory. Which statement made by the client indicates an understanding of the
information? - ANSWER Make sure to increase fluid intake
--can be nephrotoxic, drinking fluids helps clear the drug from their system
A client with severe inflammation of the knee prescribed a corticosteroid asks why they
need to return to the clinic for a 10-day follow-up. Which information should the nurse
provide the client? - ANSWER Your prescribed treatment will be evaluated
The knee should be re-examined
Corticosteroids should only be taken for 1 to 3 weeks
Your prescription may be changed to an NSAID
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