a patient is taking the nonsteroidal anti inflamma
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PHARMACOLOGY MSN 571
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lilley pharm ch 44 test bank:
anti-inflammatory & antigout
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs),
which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - ANS ANS: C
-NSAIDs have antipyretic effects but not the other effects listed.
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment
for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
b. Nervousness
c. Nausea and vomiting
d. Dizziness - ANS ANS: C
- GI effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting, anorexia,
abdominal pain, and others.
-See Table 44-2 for the other adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs).
-The other options are not adverse effects of NSAIDs.
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will
monitor laboratory results for which therapeutic effect?
a. Decreased uric acid levels
b. Decreased prothrombin time
c. Decreased white blood cell count
d. Increased hemoglobin and hematocrit levels - ANS ANS: A
-Treatment of gout with allopurinol should result in decreased uric acid levels.
-The other options are incorrect.
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased joint pain or blood in the urine." - ANS ANS: D
-Colchicine may cause renal effects; therefore, the presence of blood in the urine must be
reported immediately.
-In addition, the therapeutic effect should be decreased joint pain, not increased pain.
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