Question 1

A patient is being treated with allopurinol (Zyloprim)for gout.Which therapeutic result should the nurse monitor for?

Accepted Answer

A) Decreased uric acid levels 
B) Adequate prothrombin time 
C) Increased white blood cell count 
D) Increased hemoglobin and hematocrit levels 
A) Decreased uric acid levels 
B) Adequate prothrombin time 
C) Increased white blood cell count 
D) Increased hemoglobin and hematocrit levels A

Question 2

Which types of effects are possible therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

Accepted Answer

A) Anxiolytic effects 
B) Diuretic effects 
C) Antipyretic effects 
D) Antimicrobial effects 
A) Anxiolytic effects 
B) Diuretic effects 
C) Antipyretic effects 
D) Antimicrobial effects C

Question 3

Which are contraindications to the use of NSAIDs? (Select all that apply.)

Accepted Answer

A) Rhinitis 
B) Arthralgia 
C) Peptic ulcer disease 
D) Breastfeeding 
E) Neuropathy
F)Epistaxis
G)Pericarditis 
A) Rhinitis 
B) Arthralgia 
C) Peptic ulcer disease 
D) Breastfeeding 
E) Neuropathy
F)Epistaxis
G)Pericarditis A,C,D,F

Question 4

A 6-year-old patient has a fever of 39.5°C during a bout of chicken pox.His mother asks the nurse for advice to help reduce his fever.The nurse will likely suggest which medication?

Accepted Answer

A) acetylsalicylic acid (Aspirin) 
B) ketorolac (Toradol) 
C) indomethacin 
D) ibuprofen (Motrin) 
A) acetylsalicylic acid (Aspirin) 
B) ketorolac (Toradol) 
C) indomethacin 
D) ibuprofen (Motrin)

Question 5

A patient is prescribed colchicine for the treatment of gout.What important information should the nurse give the patient about this drug?

Accepted Answer

A) Fluids should be restricted while on colchicine therapy. 
B) Colchicine should be taken with meals. 
C) The drug should be discontinued when symptoms are reduced. 
D) Report to the health care provider the occurrence of increased pain, blood in the urine, or excessive fatigue. 
A) Fluids should be restricted while on colchicine therapy. 
B) Colchicine should be taken with meals. 
C) The drug should be discontinued when symptoms are reduced. 
D) Report to the health care provider the occurrence of increased pain, blood in the urine, or excessive fatigue.

Question 6

An older adult patient tells the nurse that he uses acetylsalicylic acid for "anything that ails me." What are the most common signs of chronic salicylate intoxication in adults?

Accepted Answer

A) Photosensitivity and nervousness 
B) Tinnitus and hearing loss 
C) Acute gastrointestinal bleeding and anorexia 
D) Hyperventilation and central nervous system (CNS) effects 
A) Photosensitivity and nervousness 
B) Tinnitus and hearing loss 
C) Acute gastrointestinal bleeding and anorexia 
D) Hyperventilation and central nervous system (CNS) effects

Question 7

A patient has used buffered acetylsalicylic acid (Aspirin)for several years as treatment for osteoarthritis.However,the patient's symptoms are worsening,and now something stronger is needed.The physician prescribes an NSAID and misoprostol.The patient asks the nurse why two pills now have to be taken for the arthritis.Which is the nurse's best response to the patient?

Accepted Answer

A) Misoprostol will also reduce the symptoms of arthritis. 
B) Misoprostol potentiates the action of the NSAID so that it will work better. 
C) Misoprostol reduces the mucous secretions in the stomach, which reduces gastric irritation. 
D) Misoprostol may help to prevent gastric ulcers that may occur when taking NSAIDs. 
A) Misoprostol will also reduce the symptoms of arthritis. 
B) Misoprostol potentiates the action of the NSAID so that it will work better. 
C) Misoprostol reduces the mucous secretions in the stomach, which reduces gastric irritation. 
D) Misoprostol may help to prevent gastric ulcers that may occur when taking NSAIDs.

Question 8

Which natural health product is sometimes used to treat the pain of osteoarthritis?

Accepted Answer

A) St.John's wort 
B) Ginger 
C) Glucosamine 
D) Dandelion root 
A) St.John's wort 
B) Ginger 
C) Glucosamine 
D) Dandelion root

Question 9

A 55-year-old female patient is being administered ketorolac intramuscularly after having orthopedic surgery.What information should the nurse give this patient about this drug?

Accepted Answer

A) Laboratory work will be monitored weekly. 
B) The medication is given slowly intramuscularly into a large muscle mass. 
C) The medication is given subcutaneously, and the sites are rotated. 
D) Therapeutic blood levels will occur within a month of therapy. 
A) Laboratory work will be monitored weekly. 
B) The medication is given slowly intramuscularly into a large muscle mass. 
C) The medication is given subcutaneously, and the sites are rotated. 
D) Therapeutic blood levels will occur within a month of therapy.

Question 10

A 75-year-old female patient has been given naproxen sodium (Aleve)for the treatment of rheumatoid arthritis.Which type of medication will have a possible interaction with this NSAID?

Accepted Answer

A) Antibiotics 
B) Decongestants 
C) Anticoagulants 
D) Antihistamines 
A) Antibiotics 
B) Decongestants 
C) Anticoagulants 
D) Antihistamines

Question 11

A patient who has a history of coronary artery disease has been instructed to take one 81-mg tablet of acetylsalicylic acid (Aspirin)each day.What is the purpose of this dose of acetylsalicylic acid?

Accepted Answer

A) To prevent fever 
B) To reduce inflammation 
C) To relieve pain 
D) To prevent thrombus formation 
A) To prevent fever 
B) To reduce inflammation 
C) To relieve pain 
D) To prevent thrombus formation

Exam 49: Anti-Inflammatory and Antigout Drugs

A patient is being treated with allopurinol (Zyloprim)for gout.Which therapeutic result should the nurse monitor for?

Which types of effects are possible therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

Which are contraindications to the use of NSAIDs? (Select all that apply.)

A 6-year-old patient has a fever of 39.5°C during a bout of chicken pox.His mother asks the nurse for advice to help reduce his fever.The nurse will likely suggest which medication?

A patient is prescribed colchicine for the treatment of gout.What important information should the nurse give the patient about this drug?

An older adult patient tells the nurse that he uses acetylsalicylic acid for "anything that ails me." What are the most common signs of chronic salicylate intoxication in adults?

Which natural health product is sometimes used to treat the pain of osteoarthritis?

A 55-year-old female patient is being administered ketorolac intramuscularly after having orthopedic surgery.What information should the nurse give this patient about this drug?

A 75-year-old female patient has been given naproxen sodium (Aleve)for the treatment of rheumatoid arthritis.Which type of medication will have a possible interaction with this NSAID?

A patient who has a history of coronary artery disease has been instructed to take one 81-mg tablet of acetylsalicylic acid (Aspirin)each day.What is the purpose of this dose of acetylsalicylic acid?

Nursing Practice in Canada and Drug Therapy

Pharmacological Principles

Legal and Ethical Considerations

Patient Focused Considerations

Gene Therapy and Pharmacogenomics

Medication Errors: Preventing and Responding

Patient Education and Drug Therapy

Over-the-Counter Drugs and Natural Health Products

Vitamins and Minerals

Principles of Drug Administration

Analgesic Drugs

General and Local Anaesthetics

Central Nervous System Depressants and Muscle Relaxants

Central Nervous System Stimulants and Related Drugs

Antiepileptic Drugs

Antiparkinsonian Drugs

Psychotherapeutic Drugs

Substance Misuse

Adrenergic Drugs

Adrenergic-Blocking Drugs

Cholinergic Drugs

Cholinergic-Blocking Drugs

Antihypertensive Drugs

Antianginal Drugs

Heart Failure Drugs

Antidysrhythmic Drugs

Coagulation Modifier Drugs

Antilipemic Drugs

Diuretic Drugs

Fluids and Electrolytes

Pituitary Drugs

Thyroid and Antithyroid Drugs

Antidiabetic Drugs

Adrenal Drugs

Women’s Health Drugs

Men’s Health Drugs

Antihistamines,Decongestants,Antitussives,and Expectorants

Respiratory Drugs

Acid-Controlling Drugs

Antidiarrheal Drugs and Laxatives

Antiemetic and Anti-nausea Drugs

Nutritional Supplements

Antibiotics, Part 1: Sulfonamides, Penicillins, Cephalosporins, Macrolides, and Tetracyclines

Antibiotics Part 2: Aminoglycosides, Fluoroquinolones, and Other Drugs

Antiviral Drugs

Antitubercular Drugs

Antifungal Drugs

Antimalarial, Antiprotozoal, and Anthelmintic Drugs

Immunosuppressant Drugs

Immunizing Drugs and Pandemic Preparedness

Antineoplastic Drugs Part 1: Cancer Overview and Cell Cycle–Specific Drugs

Antineoplastic Drugs Part 2: Cell Cycle–Nonspecific and Miscellaneous Drugs

Biological Response–Modifying Drugs

Anemia Drugs

Dermatological Drugs

Ophthalmic Drugs

Otic Drugs

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