Nursing 1141- Pharmacology » Fall 2022 » Mastery EAQ Ch. 44
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Question #1
The primary health care provider has prescribed colchicine to a patient. Which question would the nurse ask the patient before administering the therapy to ensure drug safety?
A.
"Do you have joint pain?" "Do you have gout problems?" "Do you have cardiac problems?"
B.
"Do you take herbal drugs?" "Do you have renal problems?" "Do you have cardiac problems?"
C.
"Do you have joint pain?" "Do you have gout problems?" "Do you take herbal drugs?"
D.
"Do you have renal problems?" "Do you have joint pain?" "Do you have gout problems?"
Question #2
The nurse is assessing a pregnant patient in the third trimester who has joint pain due to gouty arthritis. Which drug should be prescribed to this patient?
A.
Ketorolac
B.
Celecoxib
C.
Colchicine
D.
Probenecid
Question #3
A geriatric patient is hospitalized for the treatment of chronic salicylate intoxication. Which symptom associated with chronic salicylate intoxication is likely to be observed in the patient?
A.
Constipation, Decreased heart rate, Lassitude
B.
Constipation, Tinnitus, Decreased heart rate
C.
Dimness of vision, Decreased heart rate, Constipation
D.
Tinnitus, Lassitude, Dimness of vision
Question #4
Which nonsteroidal antiinflammatory drug (NSAID) is prescribed for the patient with myocardial infarction?
A.
Celecoxib
B.
Aspirin
C.
Prednisone
D.
Dexamethasone
Question #5
Which nonsteroidal antiinflammatory drug (NSAID) may cause Reye’s syndrome in children with viral illnesses or fever?
A.
Nabumetone
B.
Meloxicam
C.
Aspirin
D.
Piroxicam
Question #6
A patient with gout asks the nurse about the mechanism of action of antigout drugs. Which statement would the nurse make to the patient?
A.
"They decrease the serum uric acid level."
B.
"They increase the blood oxygen level."
C.
"They increase the red blood cells."
D.
"They decrease the fatty acid level."
Question #7
Which assessment finding indicates that the nonsteroidal antiinflammatory drug has been effective?
A.
Patient’s bleeding time is prolonged.
B.
Pain has decreased from a 6 to a 1 on a scale of 10.
C.
PTT is 100 seconds.
D.
Patient has increased circulation to his legs.
Question #8
Which dose of salicylate can cause severe toxicity in a patient?
A.
Lower than 100 mg/kg
B.
150 to 300 mg/kg
C.
100 to 250 mg/kg
D.
300 to 500 mg/kg
Question #9
Which drug is the recommended nonsteroidal antiinflammatory (NSAID) medication for a patient with diabetic neuropathy?
A.
Aspirin
B.
Ibuprofen
C.
Indomethacin
D.
Sulindac
Question #10
Which medication used for the treatment of gout inhibits the metabolism, mobility, and chemotaxis of polymorphonuclear leukocytes?
A.
Allopurinol
B.
Febuxostat
C.
Colchicine
D.
Probenecid
Question #11
Which drug is indicated for the treatment of gout because of its ability to inhibit the enzyme xanthine oxidase?
A.
Allopurinol
B.
Celecoxib
C.
Probenecid
D.
Colchicine
Question #12
Which usage is true for ketorolac (Toradol)?
A.
Given for chronic pain
B.
Favorable for former opiate users
C.
Over-the-counter (OTC) drug
D.
Only prescribed for 7 days
Question #13
Which information is true about probenecid?
A.
Patients with renal impairment can take the drug.
B.
Patients with peptic ulcers should avoid it.
C.
It is available in the form of an intravenous drug.
D.
It is taken on an empty stomach.
Question #14
Which example related to the use of aspirin relates to the "evaluation" step of the nursing process?
A.
Administering aspirin with food
B.
Obtaining the medication history of the patient
C.
Decreased pain in the patient’s joint
D.
Patient remains pain-free with aspirin therapy
Question #15
Which is a side effect of chondroitin?
A.
Skin reactions
B.
Abdominal discomfort
C.
Drowsiness
D.
Headache
Question #16
Which patient may be an unsuitable candidate for the administration of celecoxib?
A.
The patient with a sulfa allergy
B.
The patient with rheumatoid arthritis
C.
The patient with primary dysmenorrhea
D.
The patient with ankylosing spondylitis
Question #17
Which assessment finding in a patient who is on nonsteroidal antiinflammatory drug (NSAID) therapy does the nurse report to the primary health care provider?
A.
Black stools
B.
Swelling
C.
Loss of function
D.
Fever
Question #18
Which enzyme plays an important role in the conversion of arachidonic acid to leukotrienes?
A.
Lipoxygenase
B.
Prostacyclin synthetase
C.
Phospholipase
D.
Cyclooxygenase
Question #19
Which condition is the most common symptom of chronic salicylate intoxication in adults?
A.
Drowsiness, Pulmonary edema
B.
Tinnitus, Hearing loss
C.
Pulmonary edema, Dizziness
D.
Dizziness, Drowsiness
Question #20
The nurse is caring for a patient who states, "I can’t take aspirin. It makes my stomach hurt." Which response would the nurse make to the patient?
A.
"I will see if you can get a prescription for another pain reliever."
B.
"You can try enteric-coated aspirin."
C.
"Try taking the aspirin with milk."
D.
"You should take ibuprofen instead."
Question #21
Which dietary supplement can be given to a patient for treatment of osteoarthritis?
A.
Green tea
B.
Glucosamine
C.
Ginseng
D.
Grape seed extract
Question #22
Which category of medications increases the ulcerogenic effect of nonsteroidal antiinflammatory drugs (NSAIDs)?
A.
Prostaglandin analogs
B.
Corticosteroids
C.
Coumarin analogs
D.
Bisphosphonates
Question #23
A patient is prescribed enteric-coated aspirin for joint pain management. Which statement does the nurse make to the patient while administering enteric-coated aspirin?
A.
"You should swallow the tablet whole with water."
B.
"You should chew the tablet properly."
C.
"You should dissolve the tablet in water and then ingest."
D.
"You should crush the tablet and mix it with food."
Question #24
A patient has been taking aspirin for chronic pain. The patient states that the pain is not relieved with 650 mg of aspirin every 4 hours. Which instruction would the nurse give the patient?
A.
"Take aspirin and a cyclooxygenase 1 (COX-1) inhibitor at the same time."
B.
"Notify your health care provider that the medication is not effective."
C.
"Alternate aspirin and a narcotic analgesic every 4 hours."
D.
"Increase your dose to 1000 mg every 4 hours."
Question #25
The nurse is assessing a patient who has gout and is prescribed indomethacin 650 mg and febuxostat 40 mg. The nurse reports to the primary health care provider that the patient has symptoms of mild nonsalicylate intoxication. Which prescription does the primary health care provider give to the patient?
A.
Administer 40 mg of theophylline
B.
Reduce the dose of febuxostat
C.
Administer 10 mg of mercaptopurine
D.
Reduce the dose of indomethacin
Question #26
A patient is prescribed celecoxib for the treatment of rheumatoid arthritis. Which instruction does the nurse give to the patient for safe administration of the drug?
A.
"Take the drug on an empty stomach."
B.
"Take the drug after a meal."
C.
"Avoid taking the drug with fluid."
D.
"Take the drug with caffeine."
Question #27
Which assessment finding in a patient taking nonsteroidal antiinflammatory drugs (NSAIDs) requires immediate intervention?
A.
Palpitations
B.
Headache
C.
Black, tarry stools
D.
Nonproductive cough
Question #28
Which drug causes fewer gastrointestinal adverse effects and is derived from enolic acid?
A.
Fenoprofen
B.
Nabumetone
C.
Diflunisal
D.
Tolmetin
Question #29
A patient is prescribed allopurinol to treat gout. The nurse is educating the patient about administration of the drug. Which intervention does the nurse suggest to the patient to ensure safe administration of the drug?
A.
"Take the drug with caffeine."
B.
"Take the drug on an empty stomach."
C.
"Reduce the amount of fluid intake."
D.
"Take the drug with a meal."
Question #30
Which statement describes the advantage of cyclooxygenase 2 (COX-2) inhibitors over nonspecific nonsteroidal antiinflammatory (NSAID) drugs?
A.
They inhibit leukotriene and prostaglandin pathways.
B.
They are effective against pain and inflammation.
C.
They block the chemical activity of cyclooxygenase.
D.
They do not cause gastrointestinal ulceration.
Question #31
A patient with gout is prescribed aspirin. Which condition in the patient’s medical history will cause the nurse to be concerned?
A.
Stroke, Asthma, Migraine pain
B.
Asthma, Wheezing, Respiratory problems
C.
Wheezing, Stroke, Migraine pain
D.
Respiratory problems, Migraine pain, Stroke
Question #32
The nurse is assessing a 3-year-old child who has a fever. After checking the laboratory reports, the nurse finds that the child has influenza B. Which medication would the nurse expect to be included in the care plan?
A.
Acetaminophen
B.
Aspirin
C.
Aspirin combination drug
D.
Aspirin and ibuprofen
Question #33
A patient develops black stools, bleeding around the gums, and very small red-brown spots on the body after taking a nonsteroidal antiinflammatory drug to relieve joint pain. The nurse would contact the health care provider to request which test?
A.
Urine test, Hematocrit test, Chest radiography
B.
Hematocrit test, Hemoglobin test, Total blood count test
C.
Hemoglobin test, Urine test, Chest radiography
D.
Total blood count test, Chest radiography, Urine test
Question #34
The nurse is caring for a patient who has juvenile arthritis. The patient is prescribed ibuprofen. Long-term use of ibuprofen may cause severe gastrointestinal ulcers. Which other drug to prevent gastrointestinal ulcers does the nurse expect in the prescription?
A.
Ketorolac
B.
Oxaprozin
C.
Etodolac
D.
Misoprostol
Question #35
The nurse is assessing a patient who has pain in multiple joints and has been prescribed indomethacin. When reviewing the laboratory reports of the patient, the nurse finds that the patient has hyperuricemia and deposition of sodium urate crystals in the synovial fluid. Which drug does the nurse expect to be added to the patient’s regimen?
A.
Nabumetone
B.
Celecoxib
C.
Tolmetin
D.
Allopurinol
Question #36
The nurse is caring for a patient who has symptoms of acute toxicity due to an overdose of immediate-release ibuprofen, which was administered 1 hour earlier. Which is the appropriate action in this situation?
A.
Administer activated charcoal to the patient.
B.
Administer aspirin to the patient.
C.
Administer mercaptopurine to the patient.
D.
Conduct hemodialysis on the patient.
Question #37
The nurse is assessing an older adult who has rheumatoid arthritis and has been prescribed cyclosporine. While obtaining a medical history, the nurse learns that the patient is taking ibuprofen for pain relief. Which side effect does the nurse anticipate in the patient?
A.
Increased risk of nephrotoxicity
B.
Increased ulcerogenic effects
C.
Increased risk of gastrointestinal bleeding
D.
Increased elimination of cyclosporine
Question #38
The nurse is assessing a patient who has just had a myocardial infarction and who also has a history of peptic ulcer disease. While reviewing the prescription, the nurse finds that the patient is prescribed aspirin 325 mg. Which drug should be used as an alternative to aspirin to prevent the recurrence of peptic ulcers?
A.
Aspirin/antacid combination
B.
Aspirin/caffeine combination
C.
Enteric-coated aspirin
D.
Ibuprofen
Question #39
The nurse is caring for a patient who is taking aspirin to treat rheumatoid arthritis. The nurse learns that the patient uses a ginkgo supplement. Which adverse effect will the nurse expect in the patient?
A.
Decreased uric acid excretion
B.
Leukopenia
C.
Nephrotoxicity
D.
Increased risk of bleeding
Question #40
The nurse is assessing a patient who has severe joint pain. The patient takes angiotensin-converting enzyme inhibitors for hypertension. Which medicine does the nurse expect to be added in the prescription for pain relief?
A.
Naproxen
B.
Diflunisal and ibuprofen
C.
Ibuprofen
D.
Propranolol
Question #41
While interviewing a pregnant patient, the nurse learns that the patient takes aspirin for pain relief. Which appropriate suggestion does the nurse give to the patient?
A.
"You should stop taking aspirin after delivery while breastfeeding."
B.
"You can take aspirin during the third trimester of the pregnancy."
C.
"You should stop taking aspirin during the first trimester of the pregnancy."
D.
"You should start administering aspirin 1 week prior to the delivery."
Question #42
The nurse is assessing a patient who has Reye’s syndrome. Which symptom will the nurse expect to find in this patient?
A.
Seizures, Vomiting, Hypoglycemia
B.
Peptic ulcer, Seizures, Blood dyscrasias
C.
Vomiting, Peptic ulcer, Blood dyscrasias
D.
Blood dyscrasias, Peptic ulcer, Hypoglycemia
Question #43
The nurse is educating a patient about aspirin administration and its side effects. Which response by the patient indicates effective learning?
A.
"Aspirin can be administered before a meal." "Aspirin consumption may cause lower back pain." "Aspirin may produce tarry stools."
B.
"Aspirin may produce tarry stools." "Aspirin may produce red spots on the body." "Aspirin should not be administered if it has a vinegar odor."
C.
"Aspirin may produce red spots on the body." "Aspirin can be administered before a meal." "Aspirin consumption may cause lower back pain."
D.
"Aspirin can be administered before a meal." "Aspirin should not be administered if it has a vinegar odor." "Aspirin consumption may cause lower back pain."
Question #44
The nurse is caring for a child who has Reye’s syndrome. Which order will the nurse expect to implement?
A.
Administration of antiepileptic drugs, Administration of intravenous glucose, Administration of vitamin K supplements, Administration of osmotic diuretics with steroids
B.
Administration of antiepileptic drugs, Administration of intravenous glucose, Administration of vitamin K supplements, Administration of aspirin combination drugs
C.
Administration of antiepileptic drugs, Administration of aspirin combination drugs, Administration of vitamin K supplements, Administration of osmotic diuretics with steroids
D.
Administration of aspirin combination drugs, Administration of intravenous glucose, Administration of vitamin K supplements, Administration of osmotic diuretics with steroids
Question #45
The nurse is assessing a patient who has salicylate intoxication. Which sign and symptom will the nurse expect to find in the patient?
A.
Reduced blood glucose levels, Pain in the chest while breathing, Persistent rashes on the skin
B.
Persistent rashes on the skin, Pain in the chest while breathing, Hyperventilation
C.
Hyperventilation, Profuse sweating, Reduced blood glucose levels
D.
Persistent rashes on the skin, Pain in the chest while breathing, Profuse sweating
Question #46
The nurse is educating a patient who has gout. Which statement by the patient indicates effective learning?
A.
"I should adhere to the complete medical regimen." "I should avoid consuming alcohol while on antigout drugs." "I should avoid taking cold relief products with antigout drugs."
B.
"I should avoid consuming alcohol while on antigout drugs." "I should take antigout drugs along with caffeine." "I should decrease my daily fluid intake while on antigout drugs."
C.
"I should take antigout drugs along with caffeine." "I should adhere to the complete medical regimen." "I should decrease my daily fluid intake while on antigout drugs."
D.
"I should take antigout drugs along with caffeine." "I should decrease my daily fluid intake while on antigout drugs." "I should avoid taking cold relief products with antigout drugs."
Question #47
For which condition are nonsteroidal antiinflammatory drugs (NSAIDs) prescribed?
A.
Ankylosing spondylitis, Acute renal failure, Hemophilia, Acute renal failure
B.
Diabetic neuropathy, Rheumatoid arthritis, Ankylosing spondylitis
C.
Rheumatoid arthritis, Hemophilia, Acute renal failure
D.
Hemophilia, Acute renal failure, Diabetic neuropathy
Question #48
Which condition is an adverse effect of celecoxib?
A.
Constipation, Hypotension, Dizziness
B.
Hypotension, Constipation, Sinus irritation
C.
Headache, Constipation, Hypotension
D.
Dizziness, Headache, Sinus irritation
Question #49
Which phrase describes the use of the Done nomogram tool?
A.
Estimates the dose of salicylate with respect to body weight
B.
Estimates the severity of acute salicylate intoxication
C.
Estimates the severity of chronic salicylate intoxication
D.
Estimates the efficacy of salicylate drugs
Question #50
When is the risk for renal toxicity due to the administration of nonsteroidal antiinflammatory drugs (NSAIDs) increased?
A.
When the patient has rheumatoid arthritis, When the patient is dehydrated, When the patient has primary dysmenorrhea
B.
When the patient is taking diuretics, When the patient has primary dysmenorrhea, When the patient has rheumatoid arthritis
C.
When the patient has rheumatoid arthritis, When the patient has primary dysmenorrhea, When the patient has liver dysfunction
D.
When the patient is dehydrated, When the patient has liver dysfunction, When the patient is taking diuretics
Question #51
Which symptom is likely to be found in patients with aspirin triad?
A.
Rhinitis, Seizures, Vomiting
B.
Seizures, Vomiting, Nasal polyps
C.
Asthma, Rhinitis, Nasal polyps
D.
Asthma, Seizures, Vomiting
Question #52
A patient who has gouty arthritis is prescribed febuxostat. The nurse would assess the patient for which condition before administering the medication?
A.
Infectious diseases
B.
Cardiovascular disease
C.
Endocrine diseases
D.
Chronic mental illness
Question #53
Which drug has abortifacient properties and is avoided in pregnant women?
A.
Misoprostol
B.
Diclofenac sodium
C.
Indomethacin
D.
Sulindac
Question #54
Which patient condition is contraindicated for administration of aspirin?
A.
Patient with gout, Patient with myocardial infarction, Patient with severe peptic ulcer
B.
Patient with vitamin K deficiency, Patient with myocardial infarction, Patient with gout
C.
Patient with gout, Patient with rhinitis, Patient with myocardial infarction
D.
Patient with rhinitis, Patient with severe peptic ulcer, Patient with vitamin K deficiency
Question #55
Which medication causes leukopenia by inhibiting cell mitosis?
A.
Piroxicam
B.
Colchicine
C.
Celecoxib
D.
Indomethacin
Question #56
Which adverse effect is associated with nonsteroidal antiinflammatory drugs (NSAIDs)?
A.
Delusions, Tinnitus, Constipation
B.
Anorexia, Delusions, Constipation
C.
Dyspepsia, Constipation, Delusions
D.
Tinnitus, Anorexia, Dyspepsia
Question #57
Which adverse effect should be predicted if the patient is administered bisphosphonates and nonsteroidal antiinflammatory drugs (NSAIDs) together?
A.
Leukopenia
B.
Gastric bleeding
C.
Hyperuricemia
D.
Renal failure
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