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 have renal problems?" "Do you have joint pain?" "Do you have gout problems?"
C.   "Do you take herbal drugs?" "Do you have renal problems?" "Do you have cardiac problems?"
D.   "Do you have joint pain?" "Do you have gout problems?" "Do you take herbal drugs?"
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.   Celecoxib
B.   Probenecid
C.   Colchicine
D.   Ketorolac
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, Tinnitus, Decreased heart rate
B.   Tinnitus, Lassitude, Dimness of vision
C.   Constipation, Decreased heart rate, Lassitude
D.   Dimness of vision, Decreased heart rate, Constipation
Question #4
Which nonsteroidal antiinflammatory drug (NSAID) is prescribed for the patient with myocardial infarction?
A.   Dexamethasone
B.   Aspirin
C.   Prednisone
D.   Celecoxib
Question #5
Which nonsteroidal antiinflammatory drug (NSAID) may cause Reye’s syndrome in children with viral illnesses or fever?
A.   Meloxicam
B.   Aspirin
C.   Nabumetone
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 increase the blood oxygen level."
B.   "They decrease the serum uric acid level."
C.   "They decrease the fatty acid level."
D.   "They increase the red blood cells."
Question #7
Which assessment finding indicates that the nonsteroidal antiinflammatory drug has been effective?
A.   Pain has decreased from a 6 to a 1 on a scale of 10.
B.   Patient has increased circulation to his legs.
C.   Patient’s bleeding time is prolonged.
D.   PTT is 100 seconds.
Question #8
Which dose of salicylate can cause severe toxicity in a patient?
A.   150 to 300 mg/kg
B.   300 to 500 mg/kg
C.   100 to 250 mg/kg
D.   Lower than 100 mg/kg
Question #9
Which drug is the recommended nonsteroidal antiinflammatory (NSAID) medication for a patient with diabetic neuropathy?
A.   Indomethacin
B.   Aspirin
C.   Ibuprofen
D.   Sulindac
Question #10
Which medication used for the treatment of gout inhibits the metabolism, mobility, and chemotaxis of polymorphonuclear leukocytes?
A.   Febuxostat
B.   Probenecid
C.   Allopurinol
D.   Colchicine
Question #11
Which drug is indicated for the treatment of gout because of its ability to inhibit the enzyme xanthine oxidase?
A.   Allopurinol
B.   Colchicine
C.   Celecoxib
D.   Probenecid
Question #12
Which usage is true for ketorolac (Toradol)?
A.   Only prescribed for 7 days
B.   Given for chronic pain
C.   Favorable for former opiate users
D.   Over-the-counter (OTC) drug
Question #13
Which information is true about probenecid?
A.   Patients with peptic ulcers should avoid it.
B.   It is taken on an empty stomach.
C.   It is available in the form of an intravenous drug.
D.   Patients with renal impairment can take the drug.
Question #14
Which example related to the use of aspirin relates to the "evaluation" step of the nursing process?
A.   Patient remains pain-free with aspirin therapy
B.   Administering aspirin with food
C.   Obtaining the medication history of the patient
D.   Decreased pain in the patient’s joint
Question #15
Which is a side effect of chondroitin?
A.   Drowsiness
B.   Headache
C.   Abdominal discomfort
D.   Skin reactions
Question #16
Which patient may be an unsuitable candidate for the administration of celecoxib?
A.   The patient with primary dysmenorrhea
B.   The patient with ankylosing spondylitis
C.   The patient with a sulfa allergy
D.   The patient with rheumatoid arthritis
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.   Loss of function
C.   Swelling
D.   Fever
Question #18
Which enzyme plays an important role in the conversion of arachidonic acid to leukotrienes?
A.   Lipoxygenase
B.   Phospholipase
C.   Cyclooxygenase
D.   Prostacyclin synthetase
Question #19
Which condition is the most common symptom of chronic salicylate intoxication in adults?
A.   Dizziness, Drowsiness
B.   Pulmonary edema, Dizziness
C.   Tinnitus, Hearing loss
D.   Drowsiness, Pulmonary edema
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.   Grape seed extract
B.   Ginseng
C.   Green tea
D.   Glucosamine
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 dissolve the tablet in water and then ingest."
C.   "You should crush the tablet and mix it with food."
D.   "You should chew the tablet properly."
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.   "Increase your dose to 1000 mg every 4 hours."
C.   "Notify your health care provider that the medication is not effective."
D.   "Alternate aspirin and a narcotic analgesic 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 indomethacin
C.   Administer 10 mg of mercaptopurine
D.   Reduce the dose of febuxostat
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 with caffeine."
B.   "Take the drug on an empty stomach."
C.   "Take the drug after a meal."
D.   "Avoid taking the drug with fluid."
Question #27
Which assessment finding in a patient taking nonsteroidal antiinflammatory drugs (NSAIDs) requires immediate intervention?
A.   Headache
B.   Black, tarry stools
C.   Palpitations
D.   Nonproductive cough
Question #28
Which drug causes fewer gastrointestinal adverse effects and is derived from enolic acid?
A.   Fenoprofen
B.   Tolmetin
C.   Diflunisal
D.   Nabumetone
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 on an empty stomach."
B.   "Take the drug with a meal."
C.   "Take the drug with caffeine."
D.   "Reduce the amount of fluid intake."
Question #30
Which statement describes the advantage of cyclooxygenase 2 (COX-2) inhibitors over nonspecific nonsteroidal antiinflammatory (NSAID) drugs?
A.   They are effective against pain and inflammation.
B.   They do not cause gastrointestinal ulceration.
C.   They block the chemical activity of cyclooxygenase.
D.   They inhibit leukotriene and prostaglandin pathways.
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.   Wheezing, Stroke, Migraine pain
B.   Asthma, Wheezing, Respiratory problems
C.   Respiratory problems, Migraine pain, Stroke
D.   Stroke, Asthma, Migraine pain
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.   Aspirin and ibuprofen
B.   Aspirin
C.   Acetaminophen
D.   Aspirin combination drug
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.   Total blood count test, Chest radiography, Urine test
B.   Urine test, Hematocrit test, Chest radiography
C.   Hematocrit test, Hemoglobin test, Total blood count test
D.   Hemoglobin test, Urine test, Chest radiography
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.   Etodolac
C.   Oxaprozin
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.   Allopurinol
B.   Tolmetin
C.   Celecoxib
D.   Nabumetone
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.   Conduct hemodialysis on the patient.
B.   Administer activated charcoal to the patient.
C.   Administer mercaptopurine to the patient.
D.   Administer aspirin to 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 elimination of cyclosporine
B.   Increased risk of nephrotoxicity
C.   Increased risk of gastrointestinal bleeding
D.   Increased ulcerogenic effects
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.   Enteric-coated aspirin
B.   Aspirin/caffeine combination
C.   Ibuprofen
D.   Aspirin/antacid combination
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.   Nephrotoxicity
C.   Leukopenia
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.   Ibuprofen
C.   Propranolol
D.   Diflunisal and ibuprofen
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 during the first trimester of the pregnancy."
B.   "You can take aspirin during the third trimester of the pregnancy."
C.   "You should stop taking aspirin after delivery while breastfeeding."
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.   Blood dyscrasias, Peptic ulcer, Hypoglycemia
B.   Vomiting, Peptic ulcer, Blood dyscrasias
C.   Seizures, Vomiting, Hypoglycemia
D.   Peptic ulcer, Seizures, Blood dyscrasias
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 may produce red spots on the body." "Aspirin can be administered before a meal." "Aspirin consumption may cause lower back pain."
B.   "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."
C.   "Aspirin can be administered before a meal." "Aspirin consumption may cause lower back pain." "Aspirin may produce tarry stools."
D.   "Aspirin may produce tarry stools." "Aspirin may produce red spots on the body." "Aspirin should not be administered if it has a vinegar odor."
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 aspirin combination drugs, Administration of vitamin K supplements, Administration of osmotic diuretics with steroids
C.   Administration of antiepileptic drugs, Administration of intravenous glucose, Administration of vitamin K supplements, Administration of aspirin combination drugs
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.   Persistent rashes on the skin, Pain in the chest while breathing, Profuse sweating
B.   Reduced blood glucose levels, Pain in the chest while breathing, Persistent rashes on the skin
C.   Hyperventilation, Profuse sweating, Reduced blood glucose levels
D.   Persistent rashes on the skin, Pain in the chest while breathing, Hyperventilation
Question #46
  
A.   "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."
B.   "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."
C.   "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."
D.   "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."
Question #47
For which condition are nonsteroidal antiinflammatory drugs (NSAIDs) prescribed?
A.   Hemophilia, Acute renal failure, Diabetic neuropathy
B.   Rheumatoid arthritis, Hemophilia, Acute renal failure
C.   Ankylosing spondylitis, Acute renal failure, Hemophilia, Acute renal failure
D.   Diabetic neuropathy, Rheumatoid arthritis, Ankylosing spondylitis
Question #48
Which condition is an adverse effect of celecoxib?
A.   Headache, Constipation, Hypotension
B.   Dizziness, Headache, Sinus irritation
C.   Constipation, Hypotension, Dizziness
D.   Hypotension, Constipation, Sinus irritation
Question #49
Which phrase describes the use of the Done nomogram tool?
A.   Estimates the severity of chronic salicylate intoxication
B.   Estimates the dose of salicylate with respect to body weight
C.   Estimates the efficacy of salicylate drugs
D.   Estimates the severity of acute salicylate intoxication
Question #50
When is the risk for renal toxicity due to the administration of nonsteroidal antiinflammatory drugs (NSAIDs) increased?
A.   When the patient is dehydrated, When the patient has liver dysfunction, When the patient is taking diuretics
B.   When the patient has rheumatoid arthritis, When the patient is dehydrated, When the patient has primary dysmenorrhea
C.   When the patient has rheumatoid arthritis, When the patient has primary dysmenorrhea, When the patient has liver dysfunction
D.   When the patient is taking diuretics, When the patient has primary dysmenorrhea, When the patient has rheumatoid arthritis
Question #51
Which symptom is likely to be found in patients with aspirin triad?
A.   Asthma, Seizures, Vomiting
B.   Seizures, Vomiting, Nasal polyps
C.   Rhinitis, Seizures, Vomiting
D.   Asthma, Rhinitis, Nasal polyps
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.   Cardiovascular disease
B.   Endocrine diseases
C.   Infectious diseases
D.   Chronic mental illness
Question #53
Which drug has abortifacient properties and is avoided in pregnant women?
A.   Indomethacin
B.   Sulindac
C.   Diclofenac sodium
D.   Misoprostol
Question #54
Which patient condition is contraindicated for administration of aspirin?
A.   Patient with vitamin K deficiency, Patient with myocardial infarction, Patient with gout
B.   Patient with gout, Patient with rhinitis, Patient with myocardial infarction
C.   Patient with gout, Patient with myocardial infarction, Patient with severe peptic ulcer
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.   Celecoxib
B.   Colchicine
C.   Piroxicam
D.   Indomethacin
Question #56
Which adverse effect is associated with nonsteroidal antiinflammatory drugs (NSAIDs)?
A.   Anorexia, Delusions, Constipation
B.   Delusions, Tinnitus, Constipation
C.   Tinnitus, Anorexia, Dyspepsia
D.   Dyspepsia, Constipation, Delusions
Question #57
Which adverse effect should be predicted if the patient is administered bisphosphonates and nonsteroidal antiinflammatory drugs (NSAIDs) together?
A.   Gastric bleeding
B.   Hyperuricemia
C.   Renal failure
D.   Leukopenia

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