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Chapter 16- Anti-inflammatory, Antiarthritis, and Related Agents

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1. A nurse has admitted a 10-year-old to the short-stay unit. The child has complained of chronic headaches and his mother reports that she gives him Tylenol at least twice a day. Which of the following will the nurse evaluate? A) Renal function B) Hepatic function C) Respiratory function D) Cardiac function 2. You are discussing ethnic differences in response to medication with your nursing students. What group of people would you tell your students have a decreased sensitivity to pain-relieving effects of anti-inflammatory drugs and should be educated concerning signs and symptoms of gastrointestinal bleeding from use of these drugs? A) African Americans B) White Americans C) Hispanics D) Asians 3. A patient, newly diagnosed with ulcerative colitis, has been admitted to the short-stay unit. What salicylates does the nurse anticipate will be ordered for this patient? A) Balsalazide (Colazal) B) Sodium thiosalicylate (Rexolate) C) Choline salicylate (Arthropan) D) Salsalate (Argesic) 4. The nurse is caring for a 66-pound child with orders for choline magnesium trisalicylate (Tricosal). The orders read 50 mg/kg per day PO in 2 divided doses. How many mg will the patient receive per dose? A) 250 mg B) 500 mg C) 750 mg D) 1000 mg 5. A nurse is caring for a patient with severe rheumatoid arthritis. The physician has ordered an anti-inflammatory medication for the patient. What should the nurse question if ordered by the physician? A) Oral antidiabetic agent B) Oral anticoagulant C) Antihypertensive agent D) Antibiotic 6. You are assessing a patient who has been taking NSAID therapy. What statement by the patient indicates to the nurse that the patient has a good understanding of the use of the NSAID therapy? A) “I drink a glass of wine every night.” B) “I asked my doctor to check for blood in my stool on a regular basis.” C) “I don't like to swallow tablets so I crush them.” D) “I take as little water as possible when I take my medication.” 7. A salicylate has been prescribed for a 15-year-old patient who has been diagnosed with arthritis. The mother is concerned about giving her child a salycilate. What salicylates could you tell this mother are recommended for use in children? A) Salsalate (Argesic) B) Olsalazine (Dipentum) C) Sodium thiosalicylate (Rexolate) D) Choline magnesium trisalicylate (Tricosal) 8. A mother has brought her 6-year-old child to the clinic. The child has a fever of 102.8ºF and is diagnosed with the flu. What medication will the nurse suggest for this child? A) Etanercept (Enbrel) B) Penicillamine (Depen) C) Acetaminophen (Tylenol) D) Aspirin (Bayer) 9. A nurse is presenting an educational event for a group of new parents. One factor that the nurse addresses is the over use of acetaminophen, which can cause liver toxicity. What would the nurse tell the parents it is important to do? A) To use Tylenol only with a doctor's order B) To check the label of OTC medications carefully to watch for inclusions of acetaminophen C) To monitor their child's temperature carefully and regulate the Tylenol dose based on the fever D) To mix OTC children's medications to get the best coverage for their child's symptoms 10. A mother asks the nurse how acetaminophen works. What statement best describes the therapeutic action of acetaminophen? A) It blocks the increase of interleukin-1 B) It reacts with free floating tumor necrosis (TNF) factor released by active leukocytes C) It acts directly on the hypothalamus to cause vasodilation and sweating D) It is taken-up by macrophages, which inhibit phagocytosis and release of lysosomal enzymes 11. Antipyretic drugs, such as aspirin, ibuprofen, and acetaminophen, often are used to alleviate the discomforts of fever and protect vulnerable organs, such as the brain, from extreme elevations in body temperature. However, the use of aspirin in children is limited due to the possibility of what disease? A) Munchausen's syndrome

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1. A nurse has admitted a 10-year-old to the short-stay unit. The child has complained of
chronic headaches and his mother reports that she gives him Tylenol at least twice a
day. Which of the following will the nurse evaluate?
A) Renal function
B) Hepatic function
C) Respiratory function
D) Cardiac function


2. You are discussing ethnic differences in response to medication with your nursing
students. What group of people would you tell your students have a decreased
sensitivity to pain-relieving effects of anti-inflammatory drugs and should be
educated concerning signs and symptoms of gastrointestinal bleeding from use of
these drugs?
A) African Americans
B) White Americans
C) Hispanics
D) Asians


3. A patient, newly diagnosed with ulcerative colitis, has been admitted to the short-
stay unit. What salicylates does the nurse anticipate will be ordered for this patient?
A) Balsalazide (Colazal)
B) Sodium thiosalicylate (Rexolate)
C) Choline salicylate (Arthropan)
D) Salsalate (Argesic)


4. The nurse is caring for a 66-pound child with orders for choline magnesium
trisalicylate (Tricosal). The orders read 50 mg/kg per day PO in 2 divided doses. How
many mg will the patient receive per dose?
A) 250 mg
B) 500 mg
C) 750 mg
D) 1000 mg


5. A nurse is caring for a patient with severe rheumatoid arthritis. The physician has
ordered an anti-inflammatory medication for the patient. What should the nurse
question if ordered by the physician?
A) Oral antidiabetic agent
B) Oral anticoagulant
C) Antihypertensive agent
D) Antibiotic

, 6. You are assessing a patient who has been taking NSAID therapy. What statement by
the patient indicates to the nurse that the patient has a good understanding of the use of
the NSAID therapy?
A) “I drink a glass of wine every night.”
B) “I asked my doctor to check for blood in my stool on a regular basis.”
C) “I don't like to swallow tablets so I crush them.”
D) “I take as little water as possible when I take my medication.”


7. A salicylate has been prescribed for a 15-year-old patient who has been diagnosed with
arthritis. The mother is concerned about giving her child a salycilate. What salicylates
could you tell this mother are recommended for use in children?
A) Salsalate (Argesic)
B) Olsalazine (Dipentum)
C) Sodium thiosalicylate (Rexolate)
D) Choline magnesium trisalicylate (Tricosal)


8. A mother has brought her 6-year-old child to the clinic. The child has a fever of
102.8ºF and is diagnosed with the flu. What medication will the nurse suggest for this
child?
A) Etanercept (Enbrel)
B) Penicillamine (Depen)
C) Acetaminophen (Tylenol)
D) Aspirin (Bayer)


9. A nurse is presenting an educational event for a group of new parents. One factor
that the nurse addresses is the over use of acetaminophen, which can cause liver
toxicity. What would the nurse tell the parents it is important to do?
A) To use Tylenol only with a doctor's order
B) To check the label of OTC medications carefully to watch for inclusions
of acetaminophen
C) To monitor their child's temperature carefully and regulate the Tylenol dose based
on the fever
D) To mix OTC children's medications to get the best coverage for their
child's symptoms

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