NURS 3100 - Final Exam
Which statement should the nurse include in the education for a client prescribed a nonsteroidal
anti-inflammatory drug(NSAID)? - ANS-"Take your medication with food"
A client asks the nurse if they can use liquid acetaminophen(Tylenol) that is used for an older
child for their4-month-old baby with a fever. Which response should the nurseprovide? -
ANS-"Infant drops should be used because they are different from liquid medicine"
Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen
(Advil) forlong-term therapy? - ANS-Hemoglobin and hematocrit
Bleeding times
Liver function tests
Which signs of inflammation should the nurse anticipate for a client that has experienced a
sports-related injury to theirleg? - ANS-Swelling
Pain
Warmth
A client that is experiencing inflammation from an injury asks the nurse how long it will take to
respond to treatment. Which is the best response by thenurse? - ANS-"It will take about a
week and a half for the symptoms to resolve"
The nurse has provided education about the action of histamines for a client. Which statement
indicates an understanding of theinformation? - ANS-"Histamines dilate vessels in the nose, so
it is congested and stuffy"
A client tells the nurse they would prefer to indefinitely take prednisone to treat their
inflammatory disease. Which is the best response by thenurse? - ANS-"This is not
recommended due to the serious side effects"
Which describes the direct action of acetaminophen(Tylenol) for feverreduction? -
ANS-Dilation of the peripheral blood vessels
Direct action at the level of the hypothalamus
Which statement made by a client indicates an understanding of the maximum daily amount of
ibuprofen(Motrin)? - ANS-"I cannot take over 3200 mg/day"
Which statement should the nurse include in the parental teaching for the administration of
acetaminophen(Tylenol) to achild? - ANS-"Read the labels of allover-the-counter medications
for the amount of acetaminophen(Tylenol)."
,Which outcome should the nurse include in the plan of care for the older client receiving
nonsteroidalanti-inflammatory drug(NSAID) therapy? - ANS-The client will report any bleeding
or bruising while taking the nonsteroidalanti-inflammatory drug(NSAID).
For which finding should the nurse notify the healthcare provider for a client prescribed
prednisone? - ANS-unexplained fever
Which of theclient's current prescriptions should the nurse consult the healthcare provider
about who has prescribed acetaminophen(Tylenol) four times aday? - ANS-Warfarin
(Coumadin) 2 mg orally every day
Which should the nurse monitor a client for that is receiving asalicylate? - ANS-Ototoxicity
Nephrotoxicity
Which findings are symptoms of inflammation? - ANS-Redness
Warmth
Itching
Pain
Which is an early laboratory marker of inflammation? - ANS-C-reactive protein
Which finding is a common adverse effect of an anti-inflammatory prescription? -
ANS-Heartburn
Which should a client be monitored for when prescribed aglucocorticoid? - ANS-Bruising
Which describes the mechanism of action for Ibuprofen(Advil)? - ANS-Inhibition of
prostaglandin synthesis
Which instructions should the nurse include in the teaching for a client prescribed aspirin
(ASA)? - ANS-Take the aspirin with a glass of milk
Which symptom should the nurse instruct the client prescribed a salicylate to report immediately
to the healthcareprovider? - ANS-Edema
Decreased urine output
Darkened urine
The nurse has provided education for a client prescribed a nonsteroidalanti-inflammatory.
Which statement made by the client indicates an understanding of theinformation? - ANS-"I will
make sure I increase my fluid intake"
, A client with severe inflammation of the knee prescribed a corticosteroid asks why they need to
return to the clinic for a10-day follow-up. Which information should the nurse provide theclient?
- ANS-"Your prescribed treatment will beevaluated."
"The knee should bere-examined."
"Corticosteroids should only be taken for 1 to 3weeks."
"Your prescription may be changed to anNSAID."
Which information in the health history should the nurse be concerned about for a client
prescribed ibuprofen for a mild anklesprain? - ANS-Hypertension
Alcohol abuse
Allergy to aspirin
Recent history of a peptic ulcer
Which client statement made by the client indicates the treatment with ananti-inflammatory has
beensuccessful? - ANS-"The pain in my shoulder is gone"
"My fever went away yesterday"
Which information should the nurse include in the explanation of inflammation for aclient? -
ANS-When cells are damaged nearby vessels get bigger.
The vessels in the area allow fluids to escape.
Inflammation produces pus.
Inflammation causes pain.
A client tells the nurse they have been taking aspirin to treat muscle pain. Based on this
statement, which findings in theclient's history should the nurse be concernedabout? -
ANS-Myocardial infarction at age 61
Helicobacter pylori infection treatment last month
Which prescription may be a causative factor in a client's fever of unknown origin? -
ANS-Paroxetine(Paxil)
Chlorpromazine(Thorazine)
Which education should the nurse provide a client that has been prescribed a second10-day
course of acorticosteroid? - ANS-"Make certain you doweight-bearing exercises at least three
times eachweek."
"Weigh yourself everyday."
"Let us know if you develop afever."
Which describes the mechanism of action of corticosteroids on the inflammatoryresponse? -
ANS-Suppress the release of histamine
Inhibit certain functions of phagocytes
Inhibit the biosynthesis of prostaglandins
Inhibit certain functions of lymphocytes
Which statement should the nurse include in the education for a client prescribed a nonsteroidal
anti-inflammatory drug(NSAID)? - ANS-"Take your medication with food"
A client asks the nurse if they can use liquid acetaminophen(Tylenol) that is used for an older
child for their4-month-old baby with a fever. Which response should the nurseprovide? -
ANS-"Infant drops should be used because they are different from liquid medicine"
Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen
(Advil) forlong-term therapy? - ANS-Hemoglobin and hematocrit
Bleeding times
Liver function tests
Which signs of inflammation should the nurse anticipate for a client that has experienced a
sports-related injury to theirleg? - ANS-Swelling
Pain
Warmth
A client that is experiencing inflammation from an injury asks the nurse how long it will take to
respond to treatment. Which is the best response by thenurse? - ANS-"It will take about a
week and a half for the symptoms to resolve"
The nurse has provided education about the action of histamines for a client. Which statement
indicates an understanding of theinformation? - ANS-"Histamines dilate vessels in the nose, so
it is congested and stuffy"
A client tells the nurse they would prefer to indefinitely take prednisone to treat their
inflammatory disease. Which is the best response by thenurse? - ANS-"This is not
recommended due to the serious side effects"
Which describes the direct action of acetaminophen(Tylenol) for feverreduction? -
ANS-Dilation of the peripheral blood vessels
Direct action at the level of the hypothalamus
Which statement made by a client indicates an understanding of the maximum daily amount of
ibuprofen(Motrin)? - ANS-"I cannot take over 3200 mg/day"
Which statement should the nurse include in the parental teaching for the administration of
acetaminophen(Tylenol) to achild? - ANS-"Read the labels of allover-the-counter medications
for the amount of acetaminophen(Tylenol)."
,Which outcome should the nurse include in the plan of care for the older client receiving
nonsteroidalanti-inflammatory drug(NSAID) therapy? - ANS-The client will report any bleeding
or bruising while taking the nonsteroidalanti-inflammatory drug(NSAID).
For which finding should the nurse notify the healthcare provider for a client prescribed
prednisone? - ANS-unexplained fever
Which of theclient's current prescriptions should the nurse consult the healthcare provider
about who has prescribed acetaminophen(Tylenol) four times aday? - ANS-Warfarin
(Coumadin) 2 mg orally every day
Which should the nurse monitor a client for that is receiving asalicylate? - ANS-Ototoxicity
Nephrotoxicity
Which findings are symptoms of inflammation? - ANS-Redness
Warmth
Itching
Pain
Which is an early laboratory marker of inflammation? - ANS-C-reactive protein
Which finding is a common adverse effect of an anti-inflammatory prescription? -
ANS-Heartburn
Which should a client be monitored for when prescribed aglucocorticoid? - ANS-Bruising
Which describes the mechanism of action for Ibuprofen(Advil)? - ANS-Inhibition of
prostaglandin synthesis
Which instructions should the nurse include in the teaching for a client prescribed aspirin
(ASA)? - ANS-Take the aspirin with a glass of milk
Which symptom should the nurse instruct the client prescribed a salicylate to report immediately
to the healthcareprovider? - ANS-Edema
Decreased urine output
Darkened urine
The nurse has provided education for a client prescribed a nonsteroidalanti-inflammatory.
Which statement made by the client indicates an understanding of theinformation? - ANS-"I will
make sure I increase my fluid intake"
, A client with severe inflammation of the knee prescribed a corticosteroid asks why they need to
return to the clinic for a10-day follow-up. Which information should the nurse provide theclient?
- ANS-"Your prescribed treatment will beevaluated."
"The knee should bere-examined."
"Corticosteroids should only be taken for 1 to 3weeks."
"Your prescription may be changed to anNSAID."
Which information in the health history should the nurse be concerned about for a client
prescribed ibuprofen for a mild anklesprain? - ANS-Hypertension
Alcohol abuse
Allergy to aspirin
Recent history of a peptic ulcer
Which client statement made by the client indicates the treatment with ananti-inflammatory has
beensuccessful? - ANS-"The pain in my shoulder is gone"
"My fever went away yesterday"
Which information should the nurse include in the explanation of inflammation for aclient? -
ANS-When cells are damaged nearby vessels get bigger.
The vessels in the area allow fluids to escape.
Inflammation produces pus.
Inflammation causes pain.
A client tells the nurse they have been taking aspirin to treat muscle pain. Based on this
statement, which findings in theclient's history should the nurse be concernedabout? -
ANS-Myocardial infarction at age 61
Helicobacter pylori infection treatment last month
Which prescription may be a causative factor in a client's fever of unknown origin? -
ANS-Paroxetine(Paxil)
Chlorpromazine(Thorazine)
Which education should the nurse provide a client that has been prescribed a second10-day
course of acorticosteroid? - ANS-"Make certain you doweight-bearing exercises at least three
times eachweek."
"Weigh yourself everyday."
"Let us know if you develop afever."
Which describes the mechanism of action of corticosteroids on the inflammatoryresponse? -
ANS-Suppress the release of histamine
Inhibit certain functions of phagocytes
Inhibit the biosynthesis of prostaglandins
Inhibit certain functions of lymphocytes
