ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 44 : Anti-inflammatory and Antigout Drugs Questions
Question 1 of 5
A 6-year-old child who has chickenpox also has a fever of 102.9?°F (39.4?°C). The child's mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse?
Correct Answer: C
Rationale: Aspirin is contraindicated in children with flu-like symptoms because the use of this drug has been strongly associated with Reye syndrome. This is an acute and potentially life-threatening condition involving progressive neurologic deficits that can lead to coma and may also involve liver damage. Acetaminophen is appropriate for this patient.
Question 2 of 5
A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal anti-inflammatory drug and misoprostol, also called Cytotec. The patient asks the nurse, 'Why am I now taking two pills for arthritis?' What is the nurse's best response?
Correct Answer: D
Rationale: Cytotec inhibits gastric acid secretions and stimulates mucous secretions; it has proved successful in preventing the gastric ulcers that may occur in patients taking NSAIDs.
Question 3 of 5
A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The patient asks about the purpose of this aspirin. Which response by the nurse is correct?
Correct Answer: D
Rationale: Aspirin can reduce platelet aggregation; low doses of aspirin (81 to 325 mg once daily) are used for thromboprevention. Higher doses are required for pain relief, reduction of inflammation, and reduction of fever.
Question 4 of 5
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?
Correct Answer: A
Rationale: Contraindications to NSAIDs include known drug allergy and conditions that place a patient at risk for bleeding, such as vitamin K deficiency, and peptic ulcer disease. Patients with documented aspirin allergy must not receive NSAIDs. Other common contraindications are those that apply to most drugs, including severe renal or hepatic disease.
Question 5 of 5
The nurse notes in a patient's medication history that the patient is taking allopurinol. Based on this finding, the nurse interprets that the patient has which disorder?
Correct Answer: B
Rationale: Allopurinol is indicated for the treatment of gout but is not indicated for the other disorders listed.