ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 44 : Anti-inflammatory and Antigout Drugs Questions
Question 1 of 5
The nurse is reviewing the history of a patient who has a new order for a nonsteroidal anti-inflammatory drug (NSAID). Which conditions, if present, are contraindications to the use of NSAIDs? (Select all that apply.)
Correct Answer: A,C,D
Rationale: Contraindications to NSAIDs include known drug allergy as well as conditions that place the patient at risk for bleeding, such as vitamin K deficiency and peptic ulcer disease. Patients with documented aspirin allergy should not receive NSAIDs. NSAIDs may be used to treat arthralgia.
Question 2 of 5
A 55-year-old woman has been given a nonsteroidal anti-inflammatory drug (NSAID) for the treatment of rheumatoid arthritis. The nurse is reviewing the patient's medication history and notes that which types of medications could have an interaction with the NSAID? (Select all that apply.)
Correct Answer: C,E,F
Rationale: Anticoagulants taken with NSAIDs may cause increased bleeding tendencies because of platelet inhibition and hypoprothrombinemia. NSAIDs taken with diuretics may cause reduced hypotensive and diuretic effects. NSAIDs taken with corticosteroids may cause increased ulcerogenic effects.
Question 3 of 5
There is a new order for Naproxen 250 mg PO twice daily. The drug is available as an oral suspension that contains 125 mg/5 mL. Identify how many milliliters the nurse will administer for 1 dose of this medication.
Correct Answer: 10 mL
Rationale: Calculate dose: 125 mg:5 mL::250 mg:x mL. (125 ?? x) = (5 ?? 250); 125x = 1250; x = 10 mL.
Question 4 of 5
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?
Correct Answer: C
Rationale: NSAIDs have antipyretic effects but not the other effects listed.
Question 5 of 5
A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
Correct Answer: C
Rationale: Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting, anorexia, abdominal pain, and others.