Chapter 44: Antiinflammatory and Antigout Drugs Flashcards
When a patient is receiving long-term NSAID therapy, which drug may be given to prevent the serious gastrointestinal adverse effects of NSAIDs?
a. misoprostol
b. metoprolol
c. metoclopramide
d. magnesium sulfate
a. misoprostol
The nurse recognizes that manifestations of nonsalicylate NSAID toxicity include which of these? (SATA)
a. Constipation
b. Nausea and vomiting
c. Numbness
d. Drowsiness
e. Urinary retention
b. Nausea and vomiting
c. Numbness
d. Drowsiness
During a teaching session about antigout drugs, the nurse tells the patient that antigout drugs work by which mechanism?
a. Increasing blood oxygen levels
b. Decreasing leukocytes and platelets
c. Increasing protein and rheumatoid factors
d. Decreasing serum uric acid levels
d. Decreasing serum uric acid levels
When the nurse is teaching about antigout drugs, which statement by the nurse is accurate?
a. “Drink only limited amounts of fluids with the drug.”
b. “This drug may cause limited movements of your joints.”
c. “There are very few drug interactions with these medications.”
d. “Colchicine is best taken on an empty stomach.”
d. “Colchicine is best taken on an empty stomach.”
A mother calls the clinic to ask what medication to give her 5-year-old child for a fever during a bout of chickenpox. The nurse’s best response would be:
a. “Your child is 5 years old, so it would be okay to use children’s aspirin to treat his fever.”
b. “Start with acetaminophen or ibuprofen, but if these do not work, then you can try aspirin.”
c. “You can use children’s dosages of acetaminophen or ibuprofen, but aspirin is not recommended.”
d. “It is best to wait to let the fever break on its own without medication.”
c. “You can use children’s dosages of acetaminophen or ibuprofen, but aspirin is not recommended.”
A 49-year-old patient has been admitted with possible chronic salicylate intoxication after self-treatment for arthritis pain. The nurse will assess for which symptoms of salicylate intoxication? (Select all that apply).
a. Tinnitus
b. Headache
c. Constipation
d. Nausea
e. Bradycardia
a. Tinnitus
b. Headache
d. Nausea
The nurse is reviewing a patient’s medication list during a preoperative visit. The patient is scheduled for diagnostic laparoscopy in 2 weeks. He asks the nurse, “I hope I can continue the Motrin, because I really ache if I don’t take it. It’s just minor surgery, right?” What is the nurse’s best response?
a. “You can continue to take it as the laparoscopy is considered minor surgery.”
b. “You will need to take a lower dosage during the preoperative period.”
c. “I’ll check with your prescriber, but this drug is usually stopped a week before the surgery because it can cause increased bleeding tendencies.”
d. “You can switch to aspirin before the surgery; both aspirin and Motrin are over-the-counter pain relievers.”
c. “I’ll check with your prescriber, but this drug is usually stopped a week before the surgery because it can cause increased bleeding tendencies.”
When teaching a patient about the common adverse effects of therapy with nonsteroidal antiinflamma-tory drugs (NSAIDs), the nurse will mention which possible adverse effect?
a. Dizziness
b. Heartburn
c. Palpitations
d. Diarrhea
b. Heartburn
A 13-year-old patient has the flu, and her mother is concerned about her fever of 103° F (39.4° C). Which of these medications will the prescriber suggest to treat the teen’s fever?
a. Aspirin
b. Acetaminophen
c. Indomethacin
d. Ketorolac
b. Acetaminophen
A patient is receiving treatment with allopurinol for an acute flare-up of gout. Which statements will the nurse include during patient teaching? (Select all that apply.)
a. “Be sure to avoid alcohol and caffeine.”
b. “Take the medication with meals to prevent stomach problems.”
c. “You need to take this medication on an empty stomach to improve absorption.”
d. “You need to increase fluid intake to up to 3 liters per day.”
e. “Call your provider immediately if you note any skin rashes or abnormalities.”
a. “Be sure to avoid alcohol and caffeine.”
b. “Take the medication with meals to prevent stomach problems.”
d. “You need to increase fluid intake to up to 3 liters per day.”
e. “Call your provider immediately if you note any skin rashes or abnormalities.”
When reviewing the health history of a patient who is to receive NSAID therapy, the nurse keeps in mind that contraindications for the use of these drugs include which condition?
a. Pericarditis
b. Osteoarthritis
c. Bleeding disorders
d. Juvenile rheumatoid arthritis
c. Bleeding disorders
The nurse is reviewing the use of the COX-2 inhibitor celecoxib. Which conditions are indications for celecoxib? (Select all that apply.)
a. Osteoarthritis
b. Prevention of thrombotic events
c. Rheumatoid arthritis
d. Primary dysmenorrhea
e. Fever reduction
a. Osteoarthritis
c. Rheumatoid arthritis
d. Primary dysmenorrhea
The nurse would be correct in identifying which description as the method of action of febuxostat (Uloric) in the treatment of gout?
a. Inhibits uric acid production
b. Increases uric acid secretion
c. Reduces inflammation
d. Inhibits deposition of urate crystals
a. Inhibits uric acid production
The nurse would be correct in identifying which description as the method of action of probenecid in the treatment of gout?
a. Inhibits uric acid production
b. Increases uric acid secretion
c. Reduces inflammation
d. Inhibits deposition of urate crystals
b. Increases uric acid secretion
The nurse is reviewing a patient’s medications and sees an order for ketorolac. This drug is ordered for which condition?
a. Fever
b. Mild pain
c. Moderate to severe acute pain
d. Long-term chronic pain conditions
c. Moderate to severe acute pain
