Chapter 6 Book Qs

Question 1

1. A patient taking 40mg of prednisone daily for the past 3 months is experiencing the following signs and symptoms. Which ones are most likely related to the prednisone? (Select all that apply.)

A. Continuous drowsiness B. Excessive bruising C. Thinning scalp hair D. Increased dental cavities E. Hypoglycemia F Loss of appetite G. Blurred vision H. High blood pressure

Answer 1

B C H

Question 2

2. Why are aspirin and aspirin-containing drugs avoided for use with children?

A. Aspirin is associated with the development of Reye’s syndrome. B. Aspirin would drop a child’s body temperature below normal. C. Children are at higher risk for bleeding with aspirin use. D. A child’s liver is too immature to metabolize aspirin.

Answer 2

A

Question 3

3. Which anti-inflammatory drug class is similar to the natural cortisol your adrenal glands produce?

A. Antihistamines B. Leukotriene inhibitors C. Corticosteroids D. Disease-modifying antirheumatic drugs

Answer 3

C

Question 4

4. Which nonsteroidal anti-inflammatory drug (NSAID) is less likely to affect platelets and blood clotting?

A. indomethacin (Indocin) B. salicylic acid (Aspirin) C. ibuprofen (Advil) D. meloxicam (Mobic)

Answer 4

D

Question 5

5. Which drug is an H1 histamine blocker?

A. bupropion (Zyban) B. cetirizine (Zyrtec) C. piroxicam (Feldene) D. ranitidine (Zantac)

Answer 5

B

Question 6

6. Which side effects are commonly associated with most antihistamines? Select all that apply.

A. Asthma B. Constricted pupils C. Diarrhea D. Dry mouth E. Drowsiness F. Hypertension G. Nausea and vomiting H. Urinary retention

Answer 6

D E F H

Question 7

7. What is the most common side effect of any leukotriene inhibitor?

A. Headache B. Jaundice C. Runny nose D. Cigarette craving

Answer 7

A

Question 8

8. How are most disease-modifying antirheumatic drugs administered? A. Inhalation B. Oral liquid C. Topical cream D. Subcutaneous injection

Answer 8

D

Question 9

9. The patient who was taking an oral corticosteroid for the past month to treat a breathing problem has been tapered down and off the drug. One week later, she has all of the following changes. Which one do you report to the prescriber immediately?

A. A 1-pound weight gain B. Serum potassium level of 6.2mEq/L C. Continuing scalp hair loss D. Thick white coating on the tongue

Answer 9

B

Question 10

10. The patient who had a total knee replacement is discharged to home and prescribed to take 400mg of celecoxib (Celebrex) orally daily for the next 10 days. Which precaution is most important to teach this patient?

A. Avoid crowds and people who are ill. B. Do not floss your teeth while taking this drug. C. Avoid alcohol and caffeine while taking this drug. D. Do not increase the dose or frequency of this drug.

Answer 10

D

Question 11

11. Why is indomethacin (Indocin) never prescribed for women late in pregnancy?

A. The drug is known to cause hand deformities and other skeletal birth defects. B. The drug can cause early closure of a fetal blood vessel. C. There is an increased risk for clot formation after delivery. D. There is an increased risk for premature birth.

Answer 11

B

Question 12

12. Which question is most important to ask a patient before giving the first dose of an NSAID?

A. Do you have a cold or any other symptoms of infection? B. Do you or any members of your family have diabetes? C. Have you had any recent problems with hair loss? D. Have you ever had an allergic reaction to aspirin?

Answer 12

D

Question 13

13. The patient prescribed fexofenadine (Allegra) for a nasal allergy reports that his mouth is dry and sticky. What is your best response or action?

A. Suggest that the patient increase his water intake. B. Report this reaction to the prescriber immediately. C. Instruct the patient to reduce the dosage of this drug. D. Request that the prescriber switch the patient to a nasal spray form of the drug.

Answer 13

A

Question 14

14. For which patient should the antihistamine diphenhydramine (Benadryl) be avoided?

A. 12-year-old boy who has type 1 diabetes B. 45-year-old woman who has osteoarthritis C. 65-year-old man who has an enlarged prostate D. 75-year-old man who is allergic to sulfa drugs

Answer 14

C

Question 15

15. A man taking zileuton (Zyflo) for the past 6 months for seasonal allergies has all of the following side effects. Which one indicates a possible severe health problem related to the use of this drug?

A. Reduced appetite B. Headaches C. Cola-colored urine D. Dry skin and scalp

Answer 15

C

Question 16

16. When drawing up a dose of etanercept (Enbrel), you notice a few particles floating in the clear and colorless drug. What should you do?

A. Vigorously shake the vial before drawing up the drug. B. Draw up and administer the drug as prescribed. C. Discard the drug vial and obtain a new one. D. Report the observation to the pharmacy.

Answer 16

B