Exam 1 Review Flashcards
A client with a sprained wrist has been taking P.O. doses of ibuprofen (Motrin) 800mg. Which statement by the client indicates the need for further education related to this medication?
“I always take this medication on an empty stomach.”
The nurse is caring for a client after falling off their scooter. The client’s right hand is severely swollen, red, warm, and incredibly painful. What parts of the inflammatory process are affecting the client’s hand? Select all that apply.
release of chemotactic factors, neutrophil emigration
The nurse is caring for a client with a Type I hypersensitivity. What cell involved in this response causes vasodilation?
Mast cells
The nurse is completing an intake assessment of a client with contact dermatitis of the lower leg. The nurse knows that which type of cell caused this hypersensitivity?
T cells
What causes the tissue damage seen in both Type II and Type III hypersensitivity reactions?
Complement activation
What is a common side effect of glucocorticoids such as Prednisone?
hyperglycemia
What is an example of a Type II hypersensitivity?
blood transfusion reaction
Which cell responds to foreign antigen presented on the MHC-II protein of a phagocytic cell?
Helper T-cell
Which of the following medications inhibits cyclooxygenase (COX-1 and COX-2) as their mechanism of action and therefore reduce inflammation?
ibuprofen, aspirin
Drug A is a quaternary ammonium compound. Which of the following is a true statement about this medication?
This medication should be given parenterally.
A patient is given the wrong medication. What should the nurse do first?
Assess the patient.
A patient is receiving a prescription for antibiotics. What information should the nurse include in the patient education?
“You should take the antibiotics until they are gone, even if you are feeling better.”
A patient is receiving repeated doses of antibiotics without a loading dose. The half-life of the antibiotics is 4 hours. How long will it take for the antibiotic to reach plateau?
16 hours.
Drug X is metabolized by the p450 system. Drug Y is an inducer of the p450 system. What will happen if these 2 medications are given together.
Drug X will be metabolized more quickly resulting in the medication being excreted at a faster rate.
Drug Z is affected by the first-pass effect in the liver. Which one of the following statements is true about this medication?
Drug Z should be given parenterally to minimize hepatic inactivation.
Suprainfections are caused by which of the following?
Normal beneficial flora in the body are killed by antibiotics and allows for the growth of infectious organisms.
Which of the following constitutes a medication error? (Select all that apply.)
The nurse forgets to give the patient his morning dose of antibiotics, the nurse gives the patient her antibiotic 2 hours late, the nurse gives the patient the wrong antibiotic.
Which of the following statements are true about the transmission of HIV infection? (Select all that apply.)
Individuals who inject IV drugs and share needles are at an increased risk for contracting HIV infections, personal protective equipment worn by healthcare providers helps minimize exposure to HIV infections.
Which one of the following statements is true about opportunistic infections?
Individuals with AIDS are prone to opportunistic infections because they have a weakened immune system.
Which of the following should the nurse include in the pre-administration assessment? (Select all that apply.)
Review the patient’s medical history, review the patient’s allergies, review the patient’s medication list, take a complete set of vital signs.
“I always take this medication on an empty stomach.”
A client with a sprained wrist has been taking P.O. doses of ibuprofen (Motrin) 800mg. Which statement by the client indicates the need for further education related to this medication?
release of chemotactic factors, neutrophil emigration
The nurse is caring for a client after falling off their scooter. The client’s right hand is severely swollen, red, warm, and incredibly painful. What parts of the inflammatory process are affecting the client’s hand? Select all that apply.
Mast cells
The nurse is caring for a client with a Type I hypersensitivity. What cell involved in this response causes vasodilation?
T cells
The nurse is completing an intake assessment of a client with contact dermatitis of the lower leg. The nurse knows that which type of cell caused this hypersensitivity?
Complement activation
What causes the tissue damage seen in both Type II and Type III hypersensitivity reactions?
hyperglycemia
What is a common side effect of glucocorticoids such as Prednisone?
blood transfusion reaction
What is an example of a Type II hypersensitivity?
Helper T-cell
Which cell responds to foreign antigen presented on the MHC-II protein of a phagocytic cell?
ibuprofen, aspirin
Which of the following medications inhibits cyclooxygenase (COX-1 and COX-2) as their mechanism of action and therefore reduce inflammation?
This medication should be given parenterally.
Drug A is a quaternary ammonium compound. Which of the following is a true statement about this medication?
Assess the patient.
A patient is given the wrong medication. What should the nurse do first?
“You should take the antibiotics until they are gone, even if you are feeling better.”
A patient is receiving a prescription for antibiotics. What information should the nurse include in the patient education?
16 hours.
A patient is receiving repeated doses of antibiotics without a loading dose. The half-life of the antibiotics is 4 hours. How long will it take for the antibiotic to reach plateau?
Drug X will be metabolized more quickly resulting in the medication being excreted at a faster rate.
Drug X is metabolized by the p450 system. Drug Y is an inducer of the p450 system. What will happen if these 2 medications are given together.
Drug Z should be given parenterally to minimize hepatic inactivation.
Drug Z is affected by the first-pass effect in the liver. Which one of the following statements is true about this medication?
Normal beneficial flora in the body are killed by antibiotics and allows for the growth of infectious organisms.
Suprainfections are caused by which of the following?
The nurse forgets to give the patient his morning dose of antibiotics, the nurse gives the patient her antibiotic 2 hours late, the nurse gives the patient the wrong antibiotic.
Which of the following constitutes a medication error? (Select all that apply.)
Individuals who inject IV drugs and share needles are at an increased risk for contracting HIV infections, personal protective equipment worn by healthcare providers helps minimize exposure to HIV infections.
Which of the following statements are true about the transmission of HIV infection? (Select all that apply.)
Individuals with AIDS are prone to opportunistic infections because they have a weakened immune system.
Which one of the following statements is true about opportunistic infections?
Review the patient’s medical history, review the patient’s allergies, review the patient’s medication list, take a complete set of vital signs.
Which of the following should the nurse include in the pre-administration assessment? (Select all that apply.)
