Musculoskeletal

Question 0

How can G.I upset be minimized ?

Answer 0

Get med with food or milk

Question 1

Because aspirin inhibit prostaglandin what can it eliminate ?

Answer 1

Sodium and water

Question 2

What is the #1 drug of choice for RA ?

Answer 2

Aspirin - ASA ( Acetylsalicylic Acid )

Question 3

ASA is considered what kind of drug ? What cranial nerve does it affect ?

Answer 3

Oxotoxic

8th cranial nerve (auditory )

Question 4

Probenecid may _______ the anticoagulant effect of heparin ?

Answer 4

Increase

So there a risk for bleeding

Question 5

What do client receiving intra articular injection must be caution to not do what ?

Answer 5

Overly stress the joint

Question 6

What are dietary supplement that are encourage to prevent osteoporosis ?

Answer 6

Calcium and potassium

Question 7

What are signs and symptoms of adrenal crisis ?

Answer 7

Hypotension 
Lethargy
Dehydration
Weakness 
Restlessness 
Nausea , vomiting , diarreah

Question 8

Stopping corticosteroids abruptly can cause what condition ?

Answer 8

Adrenal crisis

Adrenal insufficiency

Question 9

To decrease morning stiffness , when is the best time to administer large dose of aspirin ?

Answer 9

Bedtime

Or 1hr before rising

Question 10

What should you do if a patient have and allergic reaction to aspirin ?

Answer 10

Stop giving immediately and notify the physician

Question 11

What are some allergic reaction to aspirin ?

Answer 11

Urticaria (hives )
Anaphylaxis
Asthmatic response

Question 12

When taking aspirin what should the nurse monitor ?

Answer 12

Edema

Excessive weight gain

Question 13

What are some side effects of aspirin ?

Answer 13

Tinnitus (ringing of the ear )
GI bleeding (pain )
Blood in the stool (tarry stool )

Question 14

Because aspirin inhibit prostaglandin , what can it eliminate ?

Answer 14

Sodium and water

Question 15

What is IM intra articular ?

Answer 15

IM injection into the joint

Question 16

Patient should be instructed to call and report what symptoms of taking corticosteroids ?

Answer 16

Productive cough
Angina
Worsening fatigue
Dyspnea

Question 17

What are expected findings when glucocorticoid are used for treatment of RA ?

Answer 17

Relief of pain increase energy

Question 18

What should be restricted for patient taking aspirin ?

Answer 18

Sodium

Question 19

What are side effects for patient taking aspirin to develop ?

Answer 19

Constipation

Take stool softners

Question 20

What can patient taking corticosteroids , high dose long term cause ?

Answer 20

Gastric ulceration

Question 21

For anti inflammatory effectiveness is aspirin and acetaminophen interchangeable ?

Answer 21

No

Question 22

How do you know aspirin is out of date ?

Answer 22

Decompose in humidity

Smell like vinegar

Question 23

Patients taking corticosteroids bruise easily and cause what to increase

Answer 23

The fragility of capillaries

Take vitamin c to decrease bruising

Question 24

It is most important for the nurse to assess which s/e if a patient is talking flutocorsone for Addison's disease ?

Answer 24

Potassium depletion

Question 25

When children are on prolonged glucocorticoid therapy , what is important it monitor ?

Answer 25

Skeletal growth

Question 26

Patient recieving long term corticosteroids are at high risk for development of what visual disturbance ?

Answer 26

-Cataract (it interfere with protine reaction )

Question 27

What can you teach a patient about corticosteroids ?

Answer 27

Cataract formation Bruise easily Affect metabolism

Question 28

What happens when taking corticosteroids by mouth (po) ?

Answer 28

It suppresses and decrease production of protective mucus and increase HCL

Question 29

What are side effect of corticosteroids ?

Answer 29

``` Hypocalcemia Hypernatremia HTN Buffalo hump Adrenal sufficiency Fluid retention ```

Question 30

What is the most common type of corticosteroids /dose ?

Answer 30

Medrol dose pack 4mg tabs

Question 31

Clients recieving long term corticosteroids therapy should be tough to carry what with them ?

Answer 31

Carry identification

Question 32

Patient recieving prednisone should be thought that it ?

Answer 32

Must be tapered to be discontinue

Question 33

What is a cox 2 inhibitor ?

Answer 33

Celebrex (celecoxib ) S/E- GI distress Take w/food

Question 34

NSAIDs are generally contraindicated in patients with ?

Answer 34

Allergy to aspirin

Question 35

The nurse understand that and inflammatory response is

Answer 35

A normal body response to trauma or tissue injury - characterized by vasodilation - last 10-15 mins after injury occurred

Question 36

The treatment of choice for gouty arthritis is ?

Answer 36

Colchicine

Question 37

The nurse monitor the patient taking salicylate a for what potentially life threatening response ?

Answer 37

Hypersensitivity

Question 38

What effects do corticosteroids have on blood glucose levels

Answer 38

Hyperglycemia

Question 39

Patient taking aldoctone (k+ sparing diuretic ) should be on what kind if diet ?

Answer 39

Potassium restrict diet

Question 40

Methopredisone (lupus med ) should be administered at what time of the day ?

Answer 40

Early morning | 8am preferred

Question 41

Allopurinol and probenecid are proscribed to treat gout because of their action as ?

Answer 41

Uricosuric agent

Question 42

The priority nursing diagnosis for client experiencing gout is ?

Answer 42

Acute pain related to uric crystal deposit

Question 43

A client prescribed probenecid(benemid ) , allopurinol (zyloprim ) , anturane (sulfinpyrazone) should be instructed to do what ?

Answer 43

Increase fluid intake | 3000 cc a day

Question 44

When teaching a client with gout factors that may provoke attack , the nurse should include ?

Answer 44

High fat diet & thiazides diuretic

Question 45

What nonsteriodial anti- inflammatory agents are long term use for arthritis ?

Answer 45

Celebrex , aspirin

Question 46

What can adrenal crisis causes ?

Answer 46

Severe hypotension | Muscle weakness

Question 47

If plain aspirin cannot be tolerated what can be given ?

Answer 47

- Ecotrin (enteric coated ) /may have a delayed therapeutic effect - Or buffered aspirin

Question 48

A client taking corticosteroids who experience development of hypotension , weakness , nausea , vomiting , lethargy and headache should be monitored for impending ?

Answer 48

Adrenal crisis

Question 49

Administer corticosteroids early in the day to avoid ?

Answer 49

Insomia

Question 50

Benemid (probenecid)

Answer 50

Avoid aspirin | Administer w food

Question 51

Colchicine

Answer 51

Drug of choice in acute attack

Question 52

Zyloprem

Answer 52

Decrease production of uric acid

Question 53

What if you giving a patient medication and they said they already had it , what do you do ?

Answer 53

Check the MAR

Question 54

If a patient has pain and put the call light in what is your next step ?

Answer 54

Do a pain assessment

Question 55

If you have a elderly client that just came out of surgery and you have 2 different order of med 10mg and 15mg , which do you give first ?

Answer 55

For elderly start at the lower dose first

Question 56

Demerol

Answer 56

Cns depressant | Respiration concern

Question 57

What is nepasin (NSAID )

Answer 57

Muscle relaxer

Question 58

If patient in on Coumadin or heparin and is givin aspirin , what caution needs to be taken ?

Answer 58

Bleeding

Question 59

Why do doctors sometimes prescribe cortisone therapy every other day ? Gyal

Answer 59

Minimize/decrease the supression of normal adrenal activity