Science Medicine Nursing
Pharmacotherapeutics Exam 3 - Practice Questions
Terms in this set (46)
A patient with systemic lupus erythematosus Answer: C
is prescribed Rationale: Neck and back pain from a vertebral
compression prednisone. It is most important for the fracture may occur because of the development
of
nurse to monitor the patient for what? osteoporosis as a result of glucocorticoid therapy. Other
possible adverse effects of prednisone include hypertension,
A. Hypotension hypokalemia, and hyperglycemia.
B.Elevated potassium levels
C. Neck and back pain Reference Ch. 72 - Gluocorticoids
D.Hypoglycemia
, A patient has been prescribed Answer: C
pharmacologic doses of glucocorticoids. It Rationale: Abrupt withdrawal of glucocorticoids may
cause is most important for the nurse to teach the adrenal insufficiency or an adrenal crisis. Infection
should be
patient to do what? prevented, but the use of antibiotics without a known
infection is inappropriate. Sodium intake should be restricted
while the
A. Increase intake of dietary sodium. patient is taking glucocorticoids. Eye examinations are
B. Take antibiotics to prevent infection. recommended every 6
months for patients on glucocorticoid
C. Never abruptly withdraw therapy. therapy.
D.Have an eye examination every year.
Reference Ch. 72 - Glucocorticoids
A patient has been receiving long-term Answer: A
prednisone therapy for treatment of Rationale: Cushing's syndrome is manifested by
rheumatoid arthritis. The chart indicates that hyperglycemia, glycosuria, fluid and electrolyte
disturbances, the patient has developed Cushing's osteoporosis, muscle weakness, cutaneous
striations, and
syndrome. When performing a physical lowered resistance to infection. Redistribution of fat produces
assessment, the nurse anticipates finding all a "potbelly," "moon face," and "buffalo hump."
but which manifestation of Cushing's
syndrome? Reference Ch. 72 - Glucocorticoids
A. Hypoglycemia
B.Muscle weakness
C. Glucosuria
D."Buffalo hump"
A patient with rheumatoid arthritis has been Answer: C
taking high-dose aspirin and complains of Rationale: If aspirin causes gastrointestinal upset or pain, a
gastric upset and pain. What does the nurse cyclooxygenase-2 (COX-2) inhibitor (celecoxib) should be
anticipate will be prescribed for this considered. Methotrexate is administered once a week.
Daily patient? prednisone therapy is not indicated; prednisone is usually
administered for exacerbations and as short-term therapy.
A. Taking a lower dose of aspirin
B.Biweekly injections of methotrexate Reference Ch. 73 - Rheumatoid Arthritis
[Rheumatrex]
C. Obtaining a prescription for
celecoxib [Celebrex]
D.Daily drug therapy with prednisone
A patient with rheumatoid arthritis is Answer: B
prescribed methotrexate [Rheumatrex]. The Rationale: Methotrexate acts faster than all
other disease-nurse will expect to observe therapeutic modifying antirheumatic drugs.
Therapeutic effects may effects with this drug in which time period? develop in 3 to 6 weeks.
A. 3 to 7 days Reference Ch. 73 - Rheumatoid Arthritis
B.3 to 6 weeks
C. 3 to 4 months
D. 1 to 2 years
Pharmacotherapeutics Exam 3 - Practice Questions
Terms in this set (46)
A patient with systemic lupus erythematosus Answer: C
is prescribed Rationale: Neck and back pain from a vertebral
compression prednisone. It is most important for the fracture may occur because of the development
of
nurse to monitor the patient for what? osteoporosis as a result of glucocorticoid therapy. Other
possible adverse effects of prednisone include hypertension,
A. Hypotension hypokalemia, and hyperglycemia.
B.Elevated potassium levels
C. Neck and back pain Reference Ch. 72 - Gluocorticoids
D.Hypoglycemia
, A patient has been prescribed Answer: C
pharmacologic doses of glucocorticoids. It Rationale: Abrupt withdrawal of glucocorticoids may
cause is most important for the nurse to teach the adrenal insufficiency or an adrenal crisis. Infection
should be
patient to do what? prevented, but the use of antibiotics without a known
infection is inappropriate. Sodium intake should be restricted
while the
A. Increase intake of dietary sodium. patient is taking glucocorticoids. Eye examinations are
B. Take antibiotics to prevent infection. recommended every 6
months for patients on glucocorticoid
C. Never abruptly withdraw therapy. therapy.
D.Have an eye examination every year.
Reference Ch. 72 - Glucocorticoids
A patient has been receiving long-term Answer: A
prednisone therapy for treatment of Rationale: Cushing's syndrome is manifested by
rheumatoid arthritis. The chart indicates that hyperglycemia, glycosuria, fluid and electrolyte
disturbances, the patient has developed Cushing's osteoporosis, muscle weakness, cutaneous
striations, and
syndrome. When performing a physical lowered resistance to infection. Redistribution of fat produces
assessment, the nurse anticipates finding all a "potbelly," "moon face," and "buffalo hump."
but which manifestation of Cushing's
syndrome? Reference Ch. 72 - Glucocorticoids
A. Hypoglycemia
B.Muscle weakness
C. Glucosuria
D."Buffalo hump"
A patient with rheumatoid arthritis has been Answer: C
taking high-dose aspirin and complains of Rationale: If aspirin causes gastrointestinal upset or pain, a
gastric upset and pain. What does the nurse cyclooxygenase-2 (COX-2) inhibitor (celecoxib) should be
anticipate will be prescribed for this considered. Methotrexate is administered once a week.
Daily patient? prednisone therapy is not indicated; prednisone is usually
administered for exacerbations and as short-term therapy.
A. Taking a lower dose of aspirin
B.Biweekly injections of methotrexate Reference Ch. 73 - Rheumatoid Arthritis
[Rheumatrex]
C. Obtaining a prescription for
celecoxib [Celebrex]
D.Daily drug therapy with prednisone
A patient with rheumatoid arthritis is Answer: B
prescribed methotrexate [Rheumatrex]. The Rationale: Methotrexate acts faster than all
other disease-nurse will expect to observe therapeutic modifying antirheumatic drugs.
Therapeutic effects may effects with this drug in which time period? develop in 3 to 6 weeks.
A. 3 to 7 days Reference Ch. 73 - Rheumatoid Arthritis
B.3 to 6 weeks
C. 3 to 4 months
D. 1 to 2 years
