NUR2502: Multidimensional
Care III / MDC 3 Final Exam
Study Guide Questions and
Answers ()
1. Naproxen (Anaprox)
Correct Answer: Class: NSAID, nonopioid analgesic.
Purpose: Decreases mild-to-moderate pain and inflammation.
Black Box Warning: GI bleeding and stroke.
Rationale: Naproxen is a nonsteroidal anti-inflammatory drug
(NSAID) that inhibits cyclooxygenase enzymes and decreases
prostaglandin production. This reduces inflammation, pain,
and fever. NSAIDs can increase the risk of gastrointestinal
bleeding and cardiovascular thrombotic events, particularly
with prolonged use or in patients with cardiovascular risk
factors.
2. Acetaminophen (Tylenol)
, Correct Answer: Class: Nonopioid analgesic. Purpose: Treats
pain, fever, headache, arthralgia, dental pain, dysmenorrhea,
and myalgia. Black Box Warning: Hepatotoxicity.
Rationale: Acetaminophen provides analgesic and antipyretic
effects but has minimal anti-inflammatory activity. Excessive
doses can cause severe hepatic injury because toxic
metabolites accumulate when normal hepatic detoxification
pathways become overwhelmed. Patients should avoid
exceeding the recommended total daily dose and should check
combination products for additional acetaminophen.
3. Enoxaparin (Lovenox)
Correct Answer: HIGH ALERT. Class: Anticoagulant,
antithrombotic. Purpose: Prevention of DVT. Black Box
Warning: Lumbar puncture, epidural/spinal anesthesia,
aneurysm, and coagulopathy.
Rationale: Enoxaparin is a low-molecular-weight heparin that
primarily inhibits factor Xa and helps prevent thrombus
formation. It is commonly used for DVT prophylaxis in
patients at increased risk for venous thromboembolism. The
major safety concern is bleeding, including the rare but serious
risk of spinal or epidural hematoma when neuraxial
Care III / MDC 3 Final Exam
Study Guide Questions and
Answers ()
1. Naproxen (Anaprox)
Correct Answer: Class: NSAID, nonopioid analgesic.
Purpose: Decreases mild-to-moderate pain and inflammation.
Black Box Warning: GI bleeding and stroke.
Rationale: Naproxen is a nonsteroidal anti-inflammatory drug
(NSAID) that inhibits cyclooxygenase enzymes and decreases
prostaglandin production. This reduces inflammation, pain,
and fever. NSAIDs can increase the risk of gastrointestinal
bleeding and cardiovascular thrombotic events, particularly
with prolonged use or in patients with cardiovascular risk
factors.
2. Acetaminophen (Tylenol)
, Correct Answer: Class: Nonopioid analgesic. Purpose: Treats
pain, fever, headache, arthralgia, dental pain, dysmenorrhea,
and myalgia. Black Box Warning: Hepatotoxicity.
Rationale: Acetaminophen provides analgesic and antipyretic
effects but has minimal anti-inflammatory activity. Excessive
doses can cause severe hepatic injury because toxic
metabolites accumulate when normal hepatic detoxification
pathways become overwhelmed. Patients should avoid
exceeding the recommended total daily dose and should check
combination products for additional acetaminophen.
3. Enoxaparin (Lovenox)
Correct Answer: HIGH ALERT. Class: Anticoagulant,
antithrombotic. Purpose: Prevention of DVT. Black Box
Warning: Lumbar puncture, epidural/spinal anesthesia,
aneurysm, and coagulopathy.
Rationale: Enoxaparin is a low-molecular-weight heparin that
primarily inhibits factor Xa and helps prevent thrombus
formation. It is commonly used for DVT prophylaxis in
patients at increased risk for venous thromboembolism. The
major safety concern is bleeding, including the rare but serious
risk of spinal or epidural hematoma when neuraxial
