Pharm Lilley Ch 44
1. The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - ANSANS: C
NSAIDs have antipyretic effects but not the other effects listed.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 693
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as
treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
b. Nervousness
c. Nausea and vomiting
d. Dizziness - ANSANS: C
Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting,
anorexia, abdominal pain, and others. See Table 44-2 for the other adverse effects of
nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not adverse effects of
NSAIDs.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 685
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will
monitor laboratory results for which therapeutic effect?
a. Decreased uric acid levels
b. Decreased prothrombin time
c. Decreased white blood cell count
d. Increased hemoglobin and hematocrit levels - ANSANS: A
Treatment of gout with allopurinol should result in decreased uric acid levels. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 704
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
, 4. The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - ANSANS: D
Colchicine may cause renal effects; therefore, these symptoms must be reported immediately.
The drug is taken on an empty stomach for better absorption, and fluids should be increased
unless contraindicated. Successful treatment depends upon continuing the medication as
ordered.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 704
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A mother brings her toddler into the emergency department and tells the nurse that she thinks
the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for
which most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - ANSANS: D
The most common manifestations of chronic salicylate intoxication in adults are tinnitus and
hearing loss. Those in children are hyperventilation and CNS effects, such as dizziness,
drowsiness, and behavioral changes.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 696
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best response
by the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." - ANSANS: C
Aspirin is contraindicated in children with flu-like symptoms because the use of this drug has
been strongly associated with Reye's syndrome. This is an acute and potentially life-threatening
condition involving progressive neurologic deficits that can lead to coma and may also involve
liver damage. Acetaminophen is appropriate for this patient. The other responses are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 698
TOP: NURSING PROCESS: Implementation
1. The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs
(NSAIDs), which include which effect?
a. Anxiolytic
b. Sedative
c. Antipyretic
d. Antimicrobial - ANSANS: C
NSAIDs have antipyretic effects but not the other effects listed.
DIF: COGNITIVE LEVEL: Remembering (Knowledge) REF: p. 693
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
2. A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as
treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
a. Tachycardia
b. Nervousness
c. Nausea and vomiting
d. Dizziness - ANSANS: C
Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting,
anorexia, abdominal pain, and others. See Table 44-2 for the other adverse effects of
nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not adverse effects of
NSAIDs.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 685
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
3. A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will
monitor laboratory results for which therapeutic effect?
a. Decreased uric acid levels
b. Decreased prothrombin time
c. Decreased white blood cell count
d. Increased hemoglobin and hematocrit levels - ANSANS: A
Treatment of gout with allopurinol should result in decreased uric acid levels. The other options
are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 704
TOP: NURSING PROCESS: Evaluation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
, 4. The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which
instruction will the nurse include during the teaching session?
a. "Fluids should be restricted while on colchicine therapy."
b. "Take colchicine with meals."
c. "The drug will be discontinued when symptoms are reduced."
d. "Call your doctor if you have increased pain or blood in the urine." - ANSANS: D
Colchicine may cause renal effects; therefore, these symptoms must be reported immediately.
The drug is taken on an empty stomach for better absorption, and fluids should be increased
unless contraindicated. Successful treatment depends upon continuing the medication as
ordered.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 704
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
5. A mother brings her toddler into the emergency department and tells the nurse that she thinks
the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for
which most common signs of salicylate intoxication in children?
a. Photosensitivity and nervousness
b. Tinnitus and hearing loss
c. Acute gastrointestinal bleeding
d. Hyperventilation and drowsiness - ANSANS: D
The most common manifestations of chronic salicylate intoxication in adults are tinnitus and
hearing loss. Those in children are hyperventilation and CNS effects, such as dizziness,
drowsiness, and behavioral changes.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 696
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
6. A 6-year-old child who has chickenpox also has a fever of 102.9° F (39.4° C). The child's
mother asks the nurse if she should use aspirin to reduce the fever. What is the best response
by the nurse?
a. "It's best to wait to see if the fever gets worse."
b. "You can use the aspirin, but watch for worsening symptoms."
c. "Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin."
d. "You can use aspirin, but be sure to follow the instructions on the bottle." - ANSANS: C
Aspirin is contraindicated in children with flu-like symptoms because the use of this drug has
been strongly associated with Reye's syndrome. This is an acute and potentially life-threatening
condition involving progressive neurologic deficits that can lead to coma and may also involve
liver damage. Acetaminophen is appropriate for this patient. The other responses are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 698
TOP: NURSING PROCESS: Implementation
