NUR 318 CH 16 Drug therapy to
decrease pain, fever and inflammation
exam questions with correct answers
A nurse is assessing the medical record of a client with arthritis who is to receive Celecoxib. The nurse
would question this order based on which finding in the client's history?
Cataract
Diabetic retinopathy
Acute gout
Allergy to sulfonamides - CORRECT ANSWER-✔✔✅Allergy to sulfonamides
Celecoxib is contraindicated among clients with allergy to sulfonamides. Ethambutol is contraindicated
in clients with diabetic retinopathy and clients with cataracts. Pyrazinamide is contraindicated among
clients with acute gout.
The client has a history of gastrointestinal bleeding. What would be the best response by the nurse
when the health care provider prescribes Indocin as treatment for rheumatoid arthritis?
Discontinue the medication.
Add a PPI medication to the treatment plan.
Administer the medication.
Withhold the medication and notify the provider. - CORRECT ANSWER-✔✔✅Withhold the medication
and notify the provider.
The most appropriate action of the nurse is to hold the medication and notify the provider of the client's
history of GI bleeding. An adverse reaction associated with Indocin is GI bleeding. The nurse cannot
discontinue or add medications to the treatment plan without prescriptive authority.
"I will notify my health care provider if my vision changes."
"It may take a few days for my medicine to work."
"I will notify my health care provider if my stomach hurts."
, "I will stop taking the medication when I feel better." - CORRECT ANSWER-✔✔✅"I will stop taking the
medication when I feel better."
Osteoarthritis is a chronic condition and it is important the client understand that celecoxib be taken
even when the symptoms have subsided. All other statements are correct.
A nurse is preparing to teach a client about the adverse effects of the prescribed NSAID therapy. Which
system would the nurse include as being involved?
Respiratory
Nervous
Hepatobiliary
Gastrointestinal - CORRECT ANSWER-✔✔✅Gastrointestinal
The most common adverse reactions caused by the NSAIDs involve the GI tract, including the stomach,
leading to GI bleed and/or possible ulceration. The lungs are not specifically affected by NSAIDs;
however, pain associated with respiratory insults such as pneumonia can be relieved. Peripheral nerve
pain can also be treated with NSAIDs. There is no injury noted to the liver or hepatobiliary system while
taking NSAIDs.
A nurse is preparing to present information about ibuprofen at a community health promotion
conference. Which actions will the nurse illustrate during the presentation? Select all that apply.
Antibacterial
Anti-inflammatory
Analgesic
Antipruritic
Antipyretic - CORRECT ANSWER-✔✔✅Anti-inflammatory
Analgesic
Antipyretic
Like the salicylates, the NSAIDS have anti-inflammatory, antipyretic, and analgesic effects. They do not
exert antipruritic or antibacterial properties.
decrease pain, fever and inflammation
exam questions with correct answers
A nurse is assessing the medical record of a client with arthritis who is to receive Celecoxib. The nurse
would question this order based on which finding in the client's history?
Cataract
Diabetic retinopathy
Acute gout
Allergy to sulfonamides - CORRECT ANSWER-✔✔✅Allergy to sulfonamides
Celecoxib is contraindicated among clients with allergy to sulfonamides. Ethambutol is contraindicated
in clients with diabetic retinopathy and clients with cataracts. Pyrazinamide is contraindicated among
clients with acute gout.
The client has a history of gastrointestinal bleeding. What would be the best response by the nurse
when the health care provider prescribes Indocin as treatment for rheumatoid arthritis?
Discontinue the medication.
Add a PPI medication to the treatment plan.
Administer the medication.
Withhold the medication and notify the provider. - CORRECT ANSWER-✔✔✅Withhold the medication
and notify the provider.
The most appropriate action of the nurse is to hold the medication and notify the provider of the client's
history of GI bleeding. An adverse reaction associated with Indocin is GI bleeding. The nurse cannot
discontinue or add medications to the treatment plan without prescriptive authority.
"I will notify my health care provider if my vision changes."
"It may take a few days for my medicine to work."
"I will notify my health care provider if my stomach hurts."
, "I will stop taking the medication when I feel better." - CORRECT ANSWER-✔✔✅"I will stop taking the
medication when I feel better."
Osteoarthritis is a chronic condition and it is important the client understand that celecoxib be taken
even when the symptoms have subsided. All other statements are correct.
A nurse is preparing to teach a client about the adverse effects of the prescribed NSAID therapy. Which
system would the nurse include as being involved?
Respiratory
Nervous
Hepatobiliary
Gastrointestinal - CORRECT ANSWER-✔✔✅Gastrointestinal
The most common adverse reactions caused by the NSAIDs involve the GI tract, including the stomach,
leading to GI bleed and/or possible ulceration. The lungs are not specifically affected by NSAIDs;
however, pain associated with respiratory insults such as pneumonia can be relieved. Peripheral nerve
pain can also be treated with NSAIDs. There is no injury noted to the liver or hepatobiliary system while
taking NSAIDs.
A nurse is preparing to present information about ibuprofen at a community health promotion
conference. Which actions will the nurse illustrate during the presentation? Select all that apply.
Antibacterial
Anti-inflammatory
Analgesic
Antipruritic
Antipyretic - CORRECT ANSWER-✔✔✅Anti-inflammatory
Analgesic
Antipyretic
Like the salicylates, the NSAIDS have anti-inflammatory, antipyretic, and analgesic effects. They do not
exert antipruritic or antibacterial properties.
