Nur 301 exam questions with answers,

Nur 301 exam questions with answers
|\ |\ |\ |\ |\




What is an NSAID used for? - CORRECT ANSWERS ✔✔mild
|\ |\ |\ |\ |\ |\ |\ |\ |\



to moderate pain
|\ |\ |\




What are the NSAIDs we must know? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔diclofenac |\ |\




aspirin |\




naproxen |\




ibuprofen |\




celecoxib


What is the different in mechanism of action between 1st
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



generation and 2nd generation NSAIDs? - CORRECT |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔1st generation: inhibits both COX-1 and |\ |\ |\ |\ |\ |\ |\



COX-2 |\




2nd generation: inhibits COX-2 only
|\ |\ |\ |\




General mechanism of action (MOA) for NSAIDs -
|\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔- inhibits COX-1 and COX-2, which
|\ |\ |\ |\ |\ |\ |\ |\



inhibits prostaglandin synthesis centrally and peripherally
|\ |\ |\ |\ |\
|\



- antipyretic
|\ |\




- anti-inflammatory
|\ |\

,- antihistamine
|\




General side effects of NSAIDs - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\



GI upset/bleeding
|\ |\




- Renal Toxicity
|\ |\ |\




- Liver Effects (jaundice or hepatitis)
|\ |\ |\ |\ |\ |\




- Hypertension/CVA/MI
|\ |\




- Setven's Johnson Syndrome
|\ |\ |\ |\




- Seizures
|\ |\




- Headache
|\ |\




- Nervousness
|\




General nursing considerations for NSAIDs - CORRECT
|\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔- take with food (specifically protein rich in
|\ |\ |\ |\ |\ |\ |\ |\ |\



order to coat) |\ |\ |\




- caution with cardiac patients or patients with high BP
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




- caution for patients with bleeding risk (ex: if taking
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



warfarin) |\




- monitor pain level
|\ |\ |\ |\




- do not crush, may give liquid
|\ |\ |\ |\ |\ |\




Additional MOA for aspirin - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\



Decrease platelet aggregation |\ |\

,Additional side effects (SE) for aspirin - CORRECT |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔A - abdominal pain & asthma trigger |\ |\ |\ |\ |\ |\ |\ |\




S - salicylism
|\ |\ |\




P - Peptic ulcer disease
|\ |\ |\ |\ |\




I - Intestinal bleeding
|\ |\ |\ |\




R - Reye's Syndrome & respiratory distress (Laryngeal
|\ |\ |\ |\ |\ |\ |\ |\



edema) |\




I - Itchy/rash
|\ |\ |\




N - noise (tinnitus)
|\ |\ |\




Additional desired outcome for aspirin - CORRECT |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Reduced clotting risk |\ |\ |\




What kind of route of administration is diclofenac given? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔Topical - ex: Voltaren gel |\ |\ |\ |\ |\ |\ |\




- will be more localized so wont have the same side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



effects as other NSAIDs |\ |\ |\




Additional SE for diclofenac - CORRECT ANSWERS ✔✔- |\ |\ |\ |\ |\ |\ |\ |\



pruritus |\




- dry skin
|\ |\

, Additional nursing consideration for diclofenac - CORRECT
|\ |\ |\ |\ |\ |\



ANSWERS ✔✔- Monitor skin integrity
|\ |\ |\ |\ |\




Specific use for diclofenac - CORRECT ANSWERS ✔✔Knee
|\ |\ |\ |\ |\ |\ |\ |\



and back pain
|\ |\




What is the 2nd generation NSAID we must know? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔celecoxib (Celebrex) |\ |\ |\




What is celecoxib's MOA? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\



✔✔inhibits COX-2 |\




Additional SE for celecoxib - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\



lower GI risk (better for long-term use)
|\ |\ |\ |\ |\ |\ |\




- greater risk for MI
|\ |\ |\ |\




What is an example of a non-opioid analgesic? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔acetaminophen (Tylenol)
|\ |\ |\




What is the mechanism of action for acetaminophen? -
|\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔Inhibits prostaglandin synthesis in
|\ |\ |\ |\ |\



the CNS (centrally)
|\ |\ |\