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Pharmacology: A Patient-Centered Nursing Approach Process CH 24 Study Guide questions & answers graded A

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What occurs during the vascular phase of inflammation? A. Leukocyte and protein infiltration into inflamed tissue B. Vasoconstriction with leukocyte infiltration into inflamed tissue C. Vasoconstriction and fluid influx into the interstitial space D. Vasodilation with increased capillary permeability - ANSWER-D. Vasodilation with increased capillary permeability A patient who is taking NSAIDs for arthritis complains of persistent heartburn. What further questions should the nurse ask the patient about the heartburn (Select all that apply)? A. Do you take your drug with food? B. Have you been drinking an increased amount of water? C. Have you noticed a change in the color of your bowel movements? D. What dosage of the NSAID are you taking? E. Where is the heartburn located? - ANSWER-A,C,D,E -Heartburn can be a side effec t of NSAIDs. Taking NSAIDs with food may help decrease heartburn. Dark, tarry, or bloody bowel movements are indicative of GI Bleeding, which is an adverse effect of NSAID use. The dosage rain varies from drug to drug, but large doses may cause erosive esophagitis, which would cause indigestion. There are many types of heartburn, including those associated with MI When preparing discharge teaching for a patient who has been prescribed ibuprofen for arthritis, how does the nurse explain the mode of action? A. Ibuprofen is a COX2 inhibitor, so it blocks prostaglandin synthesis B. Ibuprofin inhibits prostaglandin synthesis C. Ibuprofin binds with p=opiate receptor sites D. Ibuprofen promotes vasodilation to increase blood flow - ANSWER-B. Ibuprofin inhibits prostaglandin synthesis

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