Nursing 3100 Exam 3 Questions With 100% Verified Answers

Nursing 3100 Exam 3 Questions With 100% Verified Answers Which statement should the nurse include in the education for a client prescribed a non-steroidal anti-inflammatory drug (NSAID)? - answerTake the medication with food --Taking medication with food will decrease GI irritation A client asks the nurse if they can use liquid acetaminophen (Tylenol) that is used for an older child for their4-month-old baby with a fever. Which response should the nurse provide? - answerInfant drops should be used because they are different from liquid medicine -- infant drops should be used bc it has a different concentration than a children formula Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen (Advil) for long-term therapy? - answerHemoglobin and hematocrit (can be decreased) Bleeding times (can be increased) Liver function (AST and ALT may increase) Which signs of inflammation should the nurse anticipate for a client that has experienced a sports-related injury to theirleg? - answerSwelling Pain Warmth -- signs of inflammation A client that is experiencing inflammation from an injury asks the nurse how long it will take to respond to treatment. Which is the best response by the nurse? - answerAbout a week and a half for symptoms to resolve -- acute inflammation, 8-10 days standard for symptoms to resolve and repair to begin The nurse has provided education about the action of histamines for a client. Which statement indicates an understanding of the information? - answerHistamine dilates blood vessels causing capillaries to become more permeable. Affected area may become congested with blood. A client tells the nurse they would prefer to indefinitely take prednisone to treat their inflammatory disease. Which is the best response by the nurse? - answerNot recommended due to the serious side effects -- systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious AEs Which describes the direct action of acetaminophen (Tylenol) for fever reduction? - answerDilation of peripheral blood vessels Direct action at level of hypothalamus -- enables sweating and dissipation of heat Which statement made by a client indicates an understanding of the maximum daily amount of ibuprofen (Motrin)? - answerI cannot take over 3200 mg/day -- 24 hours (80 mg 4x) Which statement should the nurse include in the parental teaching for the administration of acetaminophen (Tylenol) to a child? - answerRead the labels of all OTC medications for amount of Tylenol -- to avoid overdoing child Which outcome should the nurse include in the plan of care for the older client receiving non- steroidal anti-inflammatory drug (NSAID) therapy? - answerReport any bleeding or bruising while taking NSAID -- older adults at risk for increased bleeding w NSAID therapy For which finding should the nurse notify the healthcare provider for a client prescribed prednisone? - answerUnexplained fever --not to be used on client with suspected systemic infection, notify healthcare provider immediately Which of the client's current prescriptions should the nurse consult the healthcare provider about who has prescribed acetaminophen (Tylenol) four times a day? - answerWarfarin (Coumadin) 2 mg orally every day -- Tylenol inhibits metabolism of warfarin, use of both could result in toxic accumulation of warfarin Which should the nurse monitor a client for that is receiving a salicylate? - answerOtotoxicity Nephrotoxicity -- monitored for tinnitus, difficulty hearing, light headedness, difficulty balancing Urine output and periodic kidney functions should be evaluated Which findings are symptoms of inflammation? - answerRedness - antigen reaction Warmth - vasodialtion Itching - histamine release Pain Which is an early laboratory marker of inflammation? - answerC-reactive protein -- protein found in plasma and early marker of inflammation Which finding is a common adverse effect of an anti-inflammatory prescription? - answerHeartburn and GI upset Which should a client be monitored for when prescribed a glucocorticoid? - answerBruising -- long-term glucocorticoid use can result in susceptibility to bruising Which describes the mechanism of action for Ibuprofen (Advil)? - answerInhibition of prostaglandin synthesis Which instructions should the nurse include in the teaching for a client prescribed aspirin (ASA)? - answerTake the aspirin with a glass of milk