Chapter 16 drug therapy to decrease pain, fever, and inflammation
Which instruction would be most important to include when teaching parents about over-
the-counter (OTC) anti-inflammatory agents?
a. “Be sure to read the label for the ingredients and dosage.”
b. “Aspirin is best for treating your child’s flulike symptoms.”
c. “Make sure to give the drug on an empty stomach or before meals.”
d. “Refrain from using acetaminophen for the child’s symptoms.”
A 16-year-old female client asks the nurse if she can take two Tylenol every 2 hours during
exams because it helps relieve her tension headaches. What is the nurse's most appropriate
response?
a. "Why do you feel so tense regarding exams?"
b. "Do not exceed recommended doses of acetaminophen due to the risk of life-threatening liver
damage."
c. "Consult your health care provider."
d. "Acetaminophen is a benign drug and will relieve your pain."
A patient with arthritis is on nonsteroidal anti-inflammatory drug (NSAID) therapy. What
should be evaluated by the nurse to determine the effectiveness of NSAID therapy?
a. Blood sugar
b. Respiratory rate
c. Body temperature
d. Better mobility
A 70-year-old woman on long-term ibuprofen therapy for osteoarthritis has returned to the
clinic for her regular 6-month visit. The client states that in the last couple of months, she
has been having increasing periods of abdominal pain. The nurse suspects that this pain
may be related to which?
a. anemia.
b. peptic ulcer disease or gastritis.
c. interstitial nephritis.
d. constipation.
A salicylate is contraindicated in clients who have had surgery within the past week for
which reason?
a. Increased risk for allergic reaction
b. Increased risk for toxicity
c. Increased risk for bleeding
d. Increased risk for fluid imbalance
, While providing client teaching relative to inflammatory disorders, the nurse would
explain the presence of inflammation as:
a. the initial stage of infection, requiring antibiotic medication for resolution.
b. a normal response to infection or trauma, which results in necrotic tissue formation.
c. a typical response to bacterial infection.
d. an attempt by the body to remove the damaging agent and repair the damaged tissue.
A client diagnosed with gout reports having no symptoms of the disease and asks why
allopurinol was prescribed. How will the nurse best respond?
a. “It is used to prevent or treat hyperuricemia, which occurs with gout.”
b. “It is used to cure hyperuricemia, which occurs with gout.”
c. “It is used in combination with another drug to prevent reoccurrences.”
d. “It is not a first-line drug but can be used for gout.”
Which of the following is a serious risk involved in the use of NSAIDs?
a. Increased granulocyte count
b. Cardiovascular thrombosis
c. Increased WBC count
d. Sickle cell anemia
A 60-year-old man has told the nurse that he has been treating his joint pain with regular
doses of ibuprofen. In order to ascertain the man's risks of experiencing adverse effects, the
nurse should assess the patient's
a. alcohol intake.
b. calcium intake.
c. body mass index.
d. skin integrity.
A patient comes to the clinic reporting throbbing pain that started at night and intolerance
to covers on the foot. The nurse observes swelling at the site of the first
metatarsophalangeal (MTP) joint. For what disorder does the nurse anticipate the patient
will be treated?
a. Osteoarthritis
b. Chronic gouty arthritis
c. Rheumatoid arthritis
d. Acute gouty arthritis
What drug is useful in the management of gout because of its ability to inhibit the
formation of uric acid crystals?
a. Allopurinol
b. Probenecid
Which instruction would be most important to include when teaching parents about over-
the-counter (OTC) anti-inflammatory agents?
a. “Be sure to read the label for the ingredients and dosage.”
b. “Aspirin is best for treating your child’s flulike symptoms.”
c. “Make sure to give the drug on an empty stomach or before meals.”
d. “Refrain from using acetaminophen for the child’s symptoms.”
A 16-year-old female client asks the nurse if she can take two Tylenol every 2 hours during
exams because it helps relieve her tension headaches. What is the nurse's most appropriate
response?
a. "Why do you feel so tense regarding exams?"
b. "Do not exceed recommended doses of acetaminophen due to the risk of life-threatening liver
damage."
c. "Consult your health care provider."
d. "Acetaminophen is a benign drug and will relieve your pain."
A patient with arthritis is on nonsteroidal anti-inflammatory drug (NSAID) therapy. What
should be evaluated by the nurse to determine the effectiveness of NSAID therapy?
a. Blood sugar
b. Respiratory rate
c. Body temperature
d. Better mobility
A 70-year-old woman on long-term ibuprofen therapy for osteoarthritis has returned to the
clinic for her regular 6-month visit. The client states that in the last couple of months, she
has been having increasing periods of abdominal pain. The nurse suspects that this pain
may be related to which?
a. anemia.
b. peptic ulcer disease or gastritis.
c. interstitial nephritis.
d. constipation.
A salicylate is contraindicated in clients who have had surgery within the past week for
which reason?
a. Increased risk for allergic reaction
b. Increased risk for toxicity
c. Increased risk for bleeding
d. Increased risk for fluid imbalance
, While providing client teaching relative to inflammatory disorders, the nurse would
explain the presence of inflammation as:
a. the initial stage of infection, requiring antibiotic medication for resolution.
b. a normal response to infection or trauma, which results in necrotic tissue formation.
c. a typical response to bacterial infection.
d. an attempt by the body to remove the damaging agent and repair the damaged tissue.
A client diagnosed with gout reports having no symptoms of the disease and asks why
allopurinol was prescribed. How will the nurse best respond?
a. “It is used to prevent or treat hyperuricemia, which occurs with gout.”
b. “It is used to cure hyperuricemia, which occurs with gout.”
c. “It is used in combination with another drug to prevent reoccurrences.”
d. “It is not a first-line drug but can be used for gout.”
Which of the following is a serious risk involved in the use of NSAIDs?
a. Increased granulocyte count
b. Cardiovascular thrombosis
c. Increased WBC count
d. Sickle cell anemia
A 60-year-old man has told the nurse that he has been treating his joint pain with regular
doses of ibuprofen. In order to ascertain the man's risks of experiencing adverse effects, the
nurse should assess the patient's
a. alcohol intake.
b. calcium intake.
c. body mass index.
d. skin integrity.
A patient comes to the clinic reporting throbbing pain that started at night and intolerance
to covers on the foot. The nurse observes swelling at the site of the first
metatarsophalangeal (MTP) joint. For what disorder does the nurse anticipate the patient
will be treated?
a. Osteoarthritis
b. Chronic gouty arthritis
c. Rheumatoid arthritis
d. Acute gouty arthritis
What drug is useful in the management of gout because of its ability to inhibit the
formation of uric acid crystals?
a. Allopurinol
b. Probenecid
