CLINICAL SCIENCE I EXAM 3 (MYLAB
QUESTIONS)
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Johns Hopkins University
School of Nursing
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Clinical Science I Exam 3 (MyLab Questions)
Which of the client's current prescriptions should the nurse consult the
healthcare provider about who has prescribed acetaminophen (Tylenol) four
times a day?
A.
Heparin 5000 units subcutaneously every 8 hours
B.
Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time
C.
Warfarin (Coumadin) 2 mg orally every day
D.
Paroxetine (Paxil) 37.5 mg orally every day
C
Which findings are symptoms of inflammation?
Select all that apply.
A.
Redness
B.
Warmth
C.
Itching
D.
Rash
E.
Pain
A, B, C, E
Which is an early laboratory marker of inflammation?
A.
Bradykinin
B.
C-Reactive protein
C.
Histamine
D.
Prostaglandins
B
Which finding is a common adverse effect of an anti-inflammatory
prescription?
A.
Diarrhea
B.
Palpitations
C.
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Heartburn
D.
Hypotension
C
Which should a client be monitored for when prescribed a glucocorticoid?
A.
Weight loss
B.
Bruising
C.
Hypoglycemia
D.
Hypotension
B
Which describes the mechanism of action for Ibuprofen (Advil)?
A.
Blocks pain impulses sent to the brain
B.
Inhibition of prostaglandin synthesis
C.
Directly acts on the hypothalamus
D.
Decreases stimulation of sensory nerve fibers
B
Which instructions should the nurse include in the teaching for a client
prescribed aspirin (ASA)?
A.
Discontinue taking the aspirin if you experience stomach upset.
B.
Take the aspirin with a glass of milk.
C.
Take the aspirin with orange juice in the morning.
D.
Take the aspirin on an empty stomach in the morning.
B
The nurse has provided education for a client prescribed a nonsteroidal anti-
inflammatory. Which statement made by the client indicates an understanding
of the information?
A.
"I will make sure I increase my fluid intake."
B.
"I will cut back on my alcohol intake "If I experience lightheadedness I will sit
down immediately."while taking this prescription."
C.
"If I experience lightheadedness I will sit down immediately."
D.
"I may experience dark tarry stools."
A
A client with severe inflammation of the knee prescribed a corticosteroid asks
why they need to return to the clinic for a 10-day follow-up. Which information
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should the nurse provide the client?
Select all that apply.
A.
"Your prescribed treatment will be evaluated."
B.
"The knee should be re-examined."
C.
"Corticosteroids should only be taken for 1 to 3 weeks."
D.
"Your prescription may be changed to an NSAID."
E.
"You may require additional treatment for several more weeks with a
corticosteroid."
A, B, C, D
Which information in the health history should the nurse be concerned about
for a client prescribed ibuprofen for a mild ankle sprain?
Select all that apply.
A.
Hypertension
B.
History of injury to the same ankle
C.
Alcohol abuse
D.
Allergy to aspirin
E.
Recent history of a peptic ulcer
A, C, D, E
Which client statement made by the client indicates the treatment with an anti-
inflammatory has been successful?
Select all that apply.
A.
"My fever went away yesterday."
B.
"I've not been coughing up so much phlegm."
C.
"The skin over my knee is only slightly red and hot to the touch."
D.
"The pain in my shoulder is gone."
E.
"My rash has not spread any further."
A, D
Which information should the nurse include in the explanation of inflammation
for a client?
Select all that apply
A.