C HAPTER 44: A NTI - INFLAMMATORY AND
A NTIGOUT D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 6-year-old child who has chickenpox also has a fever of 102.9°F
(39.4°C). The child ’s mother asks the nurse if she should use aspirin to
reduce the fever. What is the best response by the nurse?
a. “It’s best to wait to see if the fever gets worse. ”
b. “You can use the aspirin, but watch for worsening symptoms. ”
c. “Acetaminophen should be used to reduce his fever, not aspirin. ”
d. “You can use aspirin, but be sur e to follow the instructions on the
bottle.”
ANS: C
Aspirin is contraindicated in children with flu -like symptoms because
the use of this drug has been strongl y associated with Reye syndrome.
This is an acute and potentiall y life -threatening condition invo lving
progressive neurologic deficits that can lead to coma and may also
involve liver damage. Acetaminophen is appropriate for this patient.
The other responses are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementati on
MSC: NC LEX: Health Promotion and Maintenance
, 2. A patient has used enteric aspirin for several years as treatment for
osteoarthritis. However, the symptoms are now worse and she is given a
prescription for a nonsteroidal anti-inflammatory drug and misopros tol,
also called C ytotec. The patient asks the nurse, “Why am I now taking two
pills for arthritis? ” What is the nurse‘s best response?
a. “C ytotec will also reduce the symptoms of your arthritis. ”
b. “C ytotec helps the action of the NSAID so that it will work b etter.”
c. “C ytotec reduces the mucous secretions in the stomach, which
reduces gastric irritation. ”
d. “C ytotec may help to prevent gastric ulcers that may occur in
patients taking NSAIDs. ”
ANS: D
Cytotec inhibits gastric acid secretions and stimulates mucous
secretions; it has proved successful in preventing the gastric ulcers that
may occur in patients taking NSAIDs.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient who has a history of coronary artery disease has been instructed
to take one 81 -mg aspirin tablet a day. The patient asks about the purpose
of this aspirin. Which response by the nurse is correct?
a. “Aspirin is given reduce anxiet y. ”
b. “It helps to reduce inflammation. ”
c. “Aspirin is given to relieve pain. ”
d. “It will help to prevent clot formation. ”
ANS: D
A NTIGOUT D RUGS
Lilley: Pharmacology and the Nursing Process, 10th Edition
MULTIPLE CHOICE
1. A 6-year-old child who has chickenpox also has a fever of 102.9°F
(39.4°C). The child ’s mother asks the nurse if she should use aspirin to
reduce the fever. What is the best response by the nurse?
a. “It’s best to wait to see if the fever gets worse. ”
b. “You can use the aspirin, but watch for worsening symptoms. ”
c. “Acetaminophen should be used to reduce his fever, not aspirin. ”
d. “You can use aspirin, but be sur e to follow the instructions on the
bottle.”
ANS: C
Aspirin is contraindicated in children with flu -like symptoms because
the use of this drug has been strongl y associated with Reye syndrome.
This is an acute and potentiall y life -threatening condition invo lving
progressive neurologic deficits that can lead to coma and may also
involve liver damage. Acetaminophen is appropriate for this patient.
The other responses are incorrect.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementati on
MSC: NC LEX: Health Promotion and Maintenance
, 2. A patient has used enteric aspirin for several years as treatment for
osteoarthritis. However, the symptoms are now worse and she is given a
prescription for a nonsteroidal anti-inflammatory drug and misopros tol,
also called C ytotec. The patient asks the nurse, “Why am I now taking two
pills for arthritis? ” What is the nurse‘s best response?
a. “C ytotec will also reduce the symptoms of your arthritis. ”
b. “C ytotec helps the action of the NSAID so that it will work b etter.”
c. “C ytotec reduces the mucous secretions in the stomach, which
reduces gastric irritation. ”
d. “C ytotec may help to prevent gastric ulcers that may occur in
patients taking NSAIDs. ”
ANS: D
Cytotec inhibits gastric acid secretions and stimulates mucous
secretions; it has proved successful in preventing the gastric ulcers that
may occur in patients taking NSAIDs.
DIF: Cognitive Level: Appl ying (Application)
TOP: Nursing Process: Implementation
MSC: NC LEX: Physiological Integrit y: Pharmacological and
Parenteral Therapies
3. A patient who has a history of coronary artery disease has been instructed
to take one 81 -mg aspirin tablet a day. The patient asks about the purpose
of this aspirin. Which response by the nurse is correct?
a. “Aspirin is given reduce anxiet y. ”
b. “It helps to reduce inflammation. ”
c. “Aspirin is given to relieve pain. ”
d. “It will help to prevent clot formation. ”
ANS: D
