NURS 170 Pharmacology Test 2 QUESTIONS & ANSWERS Galen College (New 2022/2023) Pharmacology test 2

Question 1 1 / 1 pts A nursing student asks the nurse to explain the role of cyclooxygenase-2 (COX-2) and its role in inflammation. The nurse will explain that COX-2 Converts arachidonic acid into prostaglandins. Directly causes vasodilation and increased capillary permeability. Irritates the gastric mucosa to cause gastrointestinal upset. Inactivates bradykinins to cause inflammation and pain. Question 2 1 / 1 pts A nursing student asks how nonsteroidal antiinflammatory drugs (NSAIDs) work to suppress inflammation and reduce pain. The nurse will explain that NSAIDs Exert direct actions to cause relaxation of smooth muscle. Inhibit cyclooxygenase that is necessary for prostaglandin synthesis. Interfere with neuronal pathways associated with prostaglandin action. Suppress prostaglandin activity by blocking tissue receptor sites. Question 3 1 / 1 pts A patient who is taking aspirin for arthritis pain asks the nurse why it also causes gastrointestinal upset. The nurse understands that this is because aspirin Decreases gastrointestinal secretions. Increases hypersensitivity reactions. Inhibits both COX-1 and COX-2. Is an acid-base compound Question 4 1 / 1 pts A patient is taking aspirin to help prevent myocardial infarction and is experiencing moderate gastrointestinal upset. The nurse will contact the patient’s provider to discuss changing from aspirin to which drug? A COX-2 inhibitor Celecoxib (Celebrex) Enteric-coated aspirin (Ecotrin) Nabumetone (Relafen) Question 5 1 / 1 pts The nurse is performing a health history on a patient who has arthritis. The patient reports tinnitus. Suspecting a drug adverse effect, the nurse will ask the patient about which medication? Aspirin (Bayer) Acetaminophen (Tylenol) Anakinra (Kineret) Prednisone (Deltasone) Question 6 1 / 1 pts A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL. The nurse will perform which action? Assess the patient for tinnitus. Monitor the patient for signs of Reye’s syndrome. Notify the provider of severe aspirin toxicity. Request an order for an increased aspirin dose. Question 7 1 / 1 pts The nurse is caring for a postoperative woman who is refusing opioid analgesics but is rating her pain as a 7 or 8 on a 10-point pain scale. The nurse will contact the provider to request an order for which analgesic medication? Diclofenac sodium (Voltaren) Ketoprofen (Orudis) Ketorolac (Toradol) Naproxyn (Naprosyn) Question 8 1 / 1 pts A patient who has osteoarthritis with mild to moderate pain asks the nurse about taking over-thecounter ibuprofen (Motrin). What will the nurse tell this patient? “It may take several weeks to achieve therapeutic effects.” “Unlike aspirin, there is no increased risk of bleeding with ibuprofen.” “Take ibuprofen once daily for maximum analgesic benefit.” “Combine ibuprofen with acetaminophen for best effect.” Question 9 1 / 1 pts The nurse is caring for a patient who has rheumatoid arthritis and who is receiving infliximab (Remicade) IV every 8 weeks. Which laboratory test will the nurse anticipate that this patient will need? Calcium level Complete blood count Electrolytes Potassium Question 10 1 / 1 pts The nurse is teaching a patient about taking colchicine to treat gout. What information will the nurse include when teaching this patient about this drug? Avoid all alcohol except beer. Include salmon in the diet. Increase fluid intake. Take on an empty stomach. Question 11 Allopurinol (Zyloprim) Colchicine Probenecid (Benemid) Sulfinpyrazone (Anturane) Question 12 1 / 1 pts The nurse is assessing a patient who has gout who will begin taking allopurinol (Zyloprim). The nurse reviews the patient’s medical record and will be concerned about which laboratory result? Elevated BUN and creatinine Decreased serum uric acid Slight increase in the white blood count Increased serum glucose Question 13 1 / 1 pts The parent of a 5-year-old child asks the nurse to recommend an over-the-counter pain medication for the child. Which analgesic will the nurse recommend? Aspirin (Ecotrin) Diflunisal (Dolobid) Tylenol #2 (Acetaminophen + Codeine) Acetaminophen (Tylenol) Question 14 1 / 1 pts The nurse is performing an admission assessment on an adolescent who reports taking extrastrength acetaminophen (Tylenol) regularly to treat daily headaches. The nurse will notify the patient’s provider and discuss an order for A selective serotonin receptor agonist (SSRA). Hydrocodone with acetaminophen for headache pain. Liver enzyme tests. An adolescent female has dysmenorrhea associated with heavy menstrual periods. The patient’s provider has recommended ibuprofen (Motrin). When teaching this patient about this drug, the nurse will tell her that ibuprofen May decrease the effectiveness of oral contraceptive pills. May increase bleeding during her period. Should be taken on an empty stomach to increase absorption. Will decrease the duration of her periods. Question 16 1 / 1 pts The nurse is performing an admission assessment on a stable patient admitted after a motor vehicle accident. The patient reports having “bad pain.” What will the nurse do first? Administer acetaminophen (Tylenol). Ask the patient to rate the pain on a 1 to 10 scale. Attempt to determine what type of pain the patient has. Request an order for an intravenous opioid analgesic. Question 17 1 / 1 pts The nurse assumes care of a patient in the post-anesthesia care unit (PACU). The patient had abdominal surgery and is receiving intravenous morphine sulfate for pain. The patient is asleep and has just voided. The nurse assesses a respiratory rate of 10 breaths per minute and notes normal bowel sounds. The nurse will contact the surgeon to report which condition? Paralytic ileus Respiratory depression Somnolence Urinary retention Question 18 1 / 1 pts One hour after receiving intravenous morphine sulfate, a patient reports generalized itching. The nurse assesses the patient and notes clear breath sounds, no rash, respirations of 14 breaths per minute, a heart rate of 68 beats per minute, and a blood pressure of 110/70 mm Hg. Which action will the nurse take? Administer naloxone to reverse opiate overdose. Have resuscitation equipment available at the bedside. Prepare an epinephrine injection in case of an anaphylactic reaction. Reassure the patient that this is a common side effect of this drug. Question 19 1 / 1 pts The nurse is caring for a patient who was admitted with a fractured leg and for observation of a closed head injury after a motor vehicle accident. The patient reports having pain at a level of 3 on a 1 to 10 pain scale. The nurse will expect the provider to order which analgesic medication for this patient? Acetaminophen (Tylenol) PO Hydromorphone HCl (Dilaudid) IM Morphine sulfate PCA Transdermal fentanyl (Duragesic) Question 20 1 / 1 pts Which patient may require a higher than expected dose of an opioid analgesic? A patient with cancer A patient with a concussion A patient with hypotension A patient 3 days after surgery Question 21 1 / 1 pts The nurse is caring for a patient who is receiving diphenhydramine (Benadryl). The nurse notes that the patient has not voided for 12 hours. What action will the nurse take? Encourage the patient to drink more fluids. Evaluate the bladder to check for distension. Request an order for an intravenous fluid bolus. Request an order for urinary catheterization.