Exam 2 NSG 318 Questions with Correct
Answers
The RN is teaching patient who will begin taking indomethacin (Inderal) r/t rheumatoid arthritis.
Which of the following would indicate the need for further teaching?
-"I should limit sodium intake while taking this drug."
-"I will need to check my blood pressure frequently."
-"I should take indomethacin on an empty stomach."
-"I will take the medication twice daily." Correct Ans-"I should take indomethacin on an
empty stomach."
*r/t = "Related to"
*indomethacin is an NSAID & with NDAIDs for the most part we want to take them with food
to help alleviate any GI upset.
A post partum pt is refusing opioid analgesics but rates pain as 8/10. The RN will call provider to
request an order for which of the following? Correct Ans-Ketorolac (Toradol)
,The RN is admitting a pt who reports taking acetaminophen (Tylenol) daily for headaches. What
order will the RN anticipate? Correct Ans-liver enzyme tests
*with acetaminophen (Tylenol) we are concerned with hepatic toxicity. another very common
OTC NSAID is ibuprofen and with ibuprofen were going to be looking at nephron toxicity, so
we would want to look at BUN and creatinine.
The ER RN has pt who got morphine for severe pain. Pt med hx includes St. John's Wort. What
will the nurse watch for? Correct Ans-Sedation
Pt had sumatriptan (Imitrex) for migraine headache. Pt reports moderate improvement, dizzy. BP
is 160/85. What should the RN do? Correct Ans-Notify the provider of the increased blood
pressure.
6-year-old post surgery. The child is awake and lying very still, won't respond when the RN asks
about pain. What should the RN do? Correct Ans-Evaluate the child's pain using an "ouch
scale"
*could use faces pain scale, want to use something relatable to the child
,The RN is assessing a pt with gout who will begin taking allopurinol (Zyloprim). The RN will be
concerned about what lab? Correct Ans-elevated BUN and creatinine
*Gout is a form of arthritis characterized by severe pain, redness, and tenderness in joints.
Pain and inflammation occur when too much uric acid crystallizes and deposits in the joints.
*Zyloprim is used to prevent gout attacks by reducing uric acid production
The RN teaching pt who will begin taking allopurinol. Which statement by the patient indicates
understanding? Correct Ans-"I will get yearly eye exams."
*vision changes is a rare side effect of allopurinol
The RN is discussing celecoxib (Celebrex) with a pt who takes the drug for dysmenorrhea. What
info will the nurse include? Correct Ans-"The initial dose will be twice that amount of
subsequent doses."
*dysmenorrhea= painful menstruation, typically involving abdominal cramps.
, RN is caring for a patient who has RA and is receiving infliximab (Remicade) IV every 8 weeks.
Which lab will the RN anticipate? Correct Ans-Complete blood count (CBC)
*infliximab (Remicade) is an immune modulator that they can use to treat rheumatoid arthritis
which is an autoimmune disorder, periodically need to have CBC checked to make sure immune
function is going to be okay.
The drug hydromorphone (Dilaudid) is classified as an Correct Ans-opioid analgesics
The drug nalbuphine (Nubain) is classified as an Correct Ans-opioid analgesics
CLASS: Opioid Agonist-Antagonist
The drug celecoxib (Celebrex) is classified as an Correct Ans-Selective COX-2 inhibitor
The drug indomethacin (Indocin) is classified as an Correct Ans-Non-Opioid Analgesics
CLASS: Para-chlorobenzoic Acid (NSAID)
The drug tramadol (Ultram) is classified as an Correct Ans-Non-Opioid Analgesics
Answers
The RN is teaching patient who will begin taking indomethacin (Inderal) r/t rheumatoid arthritis.
Which of the following would indicate the need for further teaching?
-"I should limit sodium intake while taking this drug."
-"I will need to check my blood pressure frequently."
-"I should take indomethacin on an empty stomach."
-"I will take the medication twice daily." Correct Ans-"I should take indomethacin on an
empty stomach."
*r/t = "Related to"
*indomethacin is an NSAID & with NDAIDs for the most part we want to take them with food
to help alleviate any GI upset.
A post partum pt is refusing opioid analgesics but rates pain as 8/10. The RN will call provider to
request an order for which of the following? Correct Ans-Ketorolac (Toradol)
,The RN is admitting a pt who reports taking acetaminophen (Tylenol) daily for headaches. What
order will the RN anticipate? Correct Ans-liver enzyme tests
*with acetaminophen (Tylenol) we are concerned with hepatic toxicity. another very common
OTC NSAID is ibuprofen and with ibuprofen were going to be looking at nephron toxicity, so
we would want to look at BUN and creatinine.
The ER RN has pt who got morphine for severe pain. Pt med hx includes St. John's Wort. What
will the nurse watch for? Correct Ans-Sedation
Pt had sumatriptan (Imitrex) for migraine headache. Pt reports moderate improvement, dizzy. BP
is 160/85. What should the RN do? Correct Ans-Notify the provider of the increased blood
pressure.
6-year-old post surgery. The child is awake and lying very still, won't respond when the RN asks
about pain. What should the RN do? Correct Ans-Evaluate the child's pain using an "ouch
scale"
*could use faces pain scale, want to use something relatable to the child
,The RN is assessing a pt with gout who will begin taking allopurinol (Zyloprim). The RN will be
concerned about what lab? Correct Ans-elevated BUN and creatinine
*Gout is a form of arthritis characterized by severe pain, redness, and tenderness in joints.
Pain and inflammation occur when too much uric acid crystallizes and deposits in the joints.
*Zyloprim is used to prevent gout attacks by reducing uric acid production
The RN teaching pt who will begin taking allopurinol. Which statement by the patient indicates
understanding? Correct Ans-"I will get yearly eye exams."
*vision changes is a rare side effect of allopurinol
The RN is discussing celecoxib (Celebrex) with a pt who takes the drug for dysmenorrhea. What
info will the nurse include? Correct Ans-"The initial dose will be twice that amount of
subsequent doses."
*dysmenorrhea= painful menstruation, typically involving abdominal cramps.
, RN is caring for a patient who has RA and is receiving infliximab (Remicade) IV every 8 weeks.
Which lab will the RN anticipate? Correct Ans-Complete blood count (CBC)
*infliximab (Remicade) is an immune modulator that they can use to treat rheumatoid arthritis
which is an autoimmune disorder, periodically need to have CBC checked to make sure immune
function is going to be okay.
The drug hydromorphone (Dilaudid) is classified as an Correct Ans-opioid analgesics
The drug nalbuphine (Nubain) is classified as an Correct Ans-opioid analgesics
CLASS: Opioid Agonist-Antagonist
The drug celecoxib (Celebrex) is classified as an Correct Ans-Selective COX-2 inhibitor
The drug indomethacin (Indocin) is classified as an Correct Ans-Non-Opioid Analgesics
CLASS: Para-chlorobenzoic Acid (NSAID)
The drug tramadol (Ultram) is classified as an Correct Ans-Non-Opioid Analgesics
