NUR 340- Anti-Inflammatory Drugs Pharm Quiz 2 Questions and Answers
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Course
NUR 340
Institution
NUR 340
The nurse is caring for a patient taking high-dose glucocorticoids and is creating a plan of care for the patient. This medication places the patient at greatest risk for which nursing diagnosis? infection.
Rationale: Patients taking glucocorticoids are at risk for infection, because glucocorticoi...
NUR 340- Anti-Inflammatory Drugs
Pharm Quiz 2 Questions and Answers
The nurse is caring for a patient taking high-dose glucocorticoids and is creating a plan
of care for the patient. This medication places the patient at greatest risk for which
nursing diagnosis? ✅infection.
Rationale: Patients taking glucocorticoids are at risk for infection, because
glucocorticoids increase the susceptibility to infection by suppressing host defenses.
Glucocorticoids do not disturb sensory perception. Glucocorticoids do not put the patient
at risk for fluid volume deficit, but rather for fluid volume retention. Glucocorticoids can
be used to treat inflammation; they don't put the patient at greater risk for inflammation.
The nurse is caring for a patient who is to be discharged from the hospital on etanercept
(Enbrel). Which of the following instructions should the nurse include in the patient
teaching? ✅Avoid live vaccines.
Rationale: The nurse should tell the patient to avoid live vaccines. The drug may
increase the patient's risk of acquiring or transmitting infection if the person is
vaccinated with a live vaccine. Because etanercept is administered subcutaneously,
absorption of the medication is not affected by diet. Alcohol is not contraindicated with
etanercept therapy. The patient should be encouraged to perform active, not passive,
range-of-motion exercises.
A mother brings her 17-year-old daughter to the emergency department. She states that
the daughter took 40 extended-release acetaminophen tablets 8 hours ago. Which
order would the nurse expect to implement? ✅administer IV acetylcysteine
(Mucomyst).
Rationale: Liver damage can be minimized by giving acetylcysteine (Mucomyst), a
specific antidote to acetaminophen. Acetylcysteine, the specific antidote, prevents injury
when given within 8 to 10 hours, but is still effective if given within 24 hours of overdose.
Antacids, even in high doses, work in the stomach and will not prevent liver damage,
the primary risk associated with acute acetaminophen toxicity. Since overdose of
acetaminophen is toxic to the liver, not the kidneys, hemodialysis is not indicated. See
A patient with rheumatoid arthritis is on long-term treatment with hydroxychloroquine
sulfate (Plaquenil). Which patient condition would the nurse would be most concerned in
this patient? ✅presence of visual disturbances
Rationale: Visual disturbances may be indicative of irreversible retinal damage that can
occur even after the drug has been discontinued. Other side effects of immediate
concern are related to signs and symptoms of infection because Plaquenil can cause
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