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Nursing 3100 exam 3 questions and answers graded A+
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Nursing 3100 exam 3 questions andanswers graded A+
Which statement should the nurse include in the education for a client prescribed a non-steroidal anti-
inflammatory drug (NSAID)? - correct answer ✔✔Take the medication with food
--Taking medication with food will decrease GI irritation
A client asks the nurse if they can use liquid acetaminophen (Tylenol) that is used for an older child for
their4-month-old baby with a fever. Which response should the nurse provide? - correct answer
✔✔Infant drops should be used because they are different from liquid medicine
-- infant drops should be used bc it has a different concentration than a children formula
Which laboratory tests should the nurse anticipate evaluating prior to a client receiving ibuprofen (Advil)
for long-term therapy? - correct answer ✔✔Hemoglobin and hematocrit (can be decreased)
Bleeding times (can be increased)
Liver function (AST and ALT may increase)
Which signs of inflammation should the nurse anticipate for a client that has experienced a sports-
related injury to theirleg? - correct answer ✔✔Swelling
Pain
Warmth
-- signs of inflammation
A client that is experiencing inflammation from an injury asks the nurse how long it will take to respond
to treatment. Which is the best response by the nurse? - correct answer ✔✔About a week and a half for
symptoms to resolve
,-- acute inflammation, 8-10 days standard for symptoms to resolve and repair to begin
The nurse has provided education about the action of histamines for a client. Which statement indicates
an understanding of the information? - correct answer ✔✔Histamine dilates blood vessels causing
capillaries to become more permeable. Affected area may become congested with blood.
A client tells the nurse they would prefer to indefinitely take prednisone to treat their inflammatory
disease. Which is the best response by the nurse? - correct answer ✔✔Not recommended due to the
serious side effects
-- systemic glucocorticoids are reserved for the short-term treatment of severe disease because of
potentially serious AEs
Which describes the direct action of acetaminophen (Tylenol) for fever reduction? - correct answer
✔✔Dilation of peripheral blood vessels
Direct action at level of hypothalamus
-- enables sweating and dissipation of heat
Which statement made by a client indicates an understanding of the maximum daily amount of
ibuprofen (Motrin)? - correct answer ✔✔I cannot take over 3200 mg/day
-- 24 hours (80 mg 4x)
Which statement should the nurse include in the parental teaching for the administration of
acetaminophen (Tylenol) to a child? - correct answer ✔✔Read the labels of all OTC medications for
amount of Tylenol
-- to avoid overdoing child
Which outcome should the nurse include in the plan of care for the older client receiving non-steroidal
anti-inflammatory drug (NSAID) therapy? - correct answer ✔✔Report any bleeding or bruising while
taking NSAID
,-- older adults at risk for increased bleeding w NSAID therapy
For which finding should the nurse notify the healthcare provider for a client prescribed prednisone? -
correct answer ✔✔Unexplained fever
--not to be used on client with suspected systemic infection, notify healthcare provider immediately
Which of the client's current prescriptions should the nurse consult the healthcare provider about who
has prescribed acetaminophen (Tylenol) four times a day? - correct answer ✔✔Warfarin (Coumadin) 2
mg orally every day
-- Tylenol inhibits metabolism of warfarin, use of both could result in toxic accumulation of warfarin
Which should the nurse monitor a client for that is receiving a salicylate? - correct answer
✔✔Ototoxicity
Nephrotoxicity
-- monitored for tinnitus, difficulty hearing, light headedness, difficulty balancing
Urine output and periodic kidney functions should be evaluated
Which findings are symptoms of inflammation? - correct answer ✔✔Redness - antigen reaction
Warmth - vasodialtion
Itching - histamine release
Pain
Which is an early laboratory marker of inflammation? - correct answer ✔✔C-reactive protein
-- protein found in plasma and early marker of inflammation
, Which finding is a common adverse effect of an anti-inflammatory prescription? - correct answer
✔✔Heartburn and GI upset
Which should a client be monitored for when prescribed a glucocorticoid? - correct answer ✔✔Bruising
-- long-term glucocorticoid use can result in susceptibility to bruising
Which describes the mechanism of action for Ibuprofen (Advil)? - correct answer ✔✔Inhibition of
prostaglandin synthesis
Which instructions should the nurse include in the teaching for a client prescribed aspirin (ASA)? -
correct answer ✔✔Take the aspirin with a glass of milk
--Aspirin should be taken with milk or food to avoid GI upset
Which symptom should the nurse instruct the client prescribed a salicylate to report immediately to the
healthcareprovider? - correct answer ✔✔Edema
Decreased urine output
Darkening of urine
--can be nephrotoxic
The nurse has provided education for a client prescribed a non-steroidal anti-inflammatory. Which
statement made by the client indicates an understanding of the information? - correct answer ✔✔Make
sure to increase fluid intake
--can be nephrotoxic, drinking fluids helps clear the drug from their system
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 should the nurse provide the client? - correct
answer ✔✔Your prescribed treatment will be evaluated
The knee should be re-examined
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