CHAPTER 12: ANTI-INFLAMMATORY AGENTS

CHAPTER 12: ANTI-INFLAMMATORY AGENTS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

The client is a 72-year-old female who has had a nine-year history of rheumatoid arthritis and more recently has experienced increasing pain as a result of osteoarthritis, which affects her knees and hip. The client reports using large doses of aspirin for a number of years with moderate success. Recently, however, she has begun to experience fatigue and a loss of appetite.

 

1. The nurse knows to monitor a client on long-term, high-dose aspirin use for:

a.	nausea and skin rash.	c.	dizziness and sedation.
b.	excessive thirst and vomiting.	d.	tinnitus and gastrointestinal bleeding.

 

 

ANS:  D

 

	Feedback
A	Incorrect: These are not the most common adverse effects of long-term high-dose aspirin therapy.
B	Incorrect: These are not common adverse effects of long-term high-dose aspirin therapy.
C	Incorrect: These are not adverse effects of long-term high-dose aspirin therapy.
D	Correct: These are the most common adverse effects of long-term high-dose aspirin therapy.

 

 

PTS:   1                    REF:   p. 341, Safe Nursing Practice 12-1

OBJ:   Cognitive Level: Application

 

2. The nurse understands that currently the most common indication for aspirin therapy is:

a.	treatment of rheumatoid arthritis.	c.	prevention of heart attacks.
b.	treatment of sports injuries.	d.	stimulation of prostaglandin production.

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not the most common use of aspirin currently.
B	Incorrect: This is not a common use of aspirin currently.
C	Correct: Currently aspirin is used as a preventative medication in people who have experienced a myocardial infarction or have had stent placement.
D	Incorrect: Aspirin blocks prostaglandin.

 

 

PTS:   1                    REF:   p. 326            OBJ:   Cognitive Level: Comprehension

 

3. Clients who are allergic to aspirin can usually tolerate:

a.	ibuprofen.	c.	acetaminophen.
b.	indomethacin.	d.	naproxen.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Ibuprofen is contraindicated in clients allergic to aspirin.
B	Incorrect: Indomethacin is contraindicated in clients allergic to aspirin.
C	Correct: Acetaminophen is not chemically related to aspirin, so is tolerated by clients allergic to aspirin.
D	Incorrect: Naproxen is contraindicated in clients allergic to aspirin.

 

 

PTS:   1                    REF:   p. 341, Safe Nursing Practice 12-1

OBJ:   Cognitive Level: Comprehension

 

4. The nurse explains to the client that the morning stiffness of arthritis may be decreased by:

a.	giving the largest dose of aspirin at bedtime.
b.	giving a single large dose of aspirin upon awakening.
c.	dividing the daily dose of aspirin evenly over 24 hours.
d.	combining aspirin with other nonsteroidal anti-inflammatory agents.

 

 

ANS:  A

 

	Feedback
A	Correct: Giving the largest dose of aspirin at bedtime may decrease morning joint stiffness.
B	Incorrect: This will not relieve early morning stiffness, because a morning dose needs 45-60 minutes for the effect to be felt.
C	Incorrect: This will not relieve morning stiffness.
D	Incorrect: This will not address morning stiffness.

 

 

PTS:   1                    REF:   p. 341            OBJ:   Cognitive Level: Application

 

5. The nurse understands that a nonsteroidal anti-inflammatory drug considered to be more ulcerogenic than aspirin is:

a.	ibuprofen.	c.	indomethacin.
b.	prednisone.	d.	methotrexate.

 

 

ANS:  C

 

	Feedback
A	Incorrect: Ibuprofen causes similar GI distress as aspirin.
B	Incorrect: Prednisone is a corticosteroid, not a nonsteroidal anti-inflammatory agent.
C	Correct: Indomethacin is more ulcerogenic than aspirin.
D	Incorrect: Methotrexate is a disease-modifying antirheumatic drug.

 

 

PTS:   1                    REF:   p. 341-342     OBJ:   Cognitive Level: Application