Chapter 15: Antiinflammatory, Musculoskeletal, and Antiarthritis Medications

Introduction To Clinical Pharmacology 8th Edition by Marilyn Winterton Edmunds

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Chapter 15: Antiinflammatory, Musculoskeletal, and Antiarthritis Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A patient comes into the doctor’s office complaining of lower back pain. He has reported feeling tightness in his lower back area following a vigorous game of basketball in which he was knocked to the floor. He takes no other medications and has no chronic disease. His health is excellent. X-rays are negative. The doctor will probably order which medication?
a. A muscle relaxant
b. A salicylate or an NSAID
c. Penicillamine
d. Probenecid

 

 

ANS:  B

Medications such as salicylates and nonsteroidal antiinflammatory drugs (NSAIDs) are used to treat both severe pain and common orthopedic problems.

 

DIF:    Cognitive Level: Apply                   REF:   p. 300 | p. 303 | p. 308

OBJ:   1                    TOP:   Antiinflammatory Drugs

KEY:  Nursing Process Step: Planning        MSC:  NCLEX: Physiological Integrity

 

  1. Patients who are started on NSAIDs or salicylates for musculoskeletal pain may be prescribed which other medication for spastic discomfort?
a. Soma (carisoprodol)
b. Acetaminophen
c. Celebrex (celecoxib)
d. Tolectin (tolmetin)

 

 

ANS:  A

Soma is a muscle relaxant prescribed for spastic discomfort.

 

DIF:    Cognitive Level: Apply                   REF:   p. 310 | Table 15-2

OBJ:   3                    TOP:   Muscle Relaxants

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity

 

  1. A patient competed recently in a marathon. After running 16 miles, he had to drop out because of severe muscle spasms. The doctor might suggest which type of medication?
a. Salicylates
b. NSAIDs
c. Muscle relaxants
d. Uricosurics

 

 

ANS:  C

The main action of skeletal muscle relaxants is to reduce muscle tone and involuntary movement without loss of voluntary motor function.

 

DIF:    Cognitive Level: Apply                   REF:   p. 310             OBJ:   3

TOP:   Muscle Relaxants                            KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

 

  1. An overweight 53-year-old patient complains of severe pain in his right big toe. He has never had any problem like this before. Aspiration of the joint reveals uric acid crystals. The doctor will probably order which medication?
a. Salicylates
b. NSAIDs
c. Allopurinol
d. Colchicine

 

 

ANS:  D

Colchicine is a uricosuric agent used to treat acute gout attacks.

 

DIF:    Cognitive Level: Apply                   REF:   p. 318             OBJ:   7

TOP:   Antigout Medications                      KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

 

  1. A patient recently fell while she was out jogging and has severely sprained her left ankle. What should the nurse tell her when discussing how much medication she should take to reduce her symptoms?
a. High doses of NSAIDs may be necessary to get the antiinflammatory response.
b. She should take the medications only when needed to avoid developing drug dependency.
c. Oral forms of NSAIDs are not very helpful, and she should have the injectable forms for good response.
d. NSAIDs should be taken on an empty stomach to enhance absorption.

 

 

ANS:  A

Dosage increase would be based on the patient’s therapeutic response and lack of signs and symptoms of toxicity.

 

DIF:    Cognitive Level: Apply                   REF:   p. 306             OBJ:   1

TOP:   Antiinflammatories                         KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

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