Chapter 44: Anti-inflammatory and Antigout Drugs

Chapter 44: Anti-inflammatory and Antigout Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?

a.	Anxiolytic
b.	Sedative
c.	Antipyretic
d.	Antimicrobial

 

 

ANS:  C

NSAIDs have antipyretic effects but not the other effects listed.

 

DIF:    COGNITIVE LEVEL: Remembering (Knowledge)           REF:   p. 693

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?

a.	Tachycardia
b.	Nervousness
c.	Nausea and vomiting
d.	Dizziness

 

 

ANS:  C

Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting, anorexia, abdominal pain, and others. See Table 44-2 for the other adverse effects of nonsteroidal anti-inflammatory drugs (NSAIDs). The other options are not adverse effects of NSAIDs.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 685

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?

a.	Decreased uric acid levels
b.	Decreased prothrombin time
c.	Decreased white blood cell count
d.	Increased hemoglobin and hematocrit levels

 

 

ANS:  A

Treatment of gout with allopurinol should result in decreased uric acid levels. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 704

TOP:   NURSING PROCESS: Evaluation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

4. The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?

a.	“Fluids should be restricted while on colchicine therapy.”
b.	“Take colchicine with meals.”
c.	“The drug will be discontinued when symptoms are reduced.”
d.	“Call your doctor if you have increased pain or blood in the urine.”

 

 

ANS:  D

Colchicine may cause renal effects; therefore, these symptoms must be reported immediately. The drug is taken on an empty stomach for better absorption, and fluids should be increased unless contraindicated. Successful treatment depends upon continuing the medication as ordered.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 704

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies