N4 Muskuloskeletal Pharm quiz

Lilley: Pharmacology and the Nursing Process, 4th Edition
Multiple Choice Review Questions Chapter 43

1.
Most nonsteroidal antiinflammatory drugs (NSAIDs) work by:
A.Ameliorating pain perception
B.Inhibiting prostaglandin production
C.Increasing blood flow to painful areas
D.Increasing the supply of natural endorphins

2.
When teaching a patient about potential side effects of NSAID therapy, the nurse will teach the patient to report:
A.Dizziness
B.Black tarry stools
C.Nonproductive cough
D.Palpitations.

3.
In assessing a patient for the most serious signs and symptoms of acetaminophen toxicity, the nurse would be monitoring:
A.Vital signs
B.Electrolytes
C.Level of consciousness
D.Liver enzymes

4.
The advantage of cyclooxygenase-2 (COX-2) inhibitors over other NSAIDs is that they:
A.Have a longer duration of action
B.Are less likely to cause hepatic toxicity
C.Do not decrease the cytoprotective lining of the stomach
D.Have a more rapid onset of action
5.The nurse assesses for therapeutic effects of colchicine based on knowledge that colchicine:
A.Decreases motility of leukocytes
B.Increases process of phagocytosis
C.Increases uric acid metabolism
D.Increases production of lactic acid

6.
Assessment of the patient on colchicine should include consideration of which of the following nursing diagnoses?
A.Alteration in bowel elimination related to chronic constipation from the medication
B.Potential for infection related to medication-induced leukocytosis
C.Potential for the complication of seizures
D.Potential fluid and electrolyte imbalance related to nausea, vomiting, and diarrhea side effects

7.
Patient teaching for a patient receiving allopurinol (Zyloprim) should include which of the following statements:
A.“Do not take this medication during an acute attack of gout.”
B.“Include salmon and organ meats in your diet on a weekly basis.”
C.“Take the medication with an antacid to minimize GI distress.”
D.“This medication may cause your urine to turn orange.”

8.
The nurse would question an order to administer misoprostol (Cytotec) to a patient with which of the following conditions?
A.COPD
B.Gastroesophageal reflux disease (GERD)
C.Pregnancy
D.Peptic ulcer

9.
Patient teaching regarding the use of gold sodium thiomalate in the treatment of arthritis should include: (choose all that apply)
A."You can expect improvement of symptoms within 2 to 4 weeks."
B."It is important to notify your physician if you develop any sores in your mouth."
C."You need to restrict your fluid intake to 1000 mL/day."
D."You should use sunscreen because this drug causes photosensitivity."

10.
Which of the following NSAIDs would the nurse anticipate administering parenterally for the treatment of acute postoperative pain?
A.allopurinol (Zyloprim)
B.indomethacin (Indocin)
C.ketorolac (Toradol)
D.rofecoxib (Vioxx)