Nokea
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
Correct Answer: C
Rationale: NSAIDs have antipyretic effects but not the other effects listed.
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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 joint pain or blood in the urine.
Correct Answer: D
Rationale: Colchicine may cause renal effects; therefore, the presence of blood in the urine must be reported immediately. In addition, the therapeutic effect should be decreased joint pain, not increased pain. 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.
A patient with gout has been treated with allopurinol 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
Correct Answer: A
Rationale: Treatment of gout with allopurinol should result in decreased uric acid levels.
A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis. The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?
- A. Type 2 diabetes mellitus
- B. Hypothyroidism
- C. Hypertension
- D. Angina
Correct Answer: A
Rationale: Glucosamine may reduce the effectiveness of antidiabetic drugs by worsening insulin resistance, necessitating closer monitoring of blood glucose levels in patients with type 2 diabetes mellitus.
A patient has used enteric aspirin for several years as treatment for osteoarthritis. However, the symptoms are now worse and she is given a prescription for a nonsteroidal anti-inflammatory drug and misoprostol, also called Cytotec. The patient asks the nurse, 'Why am I now taking two pills for arthritis?' What is the nurse's best response?
- A. Cytotec will also reduce the symptoms of your arthritis.
- B. Cytotec helps the action of the NSAID so that it will work better.
- C. Cytotec reduces the mucous secretions in the stomach, which reduces gastric irritation.
- D. Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs.
Correct Answer: D
Rationale: Cytotec inhibits gastric acid secretions and stimulates mucous secretions; it has proved successful in preventing the gastric ulcers that may occur in patients taking NSAIDs.
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
Correct Answer: C
Rationale: Gastrointestinal effects include dyspepsia, heartburn, epigastric distress, nausea, vomiting, anorexia, abdominal pain, and others.