Question 1

A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

Accepted Answer

A) "Allopurinol does not lower uric acid levels." 
B) "Allopurinol is useful in rheumatoid arthritis, but not gout." 
C) "Allopurinol is used only for the prevention of gout attacks." 
D) "Allopurinol can cause swelling of the feet, worsening your gout symptoms". 
A) "Allopurinol does not lower uric acid levels." 
B) "Allopurinol is useful in rheumatoid arthritis, but not gout." 
C) "Allopurinol is used only for the prevention of gout attacks." 
D) "Allopurinol can cause swelling of the feet, worsening your gout symptoms".

Question 2

A patient is beginning a prescribed disease-modifying antirheumatic drug (DMARD) for the treatment of rheumatoid arthritis. The patient asks you how these drugs work to help this condition. What is your best response?

Accepted Answer

A) "These drugs modify the immune system by decreasing T-cell response." 
B) "These drugs act to increase the body's immune response to rheumatoid factor." 
C) "These drugs work by inhibiting the inflammatory mediator tumor necrosis factor." 
D) "These drugs reduce the amount of an enzyme that controls the production of purines." 
A) "These drugs modify the immune system by decreasing T-cell response." 
B) "These drugs act to increase the body's immune response to rheumatoid factor." 
C) "These drugs work by inhibiting the inflammatory mediator tumor necrosis factor." 
D) "These drugs reduce the amount of an enzyme that controls the production of purines."

Question 3

You are teaching a patient with rheumatoid arthritis about giving subcutaneous adalimumab (Humira) at home. What instructions should be included in this patient's teaching plan?

Accepted Answer

A) Before drawing up drug, shake the vial well to distribute the drug. 
B) Rotate the injection site of the thighs and abdomen frequently. 
C) Do not discontinue this drug if you have an infection. 
D) Rub the injection site well to prevent bleeding. 
A) Before drawing up drug, shake the vial well to distribute the drug. 
B) Rotate the injection site of the thighs and abdomen frequently. 
C) Do not discontinue this drug if you have an infection. 
D) Rub the injection site well to prevent bleeding.

Question 4

A patient reports a history of gout in the right big toe. A previous aspiration of the joint revealed uric acid crystals to be present in the joint. Which of the following drugs would be most appropriate to treat this patient?

Accepted Answer

A) Demerol 
B) Colchicine 
C) Allopurinol 
D) Enteric-coated aspirin 
A) Demerol 
B) Colchicine 
C) Allopurinol 
D) Enteric-coated aspirin

Question 5

A mother brings her febrile infant to the pediatric clinic for evaluation. The infant has a temperature of 102 degrees. The mother tells you that she wishes she had given the baby a dose of liquid aspirin before leaving the house to bring down the baby's temperature. What is your best response?

Accepted Answer

A) "Aspirin can be dangerous, and should not be given to infants." 
B) "We can give the baby a dose now before you leave the clinic." 
C) "Give aspirin alternating with acetaminophen every 4 h for fever." 
D) "Aspirin will need to be given with a proton-pump inhibitor to prevent bleeding." 
A) "Aspirin can be dangerous, and should not be given to infants." 
B) "We can give the baby a dose now before you leave the clinic." 
C) "Give aspirin alternating with acetaminophen every 4 h for fever." 
D) "Aspirin will need to be given with a proton-pump inhibitor to prevent bleeding."

Question 6

A patient with a history of cardiovascular disease has been prescribed aspirin daily. What specific risk should this patient be informed of because of taking aspirin?

Accepted Answer

A) Risk of infection 
B) Risk of bleeding 
C) Risk of liver impairment 
D) Risk of cognitive impairment 
A) Risk of infection 
B) Risk of bleeding 
C) Risk of liver impairment 
D) Risk of cognitive impairment

A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

A patient is beginning a prescribed disease-modifying antirheumatic drug (DMARD) for the treatment of rheumatoid arthritis. The patient asks you how these drugs work to help this condition. What is your best response?

You are teaching a patient with rheumatoid arthritis about giving subcutaneous adalimumab (Humira) at home. What instructions should be included in this patient's teaching plan?

A patient reports a history of gout in the right big toe. A previous aspiration of the joint revealed uric acid crystals to be present in the joint. Which of the following drugs would be most appropriate to treat this patient?

A mother brings her febrile infant to the pediatric clinic for evaluation. The infant has a temperature of 102 degrees. The mother tells you that she wishes she had given the baby a dose of liquid aspirin before leaving the house to bring down the baby's temperature. What is your best response?

A patient with a history of cardiovascular disease has been prescribed aspirin daily. What specific risk should this patient be informed of because of taking aspirin?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Drugs for Pain Management

Drugs for Gastrointestinal Problems

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

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Exam 12: Anti-Inflammatory, Antiarthritis, and Antigout Drugs

A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

A patient is beginning a prescribed disease-modifying antirheumatic drug (DMARD) for the treatment of rheumatoid arthritis. The patient asks you how these drugs work to help this condition. What is your best response?

You are teaching a patient with rheumatoid arthritis about giving subcutaneous adalimumab (Humira) at home. What instructions should be included in this patient's teaching plan?

A patient reports a history of gout in the right big toe. A previous aspiration of the joint revealed uric acid crystals to be present in the joint. Which of the following drugs would be most appropriate to treat this patient?

A mother brings her febrile infant to the pediatric clinic for evaluation. The infant has a temperature of 102 degrees. The mother tells you that she wishes she had given the baby a dose of liquid aspirin before leaving the house to bring down the baby's temperature. What is your best response?

A patient with a history of cardiovascular disease has been prescribed aspirin daily. What specific risk should this patient be informed of because of taking aspirin?

Pharmacology and the Nursing Process in Lpn Practice

Legal, Regulatory, and Ethical Aspects of Drug Administration

Principles of Pharmacology

Drug Calculation: Preparing and Giving Drugs

Anti-Infective Drugs: Antibacterial, Antitubercular, and Antifungal Agents

Antivirals and Antiretrovirals

Drugs for Allergy and Respiratory Problems

Drugs Affecting Therenalurinary and Cardiovascular Problems

Drug Therapy for Central Nervous System Problems

Drug Therapy for Mental Health

Drugs for Pain Management

Drugs for Gastrointestinal Problems

Drugs Affecting the Hematologic System

Drugs for Immunization and Immunomodulation

Hormones and Drugs for Osteoporosis

Drug Therapy for Diabetes

Drugs for Ear and Eye Problems

Over-The-Counter Products, Herbal and Alternative Drugs, and Vitamins and Minerals

Filters