Holland/Adams/Brice, Core Concepts in Pharmacology 5th Edition Test Bank
Chapter 25

Question 1

Type: MCMA

The nurse is caring for a client who is experiencing inflammation. Which symptoms would the nurse expect to find upon assessment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Itching
2. Redness
3. Pain
4. Swelling
5. Hyperglycemia

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 395

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25-1 Identify the functions of inflammation as part of the body’s normal defenses.

Question 2

Type: MCSA

The nurse is caring for a client who is experiencing acute inflammation. How many days should the nurse educate the client to expect symptoms to persist?

1. 7 to 14 days
2. 8 to 10 days
3. 5 to 7 days
4. 15 to 18 days

Cognitive Level: Remembering

Client Need: Physiological Integrity

Page Number: 395

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-1 Identify the functions of inflammation as part of the body’s normal defenses.

Question 3

Type: MCSA

What is the medical term for a defense mechanism that occurs in response to many different stimuli, including physical injury, exposure to toxic chemicals, extreme heat, invading microorganisms, or death of cells?

1. Pain
2. Inflammation
3. Allergy
4. Histamine response

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Page Number: 395

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25-1 Identify the functions of inflammation as part of the body’s normal defenses.

Question 4

Type: MCSA

The nurse is caring for a client who is experiencing a rapid release of histamine on a large scale throughout the body. What is the client experiencing?

1. Anaphylaxis
2. Swelling
3. Pain
4. Redness

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 396

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25-2 Explain the role of chemical mediators in inflammation.

Question 5

Type: MCMA

The nurse is caring for a client who is experiencing mild inflammation. Which treatment options does the nurse anticipate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Ice packs
2. Rest
3. Glucocorticoids
4. NSAIDs
5. Opioids

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 397

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-3 Outline the general strategies for treating inflammation.

Question 6

Type: MCSA

The nurse is caring for a client who was recently placed on anti-inflammatory drugs. What is the goal of treatment for this client?

1. Decrease the intensity of the inflammatory response.
2. Keep the client taking a constant dose of anti-inflammatory medications indefinitely.
3. Increase range of motion.
4. Treat all inflammation with glucocorticoids.

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 397

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-3 Outline the general strategies for treating inflammation.

Question 7

Type: MCMA

The nurse is caring for a client with a fever. Which medications are appropriate for the nurse to administer to this client? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Acetaminophen (Tylenol)
2. Ibuprofen (Advil)
3. Aspirin (ASA)
4. Prednisolone (Prelone)
5. Methylprednisolone (Depo-Medrol, Medrol)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 402

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-6 Explain the pharmacotherapy of fever.

Question 8

Type: MCSA

The nurse is caring for a pediatric client who is experiencing a fever. Which medication is not appropriate for the nurse to choose when treating this condition?

1. Tylenol
2. Advil
3. Motrin
4. Aspirin

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 402

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-6 Explain the pharmacotherapy of fever.

Question 9

Type: MCMA

A client has been taking high-dose aspirin (ASA) for pain. Which side effects would the nurse expect the client to experience? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Bleeding
2. Inflammation
3. Heartburn
4. Ataxia
5. Hyperglycemia

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 397

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25-4 Explain why NSAIDs are the primary pharmacotherapy for mild to moderate inflammation.

Question 10

Type: MCSA

Which of the following statements made by the client taking naproxen sodium (Aleve) indicates the need for further instruction?

1. “I will notify my dentist of my medication use before my next cleaning.”
2. “I should take this medication with food.”
3. “I should take this medication on an empty stomach.”
4. “I should not take herbal supplements without checking with my doctor first.”

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 398

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-4 Explain why NSAIDs are the primary pharmacotherapy for mild to moderate inflammation.

Question 11

Type: MCMA

The client asks the nurse which OTC pain medications are used to treat inflammation. Which responses by the nurse are most appropriate? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Aspirin (ASA)
2. Acetaminophen (Tylenol)
3. Ibuprofen (Advil)
4. Naproxen sodium (Aleve)
5. Diphenhydramine (Benadryl)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 398

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-4 Explain why NSAIDs are the primary pharmacotherapy for mild to moderate inflammation.

Question 12

Type: MCMA

A client is taking glucocorticoids for an extended period of time. The nurse would anticipate the client to display which physical signs upon assessment? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Increased urination
2. Constipation
3. Fat deposits on the shoulders
4. Moon face
5. Buffalo hump

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 401

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-5 Identify the advantages and disadvantages of using corticosteroids to treat inflammation.

Question 13

Type: MCSA

Prednisone has been prescribed for a client with inflammation. How long does the nurse anticipate the client will be taking this medication?

1. 4–10 days
2. 2–20 days
3. 1–3 days
4. 7–18 days

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 401

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-5 Identify the advantages and disadvantages of using corticosteroids to treat inflammation.

Question 14

Type: MCSA

A client with Hodgkin disease has been on long-term prednisone therapy. The nurse will assess this client for symptoms of which disorder?

1. Lymphoma
2. Leukemia
3. Systemic inflammatory response syndrome (SIRS)
4. Cushing syndrome

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 401

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-5 Identify the advantages and disadvantages of using corticosteroids to treat inflammation.

Question 15

Type: MCSA

A client complains of mild inflammation. Which medication would not be an appropriate choice to treat mild inflammation?

1. Ibuprofen (Advil)
2. Aspirin (ASA)
3. Naproxen sodium (Aleve)
4. Cyclosporine (Neoral)

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 401

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 25-4 Explain why NSAIDs are the primary pharmacotherapy for mild to moderate inflammation.

Question 16

Type: MCSA

The nurse is caring for a client who is experiencing inflammation. Which chemical mediators are responsible for inflammation?

1. Bradykinin

2. Prostaglandins

3. Anaphylaxis

4. Potassium sulfate

5. Antipyretics

Cognitive Level: Applying

Client Need: Physiological Integrity

Page Number: 396

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 25-2 Explain the role of chemical mediators in inflammation.