HESI Inflammation Review

The nurse is review a current list of medications for a client who has developed GI bleeding. Which prescription would the nurse discuss with the PCP? 1. Digoxin 2. Ibuprofen 3. Famoditine 4. Atorvastatin

2

Which medication is safe to take for pain in the week before a sx procedure? Naproxen Aspirin Ketorolac Acetaminophen

Acetaminophen

Which medication increases the risk for upper GI bleeding? SATA Aspirin Ibuprofen Ciprofloxacin Acetaminophen Methylprednisone

Aspirin Ibuprofen Methylprednisone

Which of a clients meds would the nurse suspect is the cause of new onset tinnitus? Digoxin .25mg one tab daily Aspirin 325 mg, 2 tab q4hrs Captopril 25mg, 1 tab 3X daily Diphenhydramine 25mg, 1 tan every 4-8hrs prn

Aspirin 325 mg 2 tab q4hrs

Which statements are accurate regarding chronic aspirin poisoning? SATA Chronic aspirin poisoning is often confused for viral illness Acute ingestion of aspirin is always more serious than chronic Peritoneal dialysis is used in the tx of severe cases of aspirin poisoning Acute ingestion of aspirin causes severe toxicity when the dosage is 200-250mg/kg Chronic ingestion of aspirin occurs when an Amt greater than 100mg/kg per day is ingested for more than 2 days

Chronic aspirin poisoning is often confused for viral illness Chronic ingestion of aspirin occurs when an Amt greater than 100mg/kg per day is ingested for more than 2 days

Which complication is a client with RA at risk for due to prolonged use of corticosteroids? Decreased WBCs Increased C-reactive protein Increased sedimentation rate Decreased serum glucose levels

Decreased WBCs

What symptoms would the nurse include when teaching a client with arthritis who takes large doses of aspirin about the clinical manifestations of aspirin toxicity? Feelings of drowsiness Disturbance in hearing Intermittent constipation Metallic taste in mouth

Disturbance in hearing

Which symptoms would cause the nurse to suspect the toddler age child who presents to the ED may have acute aspirin poisoning? SATA Emesis Nausea Tinnitus Ecchymoses Hypoventilation

Emesis Nausea Tinnitus

A client w Cushings syndrome asks why a low sodium high potassium diet has been prescribed. Which response by the nurse is most accurate? Client will gain excessive weight if sodium is limited Inadequate intake of potassium contributed to the disease Type of diet increases emotional stability Excessive aldosterone & cortisone cause the retention of sodium and loss of potassium

Excessive aldosterone & cortisone cause the retention of sodium and loss of potassium

Which life threatening complication may occur in clients taking high dose or long term ibuprofen? Anaphylaxis GI bleeding Cardiac dysrhythmias Disulfiram reaction

GI bleeding

The nurse is assessing a client with a moon-shaped face and thin arms and legs. The nurse expects which other assessment findings? SATA Weight loss Gastric ulcer Pain in bones Poor appetite Muscle weakness

Gastric ulcer Pain in bones Muscle weakness

Which electrolyte imbalance response would the nurse assess for in a client with a diagnosis of Cushing syndrome? Hypovolemia Hyperkalemia Hypoglycaemia Hypernatremia

Hypernatremia

A client is diagnosed with Cushing syndrome. The nurse would monitor the client for which CV complication? Chest pain Tachycardia Hypertension Atrial fibrillation

Hypertension

Which statement by a client w RA prescribed ibuprofen 800ng PO 3X/day indicates that the nurses education about the meds side effect was effective? SATA I need to report any dark tarry stools I will need to stop taking this med before any scheduled sx I should change positions slowly I will take the med on an empty stomach I will need to stop taking Low dose aspirin while I take this med

I need to report any dark tarry stools I will need to stop taking this med before any scheduled sx

Which client statement indicates that the client understands the nurses instructions about long term steroid therapy? My urine may become discolored I should avoid crowds in enclosed areas Weight loss can occur w this med The meD should be taken between meals

I should avoid crowds in enclosed areas

Which times for the medication schedule would a nurse teach when corticosteroid therapy is prescribed for a client with an exacerbation of UC? At bedtime w snack 3X daily w meals In early morning w food 1 hr before / 2 hrs after eating

In morning w food

Which sign / symptoms would the nurse expect a client with Cushing's syndrome to exhibit? Hyperkalemia Hypotension Muscle wasting Muscle weakness

Muscle weakness

Which adverse effect of aspirin therapy would the nurse advise the client with arthritis to report? SATA Ongoing nausea Constipation Easy bruising Decreased pulse Ringing in the ears

Ongoing nausea Easy bruising Ringing in the ears

Which therapeutic outcome is expected after admin ibuprofen? SATA Diuresis Pain relief Temp reduction Bronchodilation Anticoagulation Reduced inflammation

Pain relief Temp reduction Reduced inflammation

A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. What is the priority nursing intervention? Having child rest as much as possible Checking clients eosinophil count daily Prevent exposure of child to infection Offer sips of water when admin meds

Prevent exposure of child to infection

Which clinic indicator would be related to a client receiving aspiring therapy? Urinary calculi Atrophy of the liver Prolonged bleeding time Premature erythrocyte destruction

Prolonged bleeding time

Which process is the origin of metabolic acidosis caused by aspirin toxicity? Deep, rapid breathing Higher pH of gastric contents Rapid absorption of salicylate Increased renal excretion of bicarbonate

Rapid absorption of salicyclate

When a client w COPD has a new prescription for daily low-dose prednisone, which info will the nurse include when teaching the client? Take the med an hr before eating Report any dark stools to the HCP Weight loss is a common side effect of the meds Take the meds as soon as you experience any dyspnea

Report any dark stools to the HCP

Which info would the nurse include in the clients med teaching on the admin of aspirin 650mg every 6 hrs PRN for arthritic pain? SATA Report persistent ab pain Don't chew EC tablets Take aspirin w meals / snack See dentist if bleeding gums occur Switch to acetaminophen if tinnitus occurs

Report persistent ab pain Don't chew EC tablets Take aspirin w meals / snack

Which complication with the nurse conclude is being experienced by a client who takes 4 325-mg tablets of buffered aspirin 4x/day for severe arthritis & complains of dizziness & ringing in ears? Salicylate toxicity Allergic reaction Withdrawal symptoms Aspirin intolerance

Salicylate toxicity

The nurse is teaching a parent of a child prescribed a high dose of oral prednisone for asthma. Which info is critical for the nurse to include when teaching about this medication? Protects against infection Should be stopped gradually Early growth spurt may occur Moon-shaped face will develop

Should be stopped gradually

Which observation would cause a nurse caring for a client receiving hydrocortisone therapy to anticipate a dose adjustment in the clients prescription? 3 episodes of vomiting Passage of loose stools Body temp 37.2 C (99F) Sudden weight gain of 8kg

Sudden weight gain of 8kg

Which clinical manifestation would the nurse expect to find upon an assessment of a client w Cushing's syndrome? SATA Polyuria Truncal obesity Hypotension Sleep disturbance Thin arms & legs

Truncal obesity Sleep disturbance Thin arms & legs

How would the nurse instruct a client w arthritis to take aspirin when the client states that the aspirin causes stomach irritation? An hr before a meal With food and a full glass of water With sodium bicarbonate At the same time as the other meds

With food and a full glass of water

Which response would the nurse give to a client taking ibuprofen for RA who asks the nurse if acetaminophen ca. be substituted? Yes both are antipyretics & have the same effect Acetaminophen irritates the stomach more than ibuprofen Acetaminophen is preferred tx for RA ibuprofen has anti-inflammatory properties, acetaminophen doesn't

ibuprofen has anti-inflammatory properties, acetaminophen doesn't