P/P1 Quiz
An acute illness that primarily affects the brain
How would the nurse characterize Reye syndrome?
Aspirin Ibuprofen Methylprednisolone NSAIDs — all of them
Which medication increases the risk for upper GI bleeding? SATA.
Nystatin (oral thrush aka oral candidiasis aka AIDS fungus. Nystatin is an anti fungal agent)
After completing a week of antibiotic therapy, an infant develops oral thrush. Which medication is indicated for treatment of this condition?
Aspirin
The nurse understands which medication increases the risk of Reye syndrome in children?
Respirations (morphine decreases the respiratory center function in the brain; questioned if lower than 12 per minute)
Before beginning administration of morphine via patient-controlled analgesics (PCA), which assessment would the nurse perform first?
Reduces the inflammatory response of tissues (Dexamethasone is an anti-inflammatory agent. Corticosteroids decrease inflammation = decreases edema)
By which process does dexamethasone reduce swelling in the brain?
Foods, medications, and any topical preparation containing alcohol should be avoided.
A 45 year old client who recently completed alcohol detoxification reports plans to begin using disulfirams as part of the alcoholism treatment regimen. Which client teaching would the nurse share regarding this medication?
Staining of teeth (causes staining or discoloration of developing teeth in children)
A child is prescribed tetracycline. The nurse understands which possible medication-related reaction is associated with which medication?
Preventing exposure of the child to infection (Prednisone reduces resistance to certain infections processes and is an anti-inflammatory med that masks infection)
A child recovering from a severe asthma attack is given oral prednisone 15 mg twice daily. Which intervention would be a PRIORITY for the nurse?
6000 — do the math bro
A client reports having taken two hydrocodone/acetaminophen tablets every four hours for several weeks before surgery. If each tablet contains 500 mg of acetaminophen, how many milligrams of acetaminophen has the client been ingesting per day?
Tolerance (increasing amounts of drug of addition are required to satisfy need)
A client with a known history of opioid addition has a surgical repair of multiple stab wounds to the abdomen. After surgery, the client's pain is not relieved by the prescribed morphine injections. Which phenomenon is the client experiencing when they fail to achieve pain relief?
1.6 mL — do the math bro
A healthcare provider prescribes 160 mg of acetaminophen elixir for a child. The label on the bottle reads "100 mg/mL". How many mL of acetaminophen would the nurse administer?
It causes a severe adverse reaction if alcohol is consumed. (Used for aversion therapy; causing nausea, vomiting, hypotension etc. can not tolerate any alcohol)
A healthcare provider prescribes disulfiram for a client who abuses alcohol. Which action is associated with disulfiram?
Tetracycline (staining of developing teeth in neonates/infants)
A parent complains that his child's teeth have yellowed. The nurse understands that with prolonged use, which medication may be responsible?
Aspirin
A pediatric client with a past history of chicken pox reports a fever and headache. Which medication would the nurse avoid giving to the client?
It alters the development of fetal teeth buds.
A pregnant client with an infection tells the nurse that they have taken tetracycline for infections in the past and prefer to take it now. Which response would the nurse give regarding the avoidance of tetracycline administration during pregnancy?
Administering the medication at the prescribed times. (Medication to be administered at exact amount at times directed to avoid blood level decreasing = microorganisms having a change to build resistance to meds; give on empty stomach)
A sulfonamide preparation is prescribed for a child with a UTI. Which nursing responsibility is a PRIORITY when administering this medication?
It could prolong bleeding time.
The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The parent asks the nurse why he child isn't being given ibuprofen. Which response by the nurse is most appropriate?
Lorazepam (depresses the CNS by potentiating gamma-aminobutyric acid — inhibitory neurotransmitter)
The nurse provides care for a client with a long history of alcohol abuse. Which medication would the nurse anticipate will be prescribed for the client to prevent symptoms of withdrawal?
I should take the medication one hour before a meal (Drug is enhanced when stomach is empty. One hour before meals or two hours after meals)
The nurse teaches a teenage client about the administration of levofloxacin to treat a sinus infection. The nurse concludes the teaching is effective when the client makes which statement?
The immunization changes, so you need to get vaccine annually to stay protected.
When a client in the clinic is offered the influenza vaccine and states I HAD THE VAX ALREADY LAST YEAR SO I WONT NEED IT NOW which response will the nurse give?
Move the client to a private room (Contact precautions for infectious clients)
Which action would the nurse take to decrease the risk of transmission of vancomycin-resistant enterococci (VRE)?
Respiratory depression (Morphine is a CNS depressant which affects medulla — respiratory center of the brain )
Which adverse effect of morphine indicates the need for halo one administration?
Yellow sclera (adverse reaction to INH is hepatitis = jaundice)
Which adverse response to isoniazid in a client with TB would cause the nurse to determine that prompt intervention is needed?
Take the medication with meals.
Which advice will the nurse provide to the client after a healthcare provider prescribes aspirin for a client with severe arthritis?
Malaise Restlessness Night Sweats
Which assessment finds are systemic manifestations of acute osteomyelitis? SATA.
Anxiety Palpitations Weight Loss
Which characteristics are observed in clients who have cocaine addition? SATA.
I have to be careful about which OTC cold preparations I take.
Which client statement indicated that teaching about acetaminophen is effective?
Unconsciousness Bradycardia — slow heart rate Bradypnea — slow breathing
Which clinical finding in a client receiving morphine warrants immediate follow up by the nurse? SATA.
The medication is not adequately effective. (Expected effect should be more than a 1 point decrease in pain level)
Which conclusion would the nurse make regarding the client's response to pain medication when a client using a pain scale of 1-10 rates the pain as an 8 before receiving and analgesics and a 7 after being medicated?
Tremors in both hands make it difficult for the client to hold a cup. The client's bed linens and PJ's had to be changed during the night because of diaphoresis. The client who has been cooperative becomes verbally abusive and irritable.
Which data suggests acute alcohol withdrawal for a post surgical client? SATA.
Liver function tests — LFT's (Isoniazid can damage the liver which leads to death; liver function should be monitored)
Which diagnostic testing would a nurse focus on when caring for a client on isoniazid for therapy for TB?
They are given to eliminate bacteria from the GI tract. (Antibiotics are given to decrease the number of microorganisms in the bowel before surgery)
Which explanation would the nurse include when teaching a client schedules for a bowel resection about the purpose of pre operative antibiotics?
Although the medication decreases intestinal inflammation, it will not cure the colitis. (Prednisone suppresses the immune response and increases the potential for infection; symptomatic treatment that is not curative)
Which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?
Isoniazid interferes with the synthesis of this vitamin.
Which explanation would the nurse provide to a client with tuberculosis who asks why Vit B6 (pyridoxine) is given with isoniazid?
Immature immune system (frequent exposure to other children, and second hand smoking)
Which factor is the cause of frequent upper respiratory tract infections in toddlers?
Report persistent abdominal pain Do not chew enteric-coated tablets Take the aspirin with meals or a snack
Which information would the nurse include in the client's medication teaching on the administration of aspirin 650 mg every six hours as needed for arthritic pain? SATA.
Report worsening symptoms Refrain from sexual relations Use barrier protection devices Contact partners to be tested Take the entire course of antibiotics
Which information would the nurse provide to a client diagnosed with chlamydia and prescribed doxycycline? SATA.
Prednisone is not curative but does cause a suppression of the inflammatory process.
Which information would the nurse provide when administering the first dose of prednisone prescribed to a client with an exacerbation of colitis?
Drinking alcohol daily can cause medication-induced hepatitis.
Which instruction will the nurse give to a client who is prescribed isoniazid?
GI bleeding (Can cause mucosal erosion & decrease platelet activity)
Which life-threatening compilation may occur in clients taking high-dose or long-term ibuprofen?
Naloxone/Narcan
Which medication is indicated for management of clinical manifestations associated with an opioid overdose?
Acetaminophen (a non-opioid analgesics that inhibits prostaglandins = mediators for pain & does not affect platelet function)
Which medication is safe to take for pain in the week before a surgical procedure?
Maternal antibodies provide immunity for about one year.
Which parent education would the nurse give about why the MMR vaccine is administered at 12-15 months of age?
Allergic reaction (rash, urticaria, pruritus, angioedema, and other signs and symptoms. Does not cause dehydration, heart issues, nor constipation but maybe diarrhea)
Which potential adverse effect would the nurse monitor for in a client prescribed ceftriaxone for an infection?
Viral infection (Varicella; and use of aspirin as an analgesic)
Which precursor would the nurse recognize as common in children who develop Reye syndrome?
Chickenpox — Varicella
Which recent illness would the nurse assess fir ion a preschooler with Reye syndrome?
Bradycardia (Morphine may cause bradycardia, shock and cardiac arrest)
Which response to morphine would need to be reported immediately to the health care provider?
Ibuprofen has anti-inflammatory properties, and acetaminophen does not.
Which response would the nurse give to a client taking ibuprofen for rheumatoid arthritis who asks the nurse if acetaminophen can be substituted?
Anxiety Diaphoresis Psychomotor agitation
Which signs and symptoms would the nurse observe in a client experiencing alcohol withdrawal? SATA.
I will stop treatment once my fever has subsided.
Which statement by the client indicated to the nurse a need for further teaching on isoniazid therapy?
Alcohol (Together can cause irreversible liver damage; hepatotoxic substances)
Which substance would a client taking acetaminophen routinely be advised to avoid?
N-acetylcysteine
Which treatment would the nurse anticipate administering to a toddler who has acetaminophen poisoning?
Systemic corticosteroid (individuals taking steroids have reduced resistance to infection and may become fatally ill if exposed to the varicella virus)
Which type of medication would put a person at risk if they were exposed to the varicella virus?
Candida albicans
While assessing the mouth of a client acquired immunodeficiency syndrome (AIDS), the nurse finds the condition illustrated in the image. Which pathogen is responsible for the client's condition?
