WorksheetsAdv Med Surg Ch 33 & 34
Total questions: 33
Worksheet time: 20mins
Match the medication with the classification:
leukotriene receptor antagonist
montelukast
leukotriene receptor inhibitor
zileuton
second-generation H1 inhibitor
levocetirizine
first-generation H1 antihistamines (sedating)
hydroxyzine
second-generation H1 antihistamines (Nonsedating)
cetirizine
The nurse is preparing to administer a medication that has an affinity for H1 receptors. Which medication would the nurse administer?
diphenhydramine
omeprazole
cimetidine
ranitidine
An infant is born to a mother who had no prenatal care during her pregnancy. Which thpe of hypersensitivity reaction does the nurse determine may have occurred?
bacterial endocarditis
Rh-hemolytic disease
lupus erythematosus
rheumatoid arthritis
While monitoring the patient's eosinophil level, the nurse suspects a definite allergic disorder when seeing an eosinophil value of which percentage of the total leukocyte count?
1% to 3%
3% to 4%
5% to 10%
15% to 40%
A patient comes to the clinic with pruritus and nasal congestion after eating shrimp for lunch and is suspected to be experiencing an anaphylactic reaction to the shrimp. These symptoms typically occur within how many hours after exposure?
2 hours
6 hours
12 hours
24 hours
A patient is experiencing an allergic reaction after receiving a dose of penicillin. Which signs and symptoms will the nurse look for in the patient's initial assessment?
dyspnea, bronchospasm, and/or laryngeal edema
hypotension and tachycardia
the presence and location of pruritus
the severity of cutaneous warmth and flushing
The nurse is educating a patient with allergic rhinitis about how the condition is induced. Which factors should the nurse include in the education on this topic?
airborne pollens or molds
ingested foods
parenteral medications
topical creams or ointments
A patient has a sensitivity to ragweed and tells the nurse that it comes at the same time every year. When does the patient typically notice the symptoms?
early spring
early fall
summer
midwinter
A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. Which symptoms will the nurse educate the patient is a major side effect of antihistamines?
diarrhea
anorexia
palpitations
sedation
The nurse is administering a sympathomimetic drug to a patient. Which areas of concern does the nurse have when administering this drug? (select all that apply)
causes bronchodilation
constricts integumentary smooth muscle
dilates the muscular vasculature
causes bronchoconstriction
causes laryngospasm
The nurse is administering injected allergens for "hyposensitization," which may produce harmful systemic reactions. Before administering these allergens, what medication will the nurse have at the bedside?
phenergan hydrochloride
pentazocine
epinephrine
meclizine hydrochloride
A patient was seen in the clinic for hypertension and received a prescription for a new antihypertensive medication. The patient arrived in the emergency department a few hours after taking the medication with severe angioedema. Which medication prescribed is most likely responsible for the reaction?
beta-blocker
angiotensin-converting enzyme (ACE)
angiotensin receptor blocker
vasodilator
A patient has been diagnosed with an allergy to peanuts. Which item is a priority for this patient to carry at all times?
a medical alert bracelet
an H1 blocker
an EpiPen
an oral airway
A patient has had a "stuffy nose" and obtained Afrin nasal spray. Which education should the nurse provide to the patient to prevent "rebound congestion"?
be sure to use the Afrin for at least 10 days to ensure the stuffiness is gone.
use the medication every 4 hours to prevent congestion from recurring
drink plenty of fluids
only use the Afrin for 3 to 4 days once every 12 hours
A patient was seen in the clinic 3 days previously for allergic rhinitis and was given a prescription for a corticosteroid nasal spray. The patient calls the clinic and tells the nurse that the nasal spray is not working. Which is the best response by the nurse?
"You need to come back to the clinic to get a different medication since this one is not working for you."
"You may be immjune to the effects of this medication and will need something else in its place."
"The full benefit of the medication may take up to 2 weeks to be achieved."
"I am sorry that you are feeling poorly, but this is the only medication that will work for your problem."
What education should the nurse provide to the patient taking long-term corticosteroids?
The patient should not stop taking the medication abruptly and should be weaned off the medication.
The patient should take the medication only as needed and not take it unnecessarily.
Corticosteroids are relatively safe drugs with very few side effects.
The patient should discontinue using the drug immediately if weight gain is observed.
Match the clinical interpretation/laboratory significance listed with its associated test:
a decrease can be seen in chronic inflammation
hematocrit
a positive test is associated with systemic lupus erythematosus (SLE), RA, and Raynaud's disease
antinuclear antibody (ANA)
an increase in this substance is seen with gout
uric acid
this protein substance is decreased in RA and SLE
complement
Match the clinical interpretation/laboratory significance listed with its associated test:
this is present in 80% of those who have RA
rheumatoid factor
this is presnet in 85% of those with ankylosing spondylitis
HLA-B27 antigen
frequently positive for RA and SLE
C-reactive protein (CRP)
an increase may indicate renal damage, as in scleroderma
creatinine
A patient is seen in the office for reports of joint pain, swelling, and a long-grade fever. Which laboratory studies reviewed by the nurse indicate a positive diagnosis of RA? (select all that apply)
positive C-reactive protein (CRP)
positive antinuclear antibody (ANA)
red blood cell (RBC) count of <4.0 million/mcL
serum complement level (C3) of >130 mg/dL
aspartate aminotransferase (AST) and alanine transaminase (ALT) levels of 7 units/L
A patient has a serum study that is positive for the rheumatoid factor. Which does the nurse identify is the significance of this test result?
the test results are diagnostic for Sjogren's syndrome
the test results are diagnostic for systemic lupus erythematosus
the test results are specific for rheumatoid arthritis
the test results are suggestive of rheumatoid arthritis
The nurse is caring for a patient who presents with the symptom of blanching of fingers when exposed to cold. Which rheumatic disorder does the nurse prepare to assess the patient for?
Ankylosing spondylitis
Raynaud's phenomenon
Reiter syndrome
Sjogren's syndrome
A patient is suspected of having myositis. The nurse prepares the patient for which procedure that will confirm the diagnosis?
bone scan
computed tomography (CT)
magnetic resonance imaging (MRI)
muscle biopsy
The nurse is educating a patient about the risks of stroke related to the new prescription for a COX-2 inhibitor and which symptoms should be reported. Which COX-2 inhibitor is the nurse educating the patient about?
ibuprofen
celecoxib
piroxicam
tolmetin sodium
A patient is prescribed a DMARD that is successful in the treatment of rheumatoid arthritis (RA) but has side effects, including retinal eye changes. Which medication does the nurse educate the patient about?
azathioprine
diclofenac
hydroxychloroquine
aurothioglucose
A patient with an acute exacerbation of arthritis is temporarily confined to bed. Which position will the nurse recommend to prevent flexion deformities?
Prone
Semi-Fowler
Side-lying with pillows supporting the shoulders and legs
Supine with pillows under the knees
A patient comes to the clinic with an inflamed wrist. How will the nurse splint the joint to immobilize it?
slight dorsiflexion
extension
hyperextension
internal rotation
A patient arrives at the clinic with reports of pain in the left great toe. The nurse assesses a swollen, warm, erythematous left great toe. Which laboratory test will the nurse prepare the patient for to identify the cause?
uric acid level
hemoglobin
potassium level
erythrocyte sedimentation rate
The nurse is educating the patient with gout about ways to prevent recurrence of an attack. Which foods will the nurse encourage the patient to avoid?
baked chicken
steak
asparagus
pineapple
The nurse is assessing a patient with a diagnosis of scleroderma. Which clinical manifestations of scleroderma does the nurse assess? (select all that apply)
decreased ventilation owing to lung scarring
dysphagia owing to hardening of the esophagus
dyspnea owing to fibrotic cardiac tissue
productive cough
butterfly-shaped rash on the face
A patient is hospitalized with a severe case of gout. The patient has gross swelling of the large toe and rates pain a 10 out of 10. With a diagnosis of gout, which will the laboratory results reveal?
glycosuria
hyperuricemia
hyperproteinuria
ketonuria
A patient is being placed on a purine-restricted diet. Which food should be suggested by the nurse?
dairy products
organ meats
raw vegetables
shellfish
A patient is taking nonsteroidal anti-inflammatory drugs (NSAIDS) for the treatment of osteoarthritis. Which education should the nurse give the patient about the medication?
take the medication on an empty stomach in order to increase effectiveness
since the medication is able to be obtained over the counter, it has few side effects
take the medication with food to avoid stomach upset
inform the primary provider if there is ringing in the ears
The nurse is educating a patient that is prescribed adalimumab for the treatment of psoriatic arthritis. Which statement made by the patient indicates that further education is required?
"I will receive a tuberculin skin test prior to beginning this medication."
"I will administer this medication in the muscle of my leg every 2 weeks."
"If I have a fever, I won't administer the medication and will notify
"I should avoid large crowds and protect myself from infections."
