final exam antiinflam 24

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1

A 35 year old woman diagnosed with rheumatoid arthritis has been prescribed infliximab. The nurse identifies infliximab as which type of medication?

A. Immunosuppressive

B. Immunomodulator

C. Antimalarial

D. Steroid

B. Immunomodulator

2

The nurse identifies infliximab as useful in the treatment of rheumatoid arthritis as well as

A. Crohn disease

B. Asthma

C. Peptic ulcers

D. Multiple Sclerosis

A. Crohn disease

3

The patient asks how infliximab will be administered. The nurse should respond that this medication is administered

A. orally

B. Subcutaneously

C. Intramuscularly

D. intravenously

D. Intravenously

4

A patient has been advised to take ibuprofen. When teaching the patient about ibuprofen, which instruction should the nurse include? Select all that apply

A. Avoid taking aspirin with ibuprofen

B. Take with food to reduce GI upset

C. Monitor for bleeding gums, nosebleeds, black tarry stools

D. Take herbs, ginkgo and garlic, with ibuprofen

E. Take NSAID's 2 days before menstruation to decrease discomfort

A. Avoid taking aspirin with ibuprofen

B. Take with food to reduce GI upset

C. Monitor for bleeding gums, nosebleeds, black tarry stools

5

An older patient takes tormenting for arthritis pain. Which statement made by the patient is of most concern to the nurse?

A. I feel like I am coming down with a cold

B. My stomach aches and burns

C. I have a bad headache

D. I feel dizzy when I get up fast

B. My stomach aches and burns

6

A 65 year old man has been diagnosed with chronic gout. The nurse anticipates that the patient will be treated with

A. Allopurinol

B. Colchicine

C. Adalimumab

D. Infliximab

A. Allopurinol

7

A nursing student asks the nurse to explain the role of cyclooxyrgenase-2 (COX-2) and its role in inflammation. The nurse will explain that COX-2

A. Converts arachidonic acid into chemical mediator for inflammation.

B.. Directly causes vasodilation and increased capillary permeability

C. Irritates the gastric mucosa to cause gastrointestinal upset

D. Releases prostaglandins, which cause inflammation and pain in tissues

A. Converts arachidonic acid into chemical mediator for inflammation.

COX 2 is a enzyme that converts arachidonic acid into prostaglandins and their products, and this synthesis causes pain and inflammation. They do not act directly to cause inflammation. COX 1 irritates the gastric mucosa. COX 2 synthesizes but does not release prostaglandins.