Chapter 33 My Nursing Test Banks

 

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E
Chapter 33

Question 1

Type: MCSA

The client receives a nonsteroidal anti-inflammatory drug (NSAID) for treatment of arthritis. What is a priority for the nurse to include when doing medication education?

1. Constipation is common; include roughage in your diet.

2. Drink at least eight glasses of water a day.

3. Take your medication with food.

4. Take your medication on an empty stomach.

Correct Answer: 2

Rationale 1: Constipation is not an issue with nonsteroidal anti-inflammatory drugs (NSAIDS).

Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDS) are nephrotoxic; keeping the client well hydrated will help prevent kidney damage.

Rationale 3: Taking the medication with food will decrease gastrointestinal (GI) irritation, but kidney damage is more of a priority.

Rationale 4: Taking the medication on an empty stomach will increase gastrointestinal (GI) irritation.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-5

Question 2

Type: MCSA

A mother calls the clinic and tells the nurse that her 4-month-old baby has a fever. The mother asks if she can use the liquid acetaminophen (Tylenol) that is used for her 10-year-old child. What is the best response by the nurse?

1. Infants should not have acetaminophen (Tylenol) because it damages the liver.

2. It is best if the pediatrician is called; he can be asked this question.

3. It is fine to use the same medicine for both children.

4. Infant drops should be used for the baby; they are different from liquid medicine.

Correct Answer: 4

Rationale 1: Acetaminophen (Tylenol) is the preferred antipyretic drug for infants and children.

Rationale 2: The nurse can answer the mothers question; it is not necessary to refer to the pediatrician.

Rationale 3: It is not fine to use the same medicine for both children because the concentration of medication is different.

Rationale 4: Infant drops should be used for the baby; they have a different concentration of medication than the liquid preparations.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8

Question 3

Type: MCMA

The nurse is managing care for clients who will receive ibuprofen (Advil) for long term therapy. What are the primary laboratory tests the nurse will assess prior to initiation of therapy?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Electrolytes

2. Hemoglobin and hematocrit

3. Bleeding times

4. Liver function tests

5. Serum amylase

Correct Answer: 2,3,4

Rationale 1: There is no specific reason to monitor the clients electrolytes.

Rationale 2: Ibuprofen may result in a decrease in hemoglobin and hematocrit. Baseline levels should be documented.

Rationale 3: Ibuprofen may increase bleeding times. Baseline values should be documented.

Rationale 4: AST and ALT may be increased so it is important to document baseline levels.

Rationale 5: It is not necessary to draw baseline serum amylase levels.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-8

Question 4

Type: MCMA

The client experienced a sports-related injury to his leg. During the morning assessment, what signs of inflammation will the nurse most likely assess?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Swelling

2. Pain

3. Warmth

4. Pallor

5. Pitting edema

Correct Answer: 1,2,3

Rationale 1: Swelling is a sign of inflammation.

Rationale 2: Pain is a sign of inflammation.

Rationale 3: Warmth is a sign of inflammation.

Rationale 4: Pallor is not a sign of inflammation; redness is.

Rationale 5: Pitting edema is not a sign of inflammation.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-1

Question 5

Type: MCSA

The client has experienced a sports-related injury. He asks the nurse how long it will take for him to heal and feel better. What is the best response by the nurse?

1. With proper care, it will take about a month for symptoms to resolve.

2. It will depend on your response to the medications.

3. It will take about a week and a half for symptoms to resolve.

4. The inflammatory process is too complex to predict a time frame for healing.

Correct Answer: 3

Rationale 1: A month is longer than it takes for acute symptoms to resolve.

Rationale 2: Medications will relieve some symptoms, but the time frame for repair to begin is the same.

Rationale 3: During acute inflammation, 8 to 10 days are normally needed for the symptoms to resolve and repair to begin.

Rationale 4: The inflammatory process is complex, but the time frame is still 8 to 10 days.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-2

Question 6

Type: MCSA

The nurse conducts group education for clients with seasonal allergies, and teaches about the role of histamine. The nurse evaluates that the education has been effective when the clients make which statement?

1. Histamine is inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs).

2. Histamine dilates the vessels in the nose, so it is congested and stuffy.

3. Histamine constricts vessels, causing capillaries to become more permeable.

4. Histamine is primarily stored in phagocyte cells in the skin.

Correct Answer: 2

Rationale 1: Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit the synthesis of prostaglandins, and do not affect histamine.

Rationale 2: Histamine dilates blood vessels causing capillaries to become more permeable. The affected area may become congested with blood.

Rationale 3: Histamine dilates, not constricts, vessels, causing capillaries to become more permeable.

Rationale 4: Histamine is primarily stored in mast cells, not phagocyte cells.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 33-3

Question 7

Type: MCSA

The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?

1. No, because this medication has serious adverse effects.

2. No, your doctor said the best treatment for your illness is to alternate medications.

3. No, your body would get used to it and it would lose its effectiveness.

4. No, because your illness is in remission and you dont need medication now.

Correct Answer: 1

Rationale 1: Systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious adverse effects.

Rationale 2: Medications are alternated due to the serious effects of glucocorticoids, not because this is the best treatment for the illness.

Rationale 3: The body does not get used to systemic glucocorticoids.

Rationale 4: There is no evidence that the clients illness is in remission.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8

Question 8

Type: MCSA

The nurse in the emergency department frequently sees clients who have overdosed on acetaminophen (Tylenol). Which client is at highest risk for developing hemolysis?

1. A Native American client

2. A Jewish client

3. An African American client

4. A Caucasian client

Correct Answer: 3

Rationale 1: Native Americans are not known to have a G6PD enzyme deficiency so they are not at risk for developing hemolysis after ingestion of acetaminophen (Tylenol).

Rationale 2: Jewish clients are not known to have a G6PD enzyme deficiency so they are not at risk for developing hemolysis after ingestion of acetaminophen (Tylenol).

Rationale 3: African Americans have higher rates of G6PD enzyme deficiency. Clients with this deficiency are at risk for developing hemolysis after ingestion of certain drugs, including acetaminophen (Tylenol).

Rationale 4: Caucasians are not known to have a G6PD enzyme deficiency so they are not at risk for developing hemolysis after ingestion of acetaminophen (Tylenol).

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-7

Question 9

Type: MCSA

The nurse teaches a group of clients with arthritis about the use of ibuprofen (Motrin), emphasizing the maximum daily amount. The nurse evaluates that education has been most effective when the clients make which statement?

1. We cannot take over 4,000 mg/day.

2. We cannot take over 3,600 mg/day.

3. We cannot take over 3,200 mg/day.

4. We cannot take over 3,000 mg/day.

Correct Answer: 3

Rationale 1: The maximum amount of ibuprofen (Motrin) to be taken in 24 hours is 3,200 mg, not 4,000 mg.

Rationale 2: The maximum amount of ibuprofen (Motrin) to be taken in 24 hours is 3,200 mg, not 3,600 mg.

Rationale 3: The maximum amount of ibuprofen (Motrin) to be taken in 24 hours is 3,200 mg.

Rationale 4: The maximum amount of ibuprofen (Motrin) to be taken in 24 hours is 3,200 mg, not 3,000 mg.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 33-7

Question 10

Type: MCSA

The nurse plans to teach a class on acetaminophen (Tylenol) to mothers with young children. What will the best plan by the nurse include?

1. It is best to give your child acetaminophen (Tylenol) with a high-carbohydrate meal.

2. Read the labels of all over-the-counter (OTC) medications for the amount of acetaminophen (Tylenol) in them.

3. Acetaminophen (Tylenol) will only need to be given once a day because it is long-lasting.

4. It is okay to substitute a baby aspirin for acetaminophen (Tylenol) if you run out of acetaminophen (Tylenol).

Correct Answer: 2

Rationale 1: There is no indication that Tylenol should be given with high-carbohydrate foods.

Rationale 2: It is very easy for parents of young children to overdose them with acetaminophen (Tylenol). All medication labels should be read.

Rationale 3: The duration of action of acetaminophen (Tylenol) is only 34 hours.

Rationale 4: Aspirin is not recommended for children due to the possibility of Reyes Syndrome.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 33-7

Question 11

Type: MCSA

The nurse plans care for the elderly client receiving nonsteroidal anti-inflammatory drug (NSAID) therapy. What is the best outcome for this client as it relates to side effects of nonsteroidal anti-inflammatory drugs (NSAIDs)?

1. The client will refrain from taking other medications with the nonsteroidal anti-inflammatory drug (NSAID).

2. The client will avoid the use of caffeine while taking the nonsteroidal anti-inflammatory drug (NSAID).

3. The client will report any bleeding or bruising while taking the nonsteroidal anti-inflammatory drug (NSAID).

4. The client will report any mood changes while taking the nonsteroidal anti-inflammatory drug (NSAID).

Correct Answer: 3

Rationale 1: Elderly clients are often on several medications, and refraining from taking them with nonsteroidal anti-inflammatory drugs (NSAIDs) is an unrealistic outcome.

Rationale 2: There is no reason for avoiding use of caffeine while using a nonsteroidal anti-inflammatory drug (NSAID).

Rationale 3: Elderly clients are at risk for increased bleeding with nonsteroidal anti-inflammatory drug (NSAID) therapy.

Rationale 4: Mood changes are not a side effect of nonsteroidal anti-inflammatory drug (NSAID) therapy.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 33-7

Question 12

Type: MCSA

The client has been taking hydrocortisone (Cortef) for a month, and abruptly stops it. What will the best assessment by the nurse include?

1. Fatigue and anorexia

2. Hyperglycemia and depression

3. Dilated pupils and auditory hallucinations

4. Tachycardia and weight gain

Correct Answer: 1

Rationale 1: Glucocorticoids must be discontinued gradually. Abrupt withdrawal can result in acute lack of adrenal function. Fatigue and anorexia are signs of adrenal insufficiency.

Rationale 2: Hyperglycemia and depression are not signs of adrenal insufficiency.

Rationale 3: Dilated pupils and auditory hallucinations are not signs of adrenal insufficiency.

Rationale 4: Tachycardia and weight gain are not signs of adrenal insufficiency.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: 33-6

Question 13

Type: MCSA

The physician orders acetaminophen (Tylenol) for a client with a fever. The nurse would plan to validate which other order with the physician?

1. Heparin 5,000 units subcutaneously every 8 hours

2. Warfarin (Coumadin) 2 mg orally every day

3. Penicillin G benzathine (Bicillin LA) 2.4 million units IM one time

4. Paroxetine (Paxil) 37.5 mg orally every day

Correct Answer: 2

Rationale 1: There is no contraindication to the use of heparin and acetaminophen (Tylenol).

Rationale 2: Acetaminophen (Tylenol) inhibits warfarin (Coumadin) metabolism. Concomitant use of these two medications could result in a toxic accumulation of warfarin (Coumadin).

Rationale 3: There is no contraindication to the use of penicillin G benzathine (Bicillin LA) and acetaminophen (Tylenol).

Rationale 4: There is no contraindication to the use of paroxetine (Paxil) and acetaminophen (Tylenol).

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 33-7

Question 14

Type: MCSA

The nurse teaches clients with rheumatoid arthritis about the side effects of nonsteroidal anti-inflammatory drugs (NSAIDs). The nurse evaluates that education has been effective when the clients make which statement?

1. We must have our blood tests monitored with this medication.

2. We must be careful about falling with this medication.

3. We must take the medicine just as the doctor said to take it.

4. We must be sure and keep all scheduled doctors appointments.

Correct Answer: 1

Rationale 1: Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause bleeding, so blood tests must be monitored.

Rationale 2: Nonsteroidal anti-inflammatory drugs (NSAIDs) do not cause sedation, so falling is not a concern.

Rationale 3: Taking the medication as prescribed is important, but this does not address the side effects.

Rationale 4: Keeping scheduled doctors appointments is important, but this does not address the side effects.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 33-8

Question 15

Type: MCSA

Which of the following is a sign or symptom of inflammation?

1. Redness

2. Cyanosis

3. Dizziness

4. Cold skin

Correct Answer: 1

Rationale 1: Redness occurs from antigen reaction.

Rationale 2: Cyanosis is not a sign of inflammation.

Rationale 3: Dizziness is not a symptom of inflammation.

Rationale 4: Warm skin, not cold skin, is a sign of inflammation.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 33-1

Question 16

Type: MCSA

Histamine release produces which of the following?

1. Bronchodilation

2. Vasoconstriction

3. Diarrhea

4. Vasodilatation

Correct Answer: 4

Rationale 1: Bronchoconstriction, not bronchodilation, occurs due to smooth muscle responses.

Rationale 2: Vasodilatation, not vasoconstriction, occurs with histamine release.

Rationale 3: Diarrhea is not a sign of histamine release.

Rationale 4: Histamine release causes vasodilatation due to leaky capillaries.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 33-3

Question 17

Type: MCSA

Which of the following is a common adverse effect of anti-inflammatory drugs, such as ibuprofen?

1. Diarrhea

2. Palpitations

3. Heartburn

4. Hypotension

Correct Answer: 3

Rationale 1: Diarrhea is not a common adverse effect.

Rationale 2: Palpitations are not an adverse effect.

Rationale 3: Heartburn and other GI upset are common adverse effects of these drugs.

Rationale 4: Hypotension is not an adverse effect.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 33-5

Question 18

Type: MCSA

After the client begins taking glucocorticoid medications, the nurse would observe for adverse effects of

1. hypoglycemia.

2. hypotension.

3. bruising of the skin.

4. weight loss.

Correct Answer: 3

Rationale 1: Hyperglycemia, not hypoglycemia, can occur.

Rationale 2: Hypertension, not hypotension, can occur as a result of Cushings syndrome.

Rationale 3: Bruising of the skin can result due to depressed immune response.

Rationale 4: Weight gain, not weight loss, can occur.

Global Rationale:

Cognitive Level: Understanding

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 33-7

Question 19

Type: MCSA

Acetaminophen reduces fever by

1. directly acting on the hypothalamus.

2. inhibiting prostaglandins.

3. blocking impulses to the brain.

4. affecting nerve fibers.

Correct Answer: 1

Rationale 1: Acetaminophen (Tylenol) directly acts on the fever center of the hypothalamus and dilates peripheral blood vessels.

Rationale 2: Anti-inflammatory drugs such as ibuprofen (Advil) inhibit prostaglandins.

Rationale 3: Blocking impulses to the brain is not a mechanism of action of drugs for inflammation and fever.

Rationale 4: Acetaminophen dilates blood vessels, not nerve fibers.

Global Rationale:

Cognitive Level: Remembering

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts:

Learning Outcome: 33-7

Question 20

Type: MCSA

A client is taking aspirin (ASA) for arthritis. The nurse will advise the client to take the medication

1. with a glass of milk.

2. with other medications.

3. with orange juice at bedtime.

4. on an empty stomach in the morning.

Correct Answer: 1

Rationale 1: Aspirin is an acid, which can cause GI distress, so it is best to take it with milk or food.

Rationale 2: Several medications can interact with aspirin.

Rationale 3: Orange juice is highly acidic, and so can increase the risk for GI distress.

Rationale 4: Taking aspirin on an empty stomach can increase the risk of gastric acid production.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8

Question 21

Type: MCSA

A client is placed on aspirin. A toxic reaction to this medication that the nurse will teach the client to report is

1. blurred vision.

2. muscle cramps.

3. tinnitus.

4. joint pain.

Correct Answer: 3

Rationale 1: Blurred vision is not a sign of toxicity.

Rationale 2: Muscle cramps are not a sign of toxicity.

Rationale 3: Tinnitus, or ringing in the ears, is a common early sign of aspirin toxicity.

Rationale 4: Joint pain is not a sign of toxicity.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33-8

Question 22

Type: MCMA

A client presents with a rash and is prescribed an over-the-counter ointment for treatment. The client says, I thought I would need a shot or an expensive prescription. How should the nurse respond?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. Medications that go on your skin dont usually have as many side effects.

2. Mild rashes often respond well to topical ointments.

3. Many of the products used on the skin are available over-the-counter.

4. You should try to discover what caused your rash.

5. Prescription ointments are usually better at healing.

Correct Answer: 1,2,3,4

Rationale 1: Topical drugs should be used when applicable because they cause few adverse effects.

Rationale 2: Inflammation of the skin is best treated with topical medication if possible.

Rationale 3: Many products used on the skin are fairly inexpensive and are available over-the-counter.

Rationale 4: Inflammation is not a disease, but is a symptom. The cause of the inflammation should be identified and treated. In this case, the client should avoid the offending substance.

Rationale 5: Many over-the-counter anti-inflammatory medications exist and do a good job of helping the client heal.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33.4

Question 23

Type: MCMA

A client presents with severe inflammation of the knee. The physician prescribes a corticosteroid and asks the client to return to the office in 10 days for follow-up. How does the nurse explain these instructions?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. We need to check to see if this is the correct treatment.

2. We need to re-examine the knee after a few days of treatment.

3. Corticosteroids should only be taken for 1 to 3 weeks.

4. You may be able to change to an NSAID at that visit.

5. You may need a 3 month prescription for a stronger corticosteroid at that time.

Correct Answer: 2,3,4

Rationale 1: There is no evidence that treatment is not correct.

Rationale 2: It is necessary to see if the treatment is working.

Rationale 3: Corticosteroid therapy can have serious adverse effects if taken for extended periods of time.

Rationale 4: The client should be switched to an NSAID as quickly as possible.

Rationale 5: Corticosteroid therapy should be discontinued after 13 weeks.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Pharmacological and Parenteral Therapies

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33.4

Question 24

Type: MCMA

A client has just been prescribed ibuprofen for a mild ankle sprain. Which health history information should alert the nurse to question this prescription?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. The client has asthma.

2. The client had a similar ankle strain a year ago.

3. The client reports getting a rash when eating strawberries.

4. The client is allergic to aspirin.

5. The client reports having a peptic ulcer 6 months ago.

Correct Answer: 1,4,5

Rationale 1: Clients with asthma are more likely to have hypersensitivity to ibuprofen.

Rationale 2: There is no reason a previous injury would change the decision to prescribe ibuprofen.

Rationale 3: There is no cross-sensitivity between ibuprofen and strawberries.

Rationale 4: Clients who have an allergy to aspirin are more likely to be hypersensitive to ibuprofen.

Rationale 5: Ibuprofen increases the risk of serious gastrointestinal bleeding, especially in someone with a recent history of this problem.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 33.7

Question 25

Type: MCMA

Which client statement would the nurse evaluate as indicating the goal of treatment with an anti-inflammatory drug has been met?

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Standard Text: Select all that apply.

1. My fever went away yesterday.

2. Ive not been coughing up so much phlegm.

3. The skin over my knee is red and hot to the touch.

4. The pain in my shoulder is much relieved.

5. My rash is spreading.

Correct Answer: 1,4

Rationale 1: Fever reduction is a goal of treatment with anti-inflammatory drugs.

Rationale 2: Reduction of secretions is not a goal of treatment with anti-inflammatory drugs.

Rationale 3: Redness and heat are symptoms of inflammation. The therapy may not be working in this client.

Rationale 4: Pain is a sign of inflammation. Reduction of pain indicates that the anti-inflammatory medication is working.

Rationale 5: The goal of anti-inflammatory medications would be that the rash resolved. Since it is spreading, the goal has not been met.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub:

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: 33.4

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E

Copyright 2014 by Pearson Education, Inc.

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