ATI Pharm made easy: Pain and Inflammation

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? Avoid driving or activities that require mental alertness. Avoid crushing the tablets. Limit fluid intake during therapy. Limit potassium while taking allopurinol.

Avoid driving or activities that require mental alertness.

A nurse is caring for a client who takes low dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make? "Ibuprofen will increase your risk for developing salicylism." "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." "Low-dose aspirin will reduce the analgesic effects of ibuprofen."

"Ibuprofen will reduce the cardioprotective effects of low-dose aspirin."

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is contraindication for acetaminophen? Asthma Diabetes mellitus Heart failure Alcohol use disorder

Alcohol use disorder

A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye syndrome in children who have viral infections? Butorphanol Acetaminophen Tramadol Aspirin

Aspirin

A nurse is caring for a client who has a new prescription for prednisone for long term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reactions? Pulmonary embolism Hepatitis Bone loss Breast cancer

Bone loss

A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions? Tinnitus Chest pain Constipation Diaphoresis

Chest pain

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all) Diaphoresis Palpitations Shortness of breath Nausea Diarrhea

Diaphoresis Nausea Diarrhea

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (Select all) Reduce the dose during periods of stress. Discontinue the drug gradually. Report illness or infection. Increase intake of calcium and vitamin D. Monitor for signs of gastric bleeding.

Discontinue the drug gradually. Report illness or infection. Increase intake of calcium and vitamin D. Monitor for signs of gastric bleeding.

A nurse is caring for a client who is taking allopurinol to that gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome? Muscle pain Fever Anxiety Tremors

Fever

A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (Select all) Fever Tinnitus Diaphoresis Thrombophlebitis Dizziness

Fever Tinnitus Diaphoresis Dizziness

A nurse is caring for a client who currently takes furosemide who has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? Hypercalcemia Hypoglycemia Hypothermia Hypokalemia

Hypokalemia

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all) Increase fiber and fluid intake. Take the drug with food. Avoid driving after taking the drug. Change positions gradually. Reduce exercise level temporarily.

Increase fiber and fluid intake. Take the drug with food. Avoid driving after taking the drug. Change positions gradually.

A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include? Monitor the client's blood glucose. Administer an antacid 30 min prior to prednisone. Administer aspirin rather than NSAIDs if the client has pain. Monitor the client for hyperkalemia.

Monitor the client's blood glucose.

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions? (Select all) Infection Nausea Tachycardia Dizziness Headache

Nausea Dizziness Headache

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol? Hyperthyroidism Seizure disorder Rheumatoid arthritis Urinary incontinence

Seizure disorder

A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse drug reactions? (Select all) Palpitations Sore throat Vertigo Bruising Vision changes

Sore throat Vertigo Bruising Vision changes

A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib? Rheumatoid arthritis Ankylosing spondylitis Sulfonamide allergy Adrenocortical insufficiency

Sulfonamide allergy

A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select all) Diarrhea Urinary retention Respiratory depression Sedation Orthostatic hypotension

Urinary retention Respiratory depression Sedation Orthostatic hypotension

A nurse is reviewing the drug list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interact with allopurinol? Warfarin Ibuprofen Insulin Furosemide

Warfarin

A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients? A client who had a mastectomy A client who had a knee arthroplasty A client who had a colectomy A client who had a cholecystectomy

A client who had a cholecystectomy

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? Eat a small meal before taking the drug. Suck on hard candy or chew gum. Take a stool softener daily. Avoid the use of NSAIDs.

Eat a small meal before taking the drug.

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (Select all) Increased respiratory rate Increased pain Thrombophlebitis Ventricular arrhythmias Hypertension

Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (Select all) To reduce fever To decrease inflammation To relieve mild pain To promote sedation To alleviate anxiety

To reduce fever To relieve mild pain

A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome? (Select all) Bronchospasm Vomiting Peripheral edema Abdominal cramps Hypertension

Vomiting Abdominal cramps Hypertension

A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions? Polyuria Bone pain Weight gain Infection

Weight gain