Pain and inflammation pharm

a nurse is teaching a client who has a new prescription for allopurinol. which of the following instructions should the nurse include?

allopurinol can cause drowsiness so avoid driving or activities that require mental alertness client can crush tablets and mix with food/fluid drink at least 3 L/day Decrease intake of VC to prevent kidney stone formation

a nurse is caring for a client who has a new prescription for prednisone for longer term treatment of RA. the nurse should monitor the client for which of the following adverse reactions?

bone loss myopathy delay wound healing/infection

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?

nausea dizziness headache bradycardia drowsiness

a nurse is caring for a group of postoperative clients. the nurse should identify that morphoine is contraindicated for which of the following clients?

a patient who had a cholecystectomy a patient with renal failure or BPH a patient with CV disease or dysrhythmias a patient with a head injury of IC surgery morphine can cause biliary colic

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 a contraindication for acetaminophen?

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 eye syndrome in children who have viral infections?

aspirin

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?

chest pain SOB headache numbness wekaness confusion diarrhea

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?

diaphoresis nausea diarrhea anorexia lethargy liver damage

a nurse is caring for a client who is taking allopurinol to treat gout. the nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome?

fever rash itching

a nurse is caring for a client who is about to begin taking aspirin. the nurse should intrust the client to report which of the following manifestations of salicylism?

fever tinnnitus diaprhoesis dizziness

A nurse is caring for a client who currently takes furosemide and 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?

hypokalemia

a nurse is caring for a client who takes low dose aspirin to prevent CV events. the client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. which of the following responses should the nurse make?

ibuprofen will reduce the cardioparotective effects of low dose aspirin low dose aspirin can increase ibuprofens antiinflammtory effects low dose aspirin can interact with ibuprofen to increase its analgesic effects

a nurse is teaching a client who has a new prescription for tramadol. which of the following instructions should the nurse include?

increase fiber and fluid intake Take the drug with food to avoid n/v Avoid driving after taking the drug Change positions gradually - sedation and drowsiness Increase exercise to minimize constipation

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?

increased respiratory rate increased pain ventricular arrhythmias hypertension

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 glucse hypokalemia

allopurinol adverse reactions

nausea, vomiting, diarrhea, metallic taste, headache, drowsiness, malaise

Celecoxib contraindications

patients woh have HF, Diabetes, and Asthma

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?

seizure disorder head injurie increased ICP Older than 75 Hyperthyroidism

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?

sore throat abdominal pain jaundice reduced urine output vertigo bruising - thrombocytopenia vision changes

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?

to reduce fever to relieve mild pain

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?

urinary retention reparatory depression sedation orthostatic hypotension constipation

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?

vomiting anorexia fever anxiety restlessness abdominal cramps HTN tremors

a nurse is reviewing the drug list for a client who has a new prescription for allupurinol. the nurse should identify that which of the following drugs interacts with allopurinol?

warfarin Thiazide diuretics Increase effects of oral anti diabetic medications increases effectiveness of warfarin

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

a nurse is teaching a client who has a new prescription for prednisone. which of the following instructions should the nurse include?

discontinue the drug gradually report illness or infection increase intake of Calcium and Vitamin D monitor for signs of gastric bleeding Possibly increase in the dose during periods of stress

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?

Sulfonamide allergy Renal or liver disease HTN Asthma HF Diabetes

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?

Weight gain aspirin can cause renal impairement - retention of salt and water can cause thrombocytopenia increased bleeding petechia reduced urine production