Pharm final prep

A client who has been taking ibuprofen (Advil) for rheumatoid arthritis asks the nurse if acetaminophen (Tylenol) can be substituted instead. An appropriate nursing response is:

"Ibuprofen is an anti-inflammatory and acetaminophen is not."

what are the desired outcomes that the nurse expects when administering ibuprofen? (select all that apply)

pain relief antipyresis reduced inflammation

The nurse is caring for an adolescent with dysmenorrhea. What medication does the nurse anticipate to be prescribed as the first line of treatment?

Ibuprofen

which drug increased the risk of Reye Syndrome in children?

Aspin

A nurse is teaching an older adult client about managing chronic pain with acetaminophen. Which client statement indicates that the teaching is effective?

"I have to be careful about which over-the-counter cold preparations I take when I have a cold."

Acetaminophen 15 mg/kg is prescribed for a child with a temperature of 102° F (38.9° C). How much will the nurse tell the parent to administer if the child weighs 9.6 kg and the acetaminophen strength is 160 mg/5 mL? Record your answer using one decimal place. ___ mL

4.5

A client is receiving morphine sulfate (MS Contin) for severe metastatic bone pain. To prevent complications from a common, serious side effect of morphine, the nurse should: Monitor for diarrhea Observe for an opioid addiction Assess for altered breathing patterns Check for a decreased urinary output

Assess for altered breathing patterns

A client has received instructions to take 650 mg aspirin (ASA) every 6 hours as needed for arthritic pain. What should the nurse include in the client's medication teaching? Select all that apply

Take the aspirin with meals or a snackDo not chew enteric-coated tablets.Report persistent abdominal pain

A nurse is caring for an older adult who is taking acetaminophen for the relief of chronic pain. Which substance is most important for the nurse to determine if the client is taking because it intensifies the most serious adverse effect of acetaminophen?

alcohol

nitrofurantoin used during the fifth week of pregnancy places the neonate at risk for which condition

cleft lip

which medications are associated commonly with upper gastrointestinal (GI) bleeding?

aspirin, ibuprofen, methylpresnisolone

a terminally ill client in a hospice unit for several weeks is receiving a morphine drip. The dose is now above the typical recommended dosage. The client's spouse tells the nurse that the client is again uncomfortable and needs the morphine increased. The prescription states to titrate the morphine to comfort level. What should the nurse do? a) add a placebo to the morphine to appease the spouse b) discuss with the spouse the risk for morphine addiction c) assess the client's pain before increasing the dose of the morphine d) check the client's heart rate before increasing the morphine tto the next level

assess the client's pain before increasing the dose of the morphine

a client receiving morphine is being monitored by the nurse for adverse effects of the drug, which clinical findings warrant immediate follow up by the nurse? (select all that supply)a. plyuriab. sedationc. bradycardiad. dilated pupilse. slow respirations

b. sedationc. bradycardiae. slow respirations

a nurse is evaluating a client who received intravenous morphine. which life-threatening response indicates the potential need for naloxone administration? a. blurred vision b. urinary retention c. mental confusion d. respiratory depression

d. respiratory depression

A practitioner prescribes supplemental oral iron therapy for a child with iron-deficiency anemia. What side effect should the nurse tell the parents to anticipate?

greenish black stool

A client with rheumatoid arthritis is to begin taking ibuprofen 800 mg by mouth three times a day. The nurse provides education about the medication's side effects. The nurse concludes that the teaching was effective when the client makes which statement?

i need to have my blood work checked periodically

A client will be taking nitrofurantoin (Macrobid) 50 mg orally every evening at home to manage recurrent urinary tract infections. What instructions should the nurse give to the client?

increase the intake of fluids

a healthcare provider prescribes busacoldy for a client with cardiac disease. the nurse explains to the client that this drug acts by which mechanism

simulating peristalsis

a healthcare provider prescribes aspirin to be continued at home for a client with severe arthritis. what should the nurse teach about taking aspirin

take the medicine with meals