Pharm Made Easy 5.0 Pain and Inflammation

A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asked the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?

"Ibuprofen will reduce the cardio protective effects of low-dose aspirin" Clients taking low-dose aspirin for its ability to decrease platelet aggregation should not take ibuprofen.

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 cholecystectomy. Morphine can cause biliary colic.

A nurse is caring for a child who has a viral infection. The nurse that should identify that which of the following medication can increase the risk of rise syndrome and children who have viral infections?

Aspirin

A nurse is caring for a client in the emergency department. Click to highlight the findings that require immediate follow up with the provider.

Aspirin Headache Ringing in the ears Feeling dizzy Diaphoretic Obtunded Temperature 39.1°C (102.3°F) Respiratory rate 34 bpm * 02 of 93% must be a problem also because I got this wrong.

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 medication reactions?

Bone loss Prednisone a glucocorticoid can cause osteoporosis especially with long-term use. Clients are taking medication's. Should increase weight-bearing activity and report back pain. The nurse should monitor the clients bone density.

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 Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Clients should report chest pain, shortness of breath, headache, numbness, weakness, or confusion. Providers should prescribe the lowest effective dosage of the drug for the shortest time period possible.

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? Select all that apply.

D/C the drug gradually Report illness or infection Increase intake of calcium and Vit Monitor signs of gastric bleeding

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 medication.

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? select all that apply

Increase fiber and fluid intake Take the medication with food Change position gradually Avoid driving after taking the medication

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

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 medication reactions? select all that apply.

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?

Seizure disorder Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have seizure disorders, head injuries, or increased intracranial pressure should not take tramadol.

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 medication reactions? Select all that apply.

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?

Sulfonamide allergy

A nurse is caring for a client on a MedSurg unit. Client is unresponsive has had a chest tube insertion. He's had two tablets of hydrocodone acetaminophen 5 mg and morphine 4 mg IV bolus. Which of the following actions should the nurse take? Select all that apply.

The nurse should plan to: administer naloxone 0.4 mg IV bolus, assess for opioid withdrawal manifestations, cardiac rhythm and prepare ventilation resuscitation equipment.

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 that apply.

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 and monitor the client for which of the following manifestations of withdrawal? Select all that apply.

Tremors Abdominal cramps Muscle pain

A nurse is reviewing the medication list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following medication interacts with allopurinol?

Warfarin Allopurinol can increase the effectiveness of warfarin. a lower dosage of warfarin may be required.

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

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 reactions is a contraindication for acetaminophen?

Alcohol use disorder

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.

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

Fever

A nurse is caring for a female client in the emergency department. For each body system below click to highlight the client's assessment findings that indicate an adverse effect of the client's home medication.

G.I./ hepatic- coffee ground emesis mid epigastric abdominal pain Renal - elevated bun and creatinine weight gain Cardiovascular - Tachycardia, decreased hematocrit, decreased platelet count

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 medications?

Hypokalemia

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 that apply.

Urinary retention Respiratory depression Sedation Orthostatic hypotension