ATI Pain & Inflammation
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? (SATA) - 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 asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (SATA) - 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 receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (SATA) - diarrhea - urinary retention - respiratory depression - sedation - orthostatic hypotension
urinary retention, respiratory depression, sedation, orthostatic hypotension
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? (SATA) - bronchospam - vomiting - peripheral edema - abdominal cramps - hypertension
vomiting, abdominal cramps, hypertension
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 interacts with allopurinol? - warfarin - ibuprofen - insulin - furosemide
warfarin
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
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? - 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 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 potassium while taking allopurinol - limit fluid intake during therapy
avoid driving or activities that require mental alertness
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 group of post-operative clients. The nurse should identify that morphine is contraindicated for which of the following clients? A client that had.... - mastectomy - knee arthroplasty - colectomy - cholecystectomy
cholecystectomy
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? (SATA) - diaphoresis - palpitations - shortness of breath - nausea - diarrhea
diaphoresis, nausea, vomiting
A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (SATA) - reduce the dose during periods of stress - discontinue the drug gradually - report illness or infection - increase intake of vitamin D and calcium - monitor for signs of gastric bleeding
discontinue drug gradually, report illness/infection, increase vitamin D and calcium, monitor for 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 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 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 teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (SATA) - 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 it, change positions gradually
A nurse is caring for a client who is taking naloxene to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (SATA) - 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 is taking allopurinol to treat 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? (SATA) - fever - tinnitus - diaphoresis - thrombophlebitis - dizziness
fever, tinnitus, diaphoresis, 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? - hypercalcemia - hypoglycemia - hypothermia - hypokalemia
hypokalemia
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? (SATA) - 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