ATI: Pain and Inflammation

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 has had a cholecystectomy *Morphine can cause biliary colic. It should not be administered to a client who has just had biliary tract surgery, such as a cholecystectomy.

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 Explanation: Alcohol is NOT recommended with any medication. Alcohol use with acetaminophen can cause liver damage and ulcerations.

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?

Bone loss Explanation: Prednisone is a corticosteroid and taking this drug for long periods of time can cause bone loss and eventually osteoporosis.

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 Explanation: Remember that celecoxib is a COX-1 inhibitor

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 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

A nurse is caring for a client who is taking acetaminophen at regular intervals for mild comfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (SAA)

1. Diaphoresis 2. Nausea 3. Diarrhea Explanation: 1.Acetaminophen toxicity can cause diaphoresis and eventually liver damage 2. Acetaminophen toxicity can cause nausea/ vomiting/ anorexia and liver damage. 3. Acetaminophen toxicity can cause diarrhea/ lethargy/ liver damage.

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (SAA)

1. Discontinue the drug gradually, 2.Report illness of infection, 3.Increase intake of calcium and Vitamin D, 4.Monitor for signs of gastric bleeding Explanation: 1. Prednisone is a corticosteroid that cannot be abruptly stopped. The client must be tapered off of the drug. 2. Taking a corticosteroid suppresses your immune system. So if you have an illness or infection, your body cannot fight it off. 3. Taking corticosteroids especially for long periods of time can cause your bones to weaken and you can develop osteoporosis. So taking calcium and vitamin D will help keep your bones healthy. 4. Prednisone can increase GI bleeding.

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? (SAA)

1. Fever 2. Tinnitus 3. Diaphoresis 4. Dizziness

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (SAA)

1. Increase fiber and fluid intake 2. Take the drug with food 3. Avoid driving after taking the drug 4. Change positions gradually

A nurse is caring for a client who is taking naloxone to treat acute morhpine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (SAA)

1. Increased respiratory rate 2. Increased pain 3. Ventricular arrhythmias 4. Hypertension Explanation:

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? (SAA)

1. Sore throat 2.Vertigo 3. Bruising 4. 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? (SAA)

1. To reduce fever 2. To relieve mild pain Explanation: Remember that acetaminophen is a antipyretic( Fever) and analgesic ( Pain ) ONLY.

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? (SAA)

1. Urinary retention 2. Respiratory depression 3. Sedation 4. 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? (SAA)

1. Vomiting 2. Abdominal cramps 3. Hypertension

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

Aspirin Explanation: Aspirin should never be given to children especially in those with viral infections. *Aspirin can increase the risk for Reye syndrome in children who have a viral infection, particularly chickenpox or influenza. Manifestations of Reye syndrome include lethargy and persistent vomiting

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

Avoid driving or activities that require mental alertness. *Allopurinol can cause drowsiness. The nurse should instruct the client to avoid driving activities that require mental alertness until they know the effect the drug will have on them.

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 Explanation: Taking food before taking allopurinol can decrease GI upset.

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 Explanation: Remember allopurinol is an antigout medication.

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 Explanation: Furosemide is a diuretic and is not potassium-sparing. Therefore, potassium is being wasted with furosemide and prednisone makes it worst.

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 reduce the cardioprotective effects of low-dose aspirin.

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? (SAA)

Nausea, Dizziness, Headache

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 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 *Allopurinol can increase the effectiveness of warfarin. A lower dosage of warfarin might 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 drugs reactions?

Weight gain *Aspirin can cause renal impairment, which can result in the retention of salt and water. Clients should report reduce urine output, weight gain, edema, or bloating.