Pain and Inflammation

A. Take it with food. B. Rise slowly from sitting or reclining. D. Increase fluid and fiber intake. E. Do not take it before driving.

A client is about to start taking oral morphine to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine? (SATA) A. Take it with food. B. Rise slowly from sitting or reclining. C. Take it on a fixed schedule. D. Increase fluid and fiber intake. E. Do not take it before driving.

Petechiae Aspirin decreases platelet aggregation and provides cardioprotective properties and can cause bleeding. Instruct the client to watch for and report any signs of bleeding, such as bruising, petechiae, and coffee ground emesis. Monitor coagulation studies as well.

A client is about to start taking aspirin to prevent cardiovascular events. you should instruct the client to watch for and report which adverse drug reaction of aspirin? Dyspnea Constipation Calf Pain Petechiae

A. Allow one hour for it to take effect. Clients take tramadol, a nonopioid analgesic, orally and thus they should allow 1 hr for the drug to take effect. Instruct the client to take it with food to reduce gastric distress and to swallow ER tablets whole.

A client is about to start taking tramadol to treat moderate pain. Which of the following instructions should you include when talking with the client about taking this drug? A. Allow one hour for it to take effect. B. Take it on an empty stomach. C. Chew the extended-release tablets. D. Do not take it with grapefruit juice.

C. Acetylcysteine A mucolytic, reduces the risk of hepatotoxicity from an acetaminophen OD. It bonds to the toxic byproducts of acetaminophen metabolism to prevent liver toxicity.

A client arrives at the ER immediately following an acetaminophen OD. When drug should you prepare to administer? A. Atropine B. Naloxone C. Acetylcysteine D. Flumazenil

A. Black, tarry stools Celecoxib can cause gastrointestinal bleeding. Instruct the patient to watch for and report black, dark-colored, or bloody stools, abdominal pain, or coffee-ground emesis. Tell the patient to take celecoxib with food to reduce gastric irritation. Celecoxib is unlikely to cause polyuria; however, it can cause peripheral edema. Monitor the patient for weight gain or fluid retention. Celecoxib is unlikely to cause bone pain, but it can cause liver disease. Instruct the patient to report jaundice, fatigue, or abdominal pain. Celecoxib is unlikely to cause dry mouth, but it can cause an upper respiratory infection or pharyngitis.

A client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug? A. Black, tarry stools B. Polyuria C. Bone pain D. Dry mouth

D. Aspirin

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? A. Butorphanol B. Acetaminophen C. Tramadol D. Aspirin

To reduce fever To relieve mild pain

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?

D. Hyperkalemia

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? A. Hypercalcemia B. Hypoglycemia C. Hypothermia D. Hypokalemia

Nausea Dizziness Headache

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 Infection Tachycardia Headache

Seizure disorder

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?

D. Increase serum glucose monitoring Because prednisone can cause hyperglycemia, the primary care provider should monitor the patient's serum glucose levels more frequently. The patient might need a higher insulin dose and might have to reduce his carbohydrate intake.

A provider prescribes prednisone for a patient who has type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to the prednisone, which of the following precautions should the primary care provider take for this client? A. Reduce the insulin dose. B. Increase carbohydrate intake. C. Reduce the prednisone dose. D. Increase serum glucose monitoring.

B. Use a fentanyl patch for chronic pain. Butorphanol is an opioid agonist-antagonist. CLiets who take opioids or develop opioid dependence should not take this drug because it will decrease the effects of the opioid and can cause abstinence syndrome. Butorphanol is appropriate for patients taking corticosteroids, insulin, or warfarin. However, cautious use is essential with patients who have a head injury, hypertension, hepatic or renal disease, or cardiac insufficiency. A patient is about to begin celecoxib (Celebrex) therapy for osteoarthritis.

Butorphanol is an unsafe analgesic choice for patients who A. Take glucocorticoids for rheumatoid arthritis B. Use a fentanyl patch for chronic pain. C. Have type 1 diabetes mellitus and use an insulin pump. D. Take warfarin for thrombophlebitis.

A - 2 B - 3 C - 1

Match the drug with the classification: A. Ibuprofen B. Naloxone C. Morphine 1. Opioid analgesic 2. Nonsteroidal anti-inflammatory drug 3. Opioid antagonist

A - 4 B - 1 C - 2 D - 3

Match the drug with the therapeutic use: A. Prednisone B. Morphine C. Butorphanol D. Acetaminophen 1. Sedation 2. Anesthesia adjunct 3. Fever reduction 4. Prevention of organ rejection

Chest pain

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?

weight gain Aspirin can cause renal impairment, which can result in the retention of salt and water

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? Infection Weight gain Bone pain Polyuria

Fever Tinnitus Diaphoresis Dizziness

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 Dizziness Thrombophlebitis

A. Vomiting B. Abdominal cramps C. Hypertension

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 ab syndrome? A. Vomiting B. Abdominal cramps C. Hypertension D. Bronchospasm E. Peripheral edema

Urinary retention Respiratory depression Sedation Orthostatic hypotension

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 Urinary retention Respiratory depression Sedation Orthostatic hypotension Diarrhea

A. Diaphoresis B. Nausea C. 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? SATA A. Diaphoresis B. Nausea C. Diarrhea D. Palpitations E. Shortness of breath

Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

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? SATA Thrombophlebitis Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension

A. Ibuprofen will reduce the cardioprotective effects of low-dose aspirin

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? A. Ibuprofen will reduce the cardioprotective effects of low-dose aspirin B. Ibuprofen will increase your risk for developing salicylism C. Low-dose aspirin will reduce the analgesic effects of ibuprofen. D. Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen.

C. Sulfonamide allergy

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? A. Rheumatoid arthritis B. Ankylosing spondylitis C. Sulfonamide allergy D. Adrenocortical insufficiency

Alcohol use disorder

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?

Sore throat Vertigo Bruising Vision changes

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 A. Palpitations B. Sore throat C. Vertigo D. Bruising E. Vision changes

Avoid driving or activities that require mental alertness.

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 fluid intake during therapy Limit potassium whole taking allopurinol.

Increase fiber and fluid intake Take the drug with food Avoid driving after taking the drug Change positions gradually

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

A. Eat a small meal before taking the drug

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? A. Eat a small meal before taking the drug B. Suck on hard candy or chew gum C. Take a stool softener daily D. Avoid the use of NSAIDS

D. A client who had a cholecystectomy. Morphine can cause biliary colic. It should not be administered to a client who has just had biliary tract surgery.

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. A client who had a mastectomy. B. A client who had a knee arthroplasty C. A client who had a colectomy. D. A client who had a cholecystectomy.