Pain and Inflammation Drugs

a nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. the client ask 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"

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: -Fever -Tinnitus -Diaphoresis -Thrombophlebitis -Dizziness

-Fever -Tinnitus -Diaphoresis -Dizziness

a nurse is teaching a client who has a new prescription for tramadol. which of the following instruction should the nurse make? -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 the drug -Change positions gradually

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: -To reduce fever -To decrease inflammation -To relieve mild pain -To promote sedation -To alleviate anxiety

-To reduce fever -To relieve mild pain

Naloxone

-Treats respiratory depression (can cause hyperventilation) -Reverses the analgesic effects of opioids (can cause increased pan) -Can increase partial thromboplastin time (causing bleeding) -Can cause ventricular arrhythmias -Can cause hypertension

a nurse is caring for a client who is opiod dependent and has a new prescription for butorphanol. the nurse should monitor the client for which of the following manifestations of abstinence syndrome: -Bronchospasm -Vomiting -Peripheral Edema -Abdominal cramps -Hypertension

-Vomiting -Abdominal cramps -Hypertension

Allopurinol, an antigout drug, can cause:

-agranulocytosis. The nurse should monitor the client's WBC count and instruct the client to report fever or sore throat. -Drowsiness and vertigo -thrombocytopenia. The nurse should monitor the client's platelet count and instruct the client to report any bruising or bleeding. -cataracts with extended use. Nurse should instruct client to report and vision changes

a nurse is caring for a patient who has new prescription for butorphanol. the nurse should monitor the client for which of the following adverse drug reactions? -Infection -Nausea -Tachycardia -Dizziness -Headache

Nausea; dizziness; headache Butorphanol, an opioid agonist-antagonist, can cause nausea, bradycardia, dizziness, drowsiness, headaches and intracranial pressure

a nurse is caring for a group of postoperative clients. the nurse should identify that the morphine is contraindicated for which of the following clients?

a client who has had a cholesystectomy Morphine can cause biliary colic

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 Acetaminophen can cause liver toxicity

a nurse is caring for a child with 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?

aspirin Particularly chickenpox or influenza.

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 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 Prednisone, a glucocorticoid can cause osteoporosis, especially with long-term use

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.

nurse caring for patient taking acetaminophen at regular intervals for mild discomfort. early signs of acetaminophen toxicity include:

diaphoresis; nausea; diarrhea Acetaminophen toxicity can cause diaphoresis, anorexia, and eventually, liver damage.

a nurse is teaching a client who has a new prescription for prednisone. which of the following instructions should the nurse include? -Reduce the dose during periods of stress -Discontinue the drug gradually -Report illness or infection -Increase intake of calcium and vitamin D -Monitor for signs of gastric bleeding

discontinue the drug gradually; report illness or infection' increase intake of calcium and Vitamin D; monitor for signs of gastric bleeding (clients might need higher doses of prednisone during times of stress)

nurse is teaching a client who is taking allopurinol about minimizing adverse effects. witch of the following instructions should the nurse include?

eat a small meal before taking the drug

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 Nurse should monitor the client for manifestations of hypersensitivity syndrome (rash, itching, fever) which can lead to renal or liver dysfunction

nurse caring for patient currently taking furmosamide had new prescription for prednisone. what should nurse monitor for

hypokalemia Prednisone, a glucocorticoid steroid, can cause hypokalemia. The risk for this electrolyte imbalance. increase when the client is taking potassium-depleting diuretics, such as furosemide. The nurse should clarify the prescription with the provider and monitor the client's potassium levels

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: -Increased respiratory rate -Increased pain -Thrombophlebitis -Ventricular arrhythmias -Hypertension

increased respiratory rate; increased pain; ventricular arrhythmia; hypertension

a nurse is planning to care for a client who has started taking prednisone. which of the following interventions should the nurse include?

monitor the clients blood glucose Prednisone can cause hyperglycemia

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

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? -Palpitations -Sore throat -Vertigo -Bruising -Vision changes

sore throat;vertigo;brusing;vission changes Allopurinol, an

a nurse is reviewing the med record of a client who has new prescription for celecoxib. the nurse should identify that which of the following conditions is a contra indication to celecoxib?

sulfonamide allergy

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? -Diarrhea -Urinary retention -Respiratory Depression -Sedation -Orthostatic Hypotension

urinary retention; respiratory depression; sedation; orthostatic hypotention

a nurse is reviewing the drug list for a client who has a new prescription for allopurinol. the nurse should identify what which of the following drugs interacts with allopurinol?

warfarin

a nurse is caring for a client who has a prescription for aspirin to treat ankle sprain. the nurse should instruct the client to report which of the following adverse reactions

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