Pharm 2 Week 4

Acetaminophen is similar to NSAIDs with the exception that it lacks which effects? Select all that apply. a. Antiinflammatory b. Antipyretic c. Peptic ulcers d. Analgesic e. Antiplatelet

a. Antiinflammatory c. Peptic ulcers e. Antiplatelet

A young patient requires suturing of a laceration to the right forearm, and the provider will use lidocaine (Xylocaine) with epinephrine as a local anesthetic prior to the procedure. What is the purpose of administering this medication? a. It will prolong anesthetic action at the site. b. It will increase vasodilation at the site of the laceration. c. It will ensure that infection risk is minimized post-suturing. d. It will prevent hypotension.

a. It will prolong anesthetic action at the site.

Which of the following medications fall under the class of medications nonsteroidal anti-inflammatory drugs? Select all that apply. a. Ketorolac b. Celecoxib c. Sumatriptan d. Ibuprofen e. Acetaminophen

a. Ketorolac b. Celecoxib d. Ibuprofen

A patient who has just returned from surgery has suddenly developed a severe elevation in body temperature. The nurse recognizes that this change may indicate which condition? a. Malignant hyperthermia b. A normal temperature change after surgery c. Fever d. Malignant hypertension

a. Malignant hyperthermia

The nurse monitoring a patient after surgery keeps in mind that the primary concern with the use of a neuromuscular blocking drug is which adverse effect? a. Respiratory arrest b. Hypertension c. Bradycardia d. Headache

a. Respiratory arrest

The nurse administers morphine 4 mg IV to a patient for treatment of severe pain. Which assessments require immediate nursing interventions? Select all that apply. a. The patient's respiratory rate is 7 breaths per minute. b. The patient's pain is unrelieved in 45 minutes. c. The patient is drowsy. d. The patient becomes unresponsive. e. The patient's blood pressure is 110/70 mmHg.

a. The patient's respiratory rate is 7 breaths per minute. b. The patient's pain is unrelieved in 45 minutes. d. The patient becomes unresponsive.

A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide? a. "Crushing the medication would release all the medication at once, rather than over time." b. "Crushing the medication might cause you to have a stomach ache or indigestion." c. "Crushing the medication is a good idea, and I can mix it in some ice cream for you." d. ...

b. "Crushing the medication might cause you to have a stomach ache or indigestion."

A nurse in the emergency department is caring for a client who has acute toxicity from acetaminophen overdose. The nurse should prepare to administer which of the following medications? a. Atropine b. Acetylcysteine c. Flumazenil d. Vitamin K

b. Acetylcysteine

A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. The nurse should recognize which of the following findings in the client's history is a contraindication to this medication? a. Report of recent migraine headaches b. History of gastric ulcers c. Prior reports of amenorrhea d. Current diagnosis of glaucoma

b. History of gastric ulcers

An adolescent is taken to the emergency department because of a suspected overdose of morphine tablets. The nurse prepares to administer which drug? a. Atropine b. Naloxone c. Activated charcoal d. Flumazenil

b. Naloxone

Which of the following medications is the reversal agent for neuromuscular blocking drugs? a. Naloxone b. Neostigmine c. Gabapentin d. Flumazenil

b. Neostigmine

Mr. George recently had his left leg amputated below the knee after suffering from diabetes for years. He goes in to his primary care physician's office complaining of 8/10 pain to his left leg. What type of pain is Mr. George most likely experiencing? a. Visceral b. Phantom c. Somatic d. Neuropathy

b. Phantom

The emergency department nurse is caring for a patient with a migraine. Which drug would the nurse anticipate administering to abort the patient's migraine attack? a. Ibuprofen b. Sumatriptan c. Acetaminophen d. Morphine

b. Sumatriptan

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching? a. Expect coffee-ground emesis b. Take the medication with food c. Expect ringing in your ears d. Monitor for weight loss

b. Take the medication with food

A community health nurse while educating a group of patients on pain management hears from one of the members "going through pain makes you stronger and taking pain medication can make us addicted to it lifelong." How should the nurse respond to this statement? a. "Pain increases with time." b. "Pain is a part of life and unavoidable." c. "This is a common misconception regarding pain." d. "You're right. Pain medication can be different and can make you addicted."

c. "This is a common misconception regarding pain."

A nurse suspects anaphylaxis when caring for a client following the initial administration of an NSAID. Which of the following should be the nurse's priority intervention? a. Insert an IV line b. Prepare equipment for intubation c. Count the respiratory rate d. Administer oxygen

c. Count the respiratory rate

Which planned teaching needs for a patient who is to be discharged postoperatively with a prescription for oxycodone with acetaminophen (Percocet) should be included? a. Monitor for GI bleeding. b. Refer the patient to a drug treatment center if addiction occurs. c. Encourage increased fluids and fiber in the diet. d. Teach the patient to self-assess blood pressure.

c. Encourage increased fluids and fiber in the diet.

The nurse evaluates the effectiveness of an analgesic by observing the patient for decreased sensation to what? a. Spasm b. Touch c. Pain d. Pressure

c. Pain

Lara was taken to the emergency room for labor pain by her midwife. The pain turned unbearable for Lara and she was not in a position to push out the baby. The doctors immediately administered epidural anesthesia to Lara to reduce the labor pain. Which was the route of administration of the epidural anesthesia? a. Sublingual b. Enteral c. Parenteral d. Topical

c. Parenteral

A patient has received succinylcholine (Anectine) along with general anesthesia in surgery. Which abnormal finding in the recovery period should be reported immediately to the provider? a. Respiratory rate of 15 b. Heart rate of 56 c. Temperature of 102F d. Blood pressure of 92/58 mmHg

c. Temperature of 102F

Which of the following is a complication of aspirin? a. Jaundice b. Hypotension c. Tinnitus d. Blood clots

c. Tinnitus

A nurse is caring for a child who has influenza. The nurse should identify that which of the following statements by the parent indicates the child has an increased risk for Reye syndrome? a. "I am leaving a humidifier on in my child's room when he naps." b. "I am encouraging my child to drink grapefruit juice." c. "I give my child ibuprofen when his muscles are aching." d. "I give my child aspirin to reduce his fever."

d. "I give my child aspirin to reduce his fever."

A nurse is reviewing the medical record of a client who reports drinking three to four glasses of wine each night and taking 3000 mg of acetaminophen daily. Which of the following laboratory values is the priority for the nurse to assess? a. Amylase b. Creatinine c. Antidiuretic hormone (ADH) d. Aspartate aminotransferase (AST)

d. Aspartate aminotransferase (AST)

A nurse is teaching a client who takes aspirin daily for coronary artery disease about herbal supplements. The nurse should instruct the client that which of the following herbal supplements may interact adversely with aspirin? a. Flaxseed b. Aloe vera c. Cranberry juice d. Garlic

d. Garlic

A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication? a. Tinnitus b. Muscle pain c. Hyperglycemia d. Jaundice

d. Jaundice