Prep U- Ch 13
A 5-year-old has a fever. What instructions does the nurse provide to the parents? Select all that apply.
"Do not give the child any medication with aspirin in it." "You may administer acetaminophen." "You may give tepid baths to bring the temperature down."
The client states that he knows many people who take acetaminophen, and asks the nurse what it is used for. What is the best response by the nurse?
"It is an aspirin substitute for pain and fever."
A client with a high fever visits the health care facility. The health care provider prescribes 650 mg of buffered aspirin to be administered every 4 hours. Before the client is discharged, the nurse would instruct the client to take how many tablets with each dose if the drug is supplied in 325-mg tablets?
2 tablets
A client is receiving a salicylate for fever reduction. The nurse would instruct the client to notify the primary health care provider if the fever continues past which time frame?
24 hours
A nursing student correctly identifies a normal dose of aspirin for the adult client as which?
325 - 650 mg PO q4 hours
Which client is at highest risk for developing hepatotoxicity related to the use of acetaminophen?
A male 30 years of age who drinks four beers per day
Which is the antidote for acetaminophen poisoning?
Acetylcysteine
The nursing student demonstrates understanding of salicylism when listing which symptoms of this condition? Select all that apply.
Dizziness, impaired hearing, ringing in the ears, mental confusion
What conditions are salicylates are effective in managing? (Select all that apply.)
Fever, pain, inflammation
The physician has ordered Tylenol to the client for a fever in excess of 101 degrees F. The nurse administering acetaminophen should do which?
Give it to the client with a full glass of water
The nursing student has been studying pain effects and tolerance. The nursing student understands that chronic pain lasts how long?
More than 6 months
An 8-year-old child is experiencing pain following tonsillectomy. Which drug would be an appropriate pain reliever for this client?
Nonsalicylates
An 11-year-old client is having a cavity filled in the left mandibular first molar. The health care provider has prescribed aspirin for pain relief after the procedure. The nurse discovers upon assessment that the child is suffering from a flulike illness. The nurse contacts the health care provider about the prescribed medication for pain. What is the risk if aspirin is administered to this client?
Reye syndrome
A 65-year-old man who just had a heart attack is placed on aspirin, 81 mg daily. The nurse is explaining the purpose of this medication to the client and his wife. What would be the nurses best explanation?
The aspirin is being prescribed because it reduces your risk of a second heart attack
A female client with acute joint inflammation asks the nurse why she shouldn't use acetaminophen for her condition. What would be the nurse's best response to this client?
The drug has no effect on inflammation.
The client has been prescribed one aspirin a day. The nurse understands that which of the following
To inhibit platelet aggregation
A client is prescribed acetaminophen to reduce an elevated body temperature. Which instruction should the nurse give to the client regarding the drug's use?
Urge the client to refrain from drinking alcohol
A client admitted with a bleeding ulcer. The client is experiencing mild epigastric pain and asking for an aspirin. Which would be the drug of choice for this client?
acetaminophen
A parent has sought care from the nurse practitioner to treat a child's fever. The nurse practitioner is most likely to recommend what nonsalicylate drug?
acetaminophen
The nursing instructor is teaching the student about nonsalicylate analgesics. The nursing student correctly identifies which as the major drug classified as a nonsalicylate analgesic?
acetaminophen
A client with acute joint inflammation tells the nurse , "I've been taking acetaminophen as it's ordered on the bottle, but my swelling and inflammation doesn't seem to be getting better." What should the nurse teach the client?
acetaminophen has no effect on inflammation
A child has symptoms of influenza, including a fever. Which medication should not be administered to the child because of the risk of Reye's syndrome?
acetylsalicylic acid
A client is experiencing bursitis in the right elbow. Which orally administered medication will diminish inflammation and assist in relieving this pain?
acetylsalicylic acid
A group of nursing students are reviewing information about how pain is classified. The group demonstrates understanding when they identify which type based on duration? Select all that apply.
acute, chronic
A 21-year-old female is admitted after taking 25 aspirin tablets at one time. She is admitted with tinnitus, nausea, and vomiting. The health care provider diagnoses the client with salicylate poisoning. What can be used as a treatment for salicylate poisoning? Select all that apply.
administraition of activated charcoal, life support, if indicated, gastric emptying
The nurse correctly identifies which medications used in the treatment of pain?
analgesics
When assessing a client's pain, what would the nurse evaluate? SATA.
client's description of the pain, location of pain, intensity of pain, quality of pain
Nurses work clients of all ages and with different pain tolerances and levels. Many nurses think of pain as which?
fifth vital sign
A client is admitted to the emergency department with a suspected overdose of acetaminophen. What adverse effect is the most common in acute or chronic overdose of acetaminophen?
hepatotoxicity
The nurse is aware that aspirin not only lowers the client's fever but can also reduce the pain the client is experiencing by:
inhibiting the production of prostaglandins.
The nurse is assessing a 10-year-old child who has been experiencing chronic headaches. The child's parent reports the administration of acetaminophen three to four times a day for the past several weeks. What assessment should the nurse prioritize?
liver enzymes
An adult client is brought to the emergency department after deliberately overdosing on acetaminophen. The care team should prioritize interventions based on the client's risk for which adverse reaction?
liver failure
A nurse is assessing a client's pain. Which situations would the nurse identify as most likely suggestive of chronic pain? Select all that apply.
oseoarthritis, rheumatoid arthritis, fibromyalgia
Which is known as the fifth vital sign?
pain
Which types of pain are classified as acute pain? Select all that apply.
procedural pain; postoperative pain
A client with rheumatic disease is being prescribed salicylate therapy. The nurse should teach the client monitor himself or herself for which adverse effects?
ringing in the ears
A 15-year-old client is brought to the emergency department by his friends. He reports visual changes, drowsiness, and tinnitus. He is confused and hyperventilating. These symptoms may be attributable to which condition?
salicylate intoxication
The nurse working in the pain unit and realizes that the ability of an opioid analgesic to relieve pain depends on several factors including which? Select all that apply.
the route of administration, the client, the drug, the dose
A client asks the nurse about herbal products that might provide the same effects as aspirin. Which product would the nurse identify?
willow bark
