ATI Intro to Pharm: Pain and Inflammation

A nurse is contributing to the plan of care for a client who is to receive tetracaine prior to a bronchoscopy. Which of the following actions should the nurse recommend for inclusion in the plan of care? A. Keep the client NPO until pharyngeal response returns. B. Monitor the insertion site for a hematoma. C. Palpate the bladder to detect urinary retention. D. Maintain the client on bed rest for 12 hr following the procedure.

A. Keep the client NPO until pharyngeal response returns.

A nurse is caring for a client who has cancer and is taking morphine and carbamazepine for pain. Which of the following effects should the nurse monitor for when giving the medications together? (Select all that apply.) A. Need for reduced dosage of the opioid B. Reduced adverse effects of the opioid C. Increased analgesic effects D. Enhanced CNS stimulation E. Increased opioid tolerance

A. Need for reduced dosage of the opioid B. Reduced adverse effects of the opioid C. Increased analgesic effects

A nurse is preparing to administer an opioid agonist to a client who has acute pain. For which of the following manifestations should the nurse monitor as an adverse effect of this medication? A. Urinary retention B. Tachypnea C. Hypertension D. Irritating cough

A. Urinary retention

A nurse is reinforcing teaching with a client who is experiencing migraine headaches. Which of the following instructions should the nurse provide? (Select all that apply.) prevent a migraine headache. A. Take ergotamine as a prophylaxis to B. Identify and avoid trigger factors. C. Lie down in a dark quiet room at the onset of a migraine. D. Avoid foods that contain tyramine. E. Avoid exercise that can increase heart rate.

B. Identify and avoid trigger factors. C. Lie down in a dark quiet room at the onset of a migraine. D. Avoid foods that contain tyramine.

A nurse is reinforcing teaching with a client who has migraine headaches and a new prescription for ergotamine. For which of the following manifestations indicating a possible adverse reaction should the nurse instruct the client to stop taking the medication and notify the provider? (Select all that apply.) A. Nausea B. Visual disturbances C. Positive home pregnancy test D. Numbness and tingling in fingers E. Muscle pain

C. Positive home pregnancy test D. Numbness and tingling in fingers E. Muscle pain

A nurse is caring for a client who is postoperative and receiving morphine. Which of the following actions should the nurse take? A. Monitor for seizures and confusion with repeated doses. B. Protect the client's skin from the severe diarrhea that occurs with morphine. C. Withhold this medication if respiratory rate is less than 12/min. D. Give morphine intermittent via IV bolus over 30 seconds or less.

C. Withhold this medication if respiratory rate is less than 12/min.

A nurse is preparing to administer butorphanol to a client who has a history of substance use disorder. The nurse should identify which of the following information as true regarding butorphanol? A. Butorphanol has a greater risk for abuse than morphine. B. Butorphanol causes a higher incidence of respiratory depression than morphine. C. Butorphanol cannot be reversed with an opioid antagonist. D. Butorphanol can cause abstinence syndrome in clients who have opioid dependence.

D. Butorphanol can cause abstinence syndrome in clients who have opioid dependence.

A nurse is administering amitriptyline to a client who is experiencing cancer pain. For which of the tollowing adverse effects should the nurse monitor? A. Decreased appetite B. Explosive diarrhea C. Decreased pulse rate D. Orthostatic hypotension

D. Orthostatic hypotension

A nurse is collecting data from a client who has severe aspirin toxicity. Which of the following findings should the nurse expect? A. Body temperature 35° C (95° F) B. Lung crackles C. Cool, dry skin D. Respiratory depression

D. Respiratory depression

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

Discontinue the dug gradually Report illness or infection increase intake of calcium and vitamin D Monitor for signs of gastric bleeding

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

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 Headache

A nurse is caring for a client who is opioid dependant and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of ab syndrome?

Vomiting Abdominal cramps Hypertension

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 drug interacts with allopurinol?

Warfarin

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?

Weight gain

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 had a cholecystectomy

A nurse is assisting with the admission of a client to the hospital following acetaminophen toxicity. Which of the following medications should the nurse expect to administer to this client? A. Acetylcysteine B. Pegfilgrastim C. Misoprostol D. Naltrexone

A. Acetylcysteine

A nurse is contributing to the plan of care for a client who has brain cancer and is experiencing headaches. Which of the following adjuvant medications are indicated for this client? A. Dexamethasone B. Methylphenidate C. Hydroxyzine D. Amitriptyline

A. Dexamethasone

A nurse is collecting data on a client who has salicylism. Which of the following findings should the nurse expect? (Select all that apply.) A. Dizziness B. Diarrhea C. Jaundice D. Tinnitus E. Headache

A. Dizziness D. Tinnitus E. Headache

A nurse is reinforcing teaching with a client about a new prescription for celecoxib. Which of the following information should the nurse include? A. Increases the risk for a myocardial infarction B. Decreases the risk of stroke C. Inhibits COX-1 D. Increases platelet aggregation

A. Increases the risk for a myocardial infarction

A nurse is caring for a client who is receiving a local anesthetic of lidocaine during the repair of a skin laceration. For which of the following manifestations should the nurse monitor tor as an adverse reaction to the anesthetic? A. Seizures B. Tachycardia C. Hypertension D. Fever

A. Seizures

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

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?

Aspirin

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 reviewing the medication administration record for a client who is receiving transdermal fentanyl for severe pain. The nurse should identify that which of the following medications can cause an adverse effect when administered concurrently with fentanyl? A. Ampicillin B. Diazepam C. Furosemide D. Prednisone

B. Diazepam

nurse is contributing to the plan of care for a client who has cancer and is taking a glucocorticoid as an adjuvant medication for pain control. Which of the following interventions should the nurse recommend for inclusion in the plan of care? (Select all that apply.) A. Monitor for urinary retention. B. Monitor blood glucose. C. Monitor blood potassium level. D. Monitor for gastric bleeding. E. Monitor for respiratory depression.

B. Monitor blood glucose. C. Monitor blood potassium level. D. Monitor for gastric bleeding.

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

A nurse is caring for a client who has end-stage cancer and is receiving morphine. The client's family member asks why the provider prescribed methylnaltrexone. Which of the following responses should the nurse make? A. "The medication will increase respirations." B. "The medication will prevent dependence on the morphine." C. "The medication will relieve constipation." D. "The medication works with the morphine to increase pain relief."

C. "The medication will relieve constipation."

A nurse is reinforcing teaching with a client who has a new prescription for etidronate to help relieve bone pain. Which of the following instruction should the nurse include? A. Wait 30 min after taking the medication before eating any food. B. Take the medication with 30 mL (1 oz) water. C. Sit upright or stand for 30 min after taking the medication. D. Increase fluid and fiber intake to prevent the constipation the medication causes.

C. Sit upright or stand for 30 min after taking the medication.

A nurse is collecting data from a client who reports taking aspirin about four times daily for a sprained wrist. Which of the following prescribed medications taken by the client is contraindicated with aspirin? A. Digoxin B. Metformin C. Warfarin D. Nitroglycerin

C. Warfarin

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

A nurse is reviewing the health history of a client who has migraine headaches and is to begin prophylaxis therapy with propranolol. Which of the following findings in the client history should the nurse report to the provider? A. The client had a prior myocardial infarction. B. The client takes warfarin for atrial fibrillation. C. The client takes an SSRI for depression. D. An ECG indicates a first-degree heart block.

D. An ECG indicates a first-degree heart block.

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?

Diaphoresis Nausea Diarrhea

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

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 Dizziness

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

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 teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include?

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 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 Ventricular arrhythmias Hypertension

A nurse is planning care for a client who has stared 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 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?

Sore throat Vertigo Bruising Vision changes

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 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 relieve mild pain

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?

Urinary retention Respiratory depression Sedation Orthostatic hypotension