MEDSURG -Elsvier

Acetylsalicylic acid has been prescribed for a client with rheumatoid arthritis, and the nurse provides instructions to the client about the medication. Which statement by the client indicates the need for further teaching?

"I need to take this medication on an empty stomach for it to work."

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for? Select all that apply.

1. Tremors 2. Drowsiness 3. Hypotension

A film-coated form of diflunisal, a nonsteroidal anti-inflammatory medication, has been prescribed for a client to treat chronic rheumatoid arthritis. The client calls the clinic nurse because of difficulty swallowing the tablets. Which instruction should the nurse provide to the client? 1.Crush the tablets and mix with food. 2.Open the tablet and mix the contents with food. 3.Swallow the tablets with large amounts of water or milk. 4.Notify the primary health care provider for a medication change.

3.Swallow the tablets with large amounts of water or milk.

The home care nurse visits a client with a diagnosis of unstable angina. The client is taking acetylsalicylic acid (aspirin) on a daily basis to reduce the risk of myocardial infarction (MI). Which medication dose would the nurse expect the client to be taking?

300 to 325 mg daily

The nurse is caring for a client in the emergency department who has been diagnosed with Bell's palsy. The client has been taking acetaminophen, and acetaminophen overdose is suspected. Which antidote should the nurse prepare for administration if prescribed?

Acetylcysteine

A client with vascular headaches is taking ergotamine. The home health nurse should periodically assess him or her for which finding?

Cool, numb fingers and toes

The nurse is caring for a client receiving morphine sulfate for pain. Because this medication has been prescribed for this client, which nursing action should be included in the plan of care?

Encourage the client to cough and deep breathe.

The nurse notes that a client taking ergotamine tartrate is having the intended effects of therapy if the client states relief from which symptom?

Headaches

The nurse is preparing to give a postcraniotomy client medication for incisional pain. The family asks the nurse why the client is receiving codeine sulfate and not "something stronger." In formulating a response, the nurse incorporates which information about codeine sulfate?

It does not alter respirations or mask neurological signs as do other opioids.

The nurse should question a prescription for which medication in the client concurrently receiving tramadol?

Monoamine oxidase inhibitors (MAOIs)

A client with osteoarthritis is receiving diclofenac sodium. The nurse would be concerned about the administration of this medication if the client's history and physical included a diagnosis of which condition?

Peptic ulcer disease

The nurse is caring for a client who has been taking hydrocodone for the last 3 months. For which side and adverse effects of this medication should the nurse assess the client?

Psychological and physical dependence

The nurse is collecting data from a client and notes that the client is taking acetylsalicylic acid 5 g daily in divided doses. The nurse determines that this medication has been prescribed to treat which condition?

Rheumatoid arthritis

A client is seen in the hospital emergency department after injury to the right ankle. The client tells the nurse that she twisted her ankle while playing volleyball. The primary health care provider (PHCP) has prescribed a topical analgesic cream for the injury. The nurse providing instruction about the medication should provide the client with which information?

That the medication contains a combination of medications, one of which is an analgesic

Acetylsalicylic acid (ASA), or aspirin, has been prescribed for a client with angina, and the client asks the nurse how the medication will help. The nurse responds that this medication has been prescribed for which purpose?

To inhibit platelet aggregation

Diclofenac is prescribed for a client with osteoarthritis. Which medication, if noted on the client's record, would alert the nurse to consult with the primary health care provider?

Warfarin sodium