PAIN AND INFLAMMATION ATI

1500: Client admitted today for shortness of breath and productive cough. Diagnosed with pneumonia and pneumothorax. History of hypertension, heart disease, and COPD. Reports pain with deep breathing and coughing. Rates pain as 9 on a scale of 0 to 10. Reports no chest pain, dizziness, palpitations. Received provider prescriptions. 1515: Administered hydrocodone/acetaminophen per provider prescription. 1700: Provider at bedside for chest tube insertion. Provider prescription received for the procedure. Administered morphine at 1705 and assisted provider with procedure. 1725: Shallow breathing. Client not responding to questions. Unarousable to sternal rub.

administer naloxone 0.4 mg IV bolus, assess for opioid withdrawal manifestations, monitor cardiac rhythm, and prepare ventilatory resuscitation equipment, assess for opioid withdrawal manifestations because naloxone blocks the analgesics effects of the opioids and can precipitate acute withdrawal in clients who may be opioid dependent.monitor the client's cardiac rhythm for adverse effects of naloxone, specifically for ventricular arrythmias like ventricular tachycardia and ventricular fibrillation. prepare ventilatory resuscitation equipment because naloxone has a shorter half-life than hydrocodone and morphine.

A nurse is caring for a clint who takes a 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 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 cholecstectomy

a nurse is caring for a child who has a viral infection. The nurse should identify that which of the following medications 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 teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?

Discontinue the medication gradually. Report illness or infection. Increase intake of calcium and vitamin D. Monitor for manifestations of gastric bleeding.

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

Eat small meal before taking the medication

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 is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of withdrawal?

Tremors Abdominal cramps muscle 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

A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify which of the following client conditions is a contraindication for acetaminophen.

alcohol use disorder

Client transported to emergency department via ambulance. Client's partner is present and reports that client became increasingly drowsy, confused, and walking unsteadily over the past 24 hr.History of heart failure and rheumatoid arthritis. Home medications: lisinopril and aspirin.Client reports headache, ringing in ears, and feeling dizzy. Client oriented to person. Lethargic, diaphoretic, and vomiting.1530:Client is obtunded. Difficult to awake and client's speech is mumbled. Vital Signs 1500:Temperature 38.8° C (101.9° F) Heart rate 96/min Respiratory rate 28/min Blood pressure 110/74 mm Hg Oxygen saturation 95% on room air 1530: Temperature 39.1° C (102.3° F) Heart rate 116/min Respiratory rate 34/min Blood pressure 100/60 mm Hg Oxygen saturation 93% on room air

aspirin, headache, ringing in ears, feeling dizzy, diaphoretic, obtunded, temp 39.1 resp rate 34, spo2 93%

a nurse is caring for a client who has a new prescription for long term treatment of rheumatoid arthritis. The nurse should monitor client for which of the following adverse medication reactions?

bone loss

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

For each body system below, click to highlight the client's assessment findings that indicate an adverse effect of the client's home medication. Each body system may support more than 1 potential assessment finding. To deselect a finding, click on the finding again.

emesis, mid epigastric abdominal pain, BUN, creatine, weight gain, tachycardia, decreased hematocrit

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 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 medications?

hypokalemia

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

monitor clients blood glucose

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 medication reactions?

nausea, dizziness, headache

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 medication with food. Avoid driving after taking the medication. Change positions gradually.

A nurse is reviewing the medication list for a client who has a new prescription for allopurinol. The nurse should identify that which of the following medications interacts with allopurinol?

Warfarin

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?

reduce fever relieve mild pain

a nurse is reviewing the medical record of a clint 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 medication reactions?

sore throat vertigo bruising vision changes

A nurse is caring for a client who has a prescription for aspirin to trat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reatcions?

weight gain