Pharm: Pain and Inflammation

Which drug is used for fever reduction? A. Acetaminophen B. Morphine C. Butorphanol D. Prednisone

A. Acetaminophen

A client is about to start taking tramadol to treat moderate pain. Which of the following instructions should you include when talking with the client about taking this drug? A. Allow 1 hr for it to take effect B. Take it on an empty stomach C. Chew the extended release tablets D. Do not take with grapefruit juice

A. Allow 1 hr for it to take effect

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should the nurse include? A. Avoid driving or activities that require mental alertness B. Avoid crushing the tablets C. Limit fluid intake during therapy D. Limit potassium while taking allopurinol

A. Avoid driving or activities that require mental alertness

A client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug? A. Black, tarry stools B. Polyuria C. Bone Pain D. Dry mouth

A. Black, tarry stools

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? (Select all that apply.) A. Diaphoresis B. Palpitations C. Shortness of breath D. Nausea E. Diarrhea

A. Diaphoresis D. Nausea E. Diarrhea

A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include? A. Eat a small meal before taking the drug. B. Suck on hard candy or chew gum. C. Take a stool softener daily D. Avoid the use of NSAIDs

A. 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? (Select all that apply.) A. Fever B. Tinnitus C. Diaphoresis D. Thrombophlebitis E. Dizziness

A. Fever B. Tinnitus C. Diaphoresis E. Dizziness

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all that apply.) A. Increase fiber and fluid intake B. Take the drug with food C. Avoid driving after taking the drug D. Change positions gradually E. Reduce exercise level temporarily

A. Increase fiber and fluid intake B. Take the drug with food C. Avoid driving after taking the drug D. 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? (Select all that apply.) A. Increased respiratory rate B. Increased pain C. Thrombophlebitis D. Ventricular arrhythmias E. Hypertension

A. Increased respiratory rate B. Increased pain D. Ventricular arrhythmias E. Hypertension

A nurse is planning care for a client who has started taking prednisone. Which of the following interventions should the nurse include? A. Monitor the clients blood glucose B. Administer an antacid 30 min prior to prednisone C. Administer aspiring rather than NSAIDs if the client has pain. D. Monitor the client for hyperkalemia.

A. Monitor the clients blood glucose

As the health care provider prepares to give the client morphine IV for pain, she makes sure she has which of the following drugs available? A. Naloxone B. Protamine sulfate C. Flumazenil D. Physostigmine

A. Naloxone

A client is about to start taking oral morphine to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine? (Select all that apply.) A. Take it with food B. Rise slowly from sitting/reclining C. Take it on a fixed schedule. D. Increase fluid and fiber intake. E. Do not take it before driving.

A. Take it with food B. Rise slowly from sitting/reclining D. Increase fluid and fiber intake. E. Do not take it before driving.

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? (Select all that apply.) A. To reduce fever B. To decrease inflammation C. To relieve mild pain. D. To promote sedation E. To alleviate anxiety

A. To reduce fever C. To relieve mild pain.

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 drugs interacts with allopurinol? A. Warfarin B. Ibuprofen C. Insulin D. Furosemide

A. Warfarin

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? A. "Ibuprofen will increase your risk for developing salicylism." B. "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin." C. "Low-dose aspirin will reduce the anti-inflammatory effects of Ibuprofen." D. "Low-dose aspirin will reduce the analgesic effects of Ibuprofen."

B. "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin."

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? A. Tinnitus B. Chest pain C. Constipation D. Diaphoresis

B. Chest pain

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include? (Select all that apply.) A. Reduce the dose during periods of stress. B. Discontinue the drug gradually. C. Report illness or infection. D. Increase intake of calcium and vitamin D. E. Monitor for signs of gastric bleeding.

B. Discontinue the drug gradually. C. Report illness or infection. D. Increase intake of calcium and vitamin D. E. 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? A. Muscle pain B. Fever C. Anxiety D. Tremors

B. Fever

A client who is receiving chemotherapy takes allopurinol prior to the chemotherapy to reduce the risk for which condition? A. Agranulocytosis B. Hyperuricemia C. Aplastic anemia D. Thrombocytopenia

B. Hyperuricemia

Which drug is used for sedation? A. Acetaminophen B. Morphine C. Butorphanol D. Prednisone

B. Morphine

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? (Select all that apply.) A. Infection B. Nausea C. Tachycardia D. Dizziness E. Headache

B. Nausea D. Dizziness E. Headache

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? A. Hyperthyroidism B. Seizure disorder C. Rheumatoid arthritis D. Urinary incontinence

B. 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? (Select all that apply.) A. Palpitations B. Sore throat C. Vertigo D. Bruising E. Vision changes

B. Sore throat C. Vertigo D. Bruising E. Vision changes

Which of the following instructions should the health care provider give the client regarding the use of aspirin prior to the surgery? A. Continue to take it once a day B. Stop taking it 1 week before surgery. C. Increase the dose to twice a day. D. Reduce the dose to every other day.

B. Stop taking it 1 week before surgery.

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? (Select all that apply.) A. Diarrhea B. Urinary retention C. Respiratory depression D. Sedation E. Orthostatic hypotension

B. Urinary retention C. Respiratory depression D. Sedation E. Orthostatic hypotension

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 abstinence syndrome? (Select all that apply.) A. Bronchospasm B. Vomiting C. Peripheral edema D. Abdominal cramps E. Hypertension

B. Vomiting D. Abdominal cramps E. Hypertension

Which of the following should the client report as a possible indication of an adverse reaction to celecoxib (Celebrex)? A. Tinnitus B. Weight gain C. Anxiety D. Tremor

B. Weight gain

Butorphanol is an unsafe analgesic choice for clients who ... A. take glucocorticoids for rheumatoid arthritis. B. use a fentanyl patch for chronic pain. C. have type 1 diabetes mellitus and use an insulin pump. D. take warfarin for thrombophlebitis.

B. use a fentanyl patch for chronic pain.

A client arrives at the emergency room immediately following an acetaminophen overdose. Which drug should you administer? A. Atropine B. Naloxone C. Acetylcysteine D. Flumazenil

C. Acetylcysteine

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? A. Pulmonary embolism B. Hepatitis C. Bone loss D. Breast cancer

C. Bone loss

Which drug is an anesthesia adjunct? A. Acetaminophen B. Morphine C. Butorphanol D. Prednisone

C. Butorphanol

The client takes low-dose aspirin daily in addition to celecoxib for which of the following purposes? A. Decreases the risk for anaphylaxis B. Potentiates the therapeutic effects of celecoxib C. Reduces the risk of a cardiovascular event D. Increases renal perfusion

C. Reduces the risk of a cardiovascular event

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? A. Rheumatoid arthritis B. Ankylosing spondylitis C. Sulfonamide allergy D. Adrenocortical insufficiency

C. Sulfonamide allergy

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? A. Polyuria B. Bone pain C. Weight gain D. Infection

C. 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. A client who had a mastectomy. B. A client who had a knee arthroplasty. C. A client who had a colectomy. D. A client who had a cholecystectomy.

D. A client who had a cholecystectomy.

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? A. Asthma B. Diabetes mellitus C. Heart failure D. Alcohol use disorder

D. 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? A. Butorphanol B. Acetaminophen C. Tramadol D. Aspirin

D. Aspirin

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? A. Hypercalcemia B. Hypoglycemia C. Hypothermia D. Hypokalemia

D. Hypokalemia

A provider prescribes prednisone for a client who has Type 1 Diabetes Mellitus. Recognizing the risk for an adverse drug reaction to the prednisone, which of the following precautions should the primary care provider take for this client? A. Reduce the insulin dose B. Increase carbohydrate intake C. Reduce the prednisone dose D. Increase serum glucose monitoring

D. Increase serum glucose monitoring

A client is about to start taking aspirin to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin? A. Dyspnea B. Constipation C. Calf pain D. Petechiae

D. Petechiae

Which drug is used to prevent organ rejection? A. Acetaminophen B. Morphine C. Butorphanol D. Prednisone

D. Prednisone

The health care provider prepares to give the client morphine IV for pain. Knowing the adverse drug reactions of morphine, she should monitor the client for which of the following? A. Jaundice B. Fever C. Hypertension D. Respiratory depression

D. Respiratory depression

What is prednisone classified as?

Glucocorticoid

What is ibuprofen classified as?

Nonsteroidal anti-inflammatory drug

What is morphine classified as?

Opioid analgesic

What is Naloxone classified as?

Opioid antagonist