Saunders Pharm-Pain Meds

The nurse has given instructions for taking codeine sulfate to a client with a severe headache. Which statement by the client indicates the teaching has been effective?

"I should increase fluid intake."

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?

300-325 mg daily

The nurse has administered a dose of meperidine hydrochloride to a client with renal colic as treatment for pain. The nurse carefully monitors this client for which side and adverse effect of this medication?

urinary retention

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

A client was just admitted to the hospital to rule out a gastrointestinal (GI) bleed. The client has brought several bottles of medications prescribed by different specialists. During the admission assessment, the client states, "Lately, I have been hearing some roaring sounds in my ears, especially when I am alone." Which medication would the nurse identify as the cause of the client's complaint?

Acetylsalicylic acid

A clinic nurse is performing an assessment on a client with rheumatoid arthritis who has been taking acetylsalicylic acid for the disorder. The nurse assesses the client for signs of aspirin toxicity. Which finding should alert the nurse to the possibility of toxicity?

Fever and signs of hyperventilation

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?

MAOIs

A client with pulmonary edema has a prescription to receive morphine sulfate intravenously. The nurse should determine that the client is experiencing an intended effect of the medication as indicated by which assessment finding?

Relief of apprehension

A client with muscle aches and a diagnosis of rheumatism has been given a prescription for capsaicin topical cream. The nurse determines that the client understands the use of the medication if the client makes which statement?

The medication will act as a local analgesic.

A client is taking large doses of acetylsalicylic acid for rheumatoid arthritis. Which assessment findings indicate that the client is experiencing ototoxicity as a result of the medication?

Tinnitus, hearing loss, dizziness, and ataxia

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

A client with a diagnosis of rheumatoid arthritis is taking sulindac. The primary health care provider prescribes misoprostol for the client. The nurse explains that this medication has been prescribed for which purpose?

To prevent gastric complications such as ulcer disease

The nurse is caring for a client who underwent an open reduction internal fixation to the right hip. When administering opioid analgesics for pain, the nurse should instruct the client that which are side and adverse effects of opioid analgesics? SATA a) Sedation b) Diarrhea c) Constipation d) Increased pain level e) Respiratory depression

a, c, e

Meperidine has been prescribed for a client to treat pain. Which side and adverse effects should the nurse monitor for? SATA a) Diarrhea b) Tremors c) Drowsiness d) Hypotension e) Urinary frequency f) Increased respiratory rate

b-d

A client has been prescribed codeine sulfate. The nurse has given the client instructions for its use. The nurse concludes that the client understands the instructions if the client verbalizes to self-assess for which side effect?

constipation

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

A client with trigeminal neuralgia tells the nurse that acetaminophen is taken daily for the relief of generalized discomfort. Which laboratory value would indicate toxicity associated with the medication?

direct bilirubin level of 2

On admission the client tells the nurse that sumatriptan is prescribed. Based on this information, which question should the nurse ask the client?

have you had migrain headaches

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

headache

The nurse is caring for a client with chronic back pain. Codeine has been prescribed for the client. Specific to this medication, which intervention should the nurse include in the plan of care while the client is taking this medication?

monitor bowel activity

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 who has been taking high doses of acetylsalicylic acid to relieve pain from osteoarthritis now has more generalized joint pain and an elevated temperature. The nurse should assess for which complication to determine whether the client has other signs of aspirin toxicity?

ringing in ears

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