ATI Pain & Inflammation

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): a. To reduce fever b. To decrease inflammation c. To relieve mild pain d. To promote sedation e. To alleviate anxiety

A, C

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): a. Diaphoresis b. Palpitations c. Shortness of breath d. Nausea e. Diarrhea

A, D, E

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- Taking allopurinol after eating a meal or drinking a glass of milk can prevent stomach upset.

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 salicysm. b. Ibuprofen will reduce the cardioprotective effects of low dose aspirine. 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, an NSAID, reduces the carioprotective effects of low-dose aspirin. Clients taking aspirin to decrease platelet aggregation should not take ibuprofen.

A nurse if 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- Aspirin can cause renal impairment, which can result in the retention of salt and water. Clients should report reduced urine output, weight gain, edema, or bloating. The nurse should monitor BUN and creatinine levels and stop aspirin therapy for clients who develop signs of renal dysfunction.

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- Clients with sulfa allergies can have severe reactions to celecoxib. Clients who are allergic to salicylates can also react adversely to celecoxib.

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- Prednisone, a glucocorticoid, can cause osteoporosis, especially with long term use. Client who are taking the drug should increase weight bearing activity and report back pain. The nurse should monitor the client's bone density.

A nurse if 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 can increase the risk for Reye syndrome in children who have a viral infection, particularly chickenpox or influenza. Manifestations include lethargy and persistent vomiting.

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- Prednisone, a glucocorticoid can cause hypokalemia. The risk for the electrolyte imbalance increases when the client is taking potassium-depleting diuretics, such as furosemide. The nurse should clarify the prescription with the provider and monitor the client's potassium levels.

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): a. Fever b. Tinnitus c. Diaphoresis d. Thrombophlebitis e. Dizziness

A, B, C, E

A nurse is caring for a group of postop 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 cystoscopy. d. A client who had a cholecystectomy.

D- Morphine can cause biliary colic. It should not be administered to a client who has just had biliary tract surgery, such as cholecystectomy.

A nurse if caring for a client who has a new prescription for burophanol. The nurse should monitor the client for which of the following adverse drug reactions (select all)? a. Infection b. Dizziness c. Nausea d. Tachycardia e. Headache

A, B, C, E

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): a. Increased respiratory rate b. Increased pain c. Thrombophlebitis d. Ventricular arrhythmias e. Hypertension

A, B, D, E

A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include (Select All): a. Increase fiber and fluid intake b. Take the drug with food c. Avoid driving after taking the drug d. Change positions slowly e. Reduce exercise level temporarily

A, B, C, D

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 other activities that require mental alertness. b. Avoid crushing the tablets. c. Limit fluid intake during therapy. d. Limit potassium while taking.

A- Allopurinal can cause drowsiness.

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- Acetaminophen can cause liver toxicity. Clients who have a hx of alcohol use disorder should not take acetaminophen.

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. Ibuprophen c. Insulin d. Furosemide

A- Allopurinal can increase the effectiveness of warfarin. A lower dosage of warfarin might be required.

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 client's blood glucose b. Administer an antacid 30 min prior to prednisone c. Administer aspirin rather than NSAIDs if the client has pain d. Monitor for hyperkalemia

A- Prednisone can cause hyperglycemia. The nurse should monitor the client's blood glucose regularly.

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): a. Diarrhea b. Urinary retention c. Respiratory depression d. Sedation e. Orthostatic hypotension

B, C, D, E

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): a. Palpitations b. Sore throat c. Vertigo d. Bruising e. Vision changes

B, C, D, E

A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include (select all): 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, C, D, E

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) a. Bronchospasm b. Vomiting c. Peripheral edema d. Abdominal cramps e. Hypertension

B, D, E

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- Allopurinal can cause hypersensitivity syndrome. The nurse should monitor the client for rash, itching, or fever, as manifestations of hypersensitivity syndrome, which can lead to renal or liver dysfunction.

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- Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Clients should report chest pain, SOB, HA, numbness, weakness, or confusion. Providers should prescribe the lowest effective dosage of the drug for the shortest time period possible.

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- Tramadol, a nonopioid analgesic, can cause seizure activity. Clients who have seizure disorders, head injuries, or increased ICP should not take tramadol.