ATI Intro to Pharm: Pain and Inflammation
Types of analgesics
1. NSAID 2. Opioids 3. Adjuvants
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 cholecystectomy
Client client arrives at the ER immediately following an acetaminophen overdose which drug should you prepare to administer
Acetylcysreine
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?
Alcohol use disorder
The client is about to start taking tramadol to treat moderate pain which of the instructions should you include when talking with the client about taking this drug
Allow one hour for the medicine to take affect
Butorphanol
Anesthesia adjunct
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?
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.
Client client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch for and report with possible indication of a serious reaction to the drug?
Black tarry stool
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?
Bone loss
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?
Diaphoresis Nausea Diarrhea
A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include?
Discontinue the dug gradually Report illness or infection increase intake of calcium and vitamin D Monitor for signs of gastric bleeding
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?
Fever Tinnitus Diaphoresis Dizziness
Acetaminophen
Fever reduction
Prednisone
Glucocorticoid/ preventions of organ rejection
Types of Anti-inflammatories
Glucocorticoids Uricosurics
A client who is receiving chemotherapy take allopurinol Prior to the chemo therapy to reduce the risk of what
Hyperuricemia
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?
Hypokalemia
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?
Ibuprofen will reduce the cardioprotective effects of low-dose aspirin
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 drug with food Avoid driving after taking the drug 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?
Increased respiratory rate Increased pain Ventricular arrhythmias Hypertension
A nurse is planning care for a client who has stared taking prednisone. Which of the following interventions should the nurse include?
Monitor the client's blood glucose
Ibuprofen
NSAID (Nonsteroidal anti-inflammatory drug)
As a healthcare provider prepares to give the client morphine IV for pain she makes sure she has which of the following drugs available
Naloxone
3 categories of drugs
Nonopioid analgesics Opioid analgesics Opioid antagonists
My client is about to start taking aspirin to prevent cardiovascular events you should instruct the client to watch and report what a versed drugs reaction of aspirin?
Petechine
In addition to celecoxib, the client takes low-dose aspirin (ASA) daily for which if the following?
Reduce risk of a cardiovascular event
The healthcare provider prepares to give the client morphine IV for pain knowing the adverse drug reaction of morphine dinner should monitor what
Respiratory depression
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?
Seizure disorder
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
Which of the following instructions to the healthcare provider give the client regarding the use of aspirin prior to surgery
Sup taking one week before surgery
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?
To reduce fever To relieve mild 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
Butorphanol is an unsafe analgesic choice for client who?
Use a fentanyl patch for chronic pain
A nurse is caring for a client who is opioid dependant and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of ab syndrome?
Vomiting Abdominal cramps Hypertension
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 drug interacts with allopurinol?
Warfarin
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?
Weight gain
opioid receptors
mu, kappa, delta
Naloxone
opioid antagonist
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
A nurse is teaching a client who is taking allopurinol about minimizing adverse effects. Which of the following instructions should the nurse include?
Eat a small meal before taking the drug
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 has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?
Nausea Dizziness Headache
Morphine
Opioid Analgesic/sedation
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?
Sore throat Vertigo Bruising Vision changes
