Pain and Inflammation practice ATI

A nurse is reviewing the drug list for a client who has a new order for allopurinol. Which drugs interact with allopurinol?

Warfarin Rationale: Allopurinol can increase the effectiveness of warfarin. A lower dosage of warfarin might be required.

A nurse is caring for a group of postoperative clients. the nurse should identify that morphine is contraindicated for which of the following?

a client who had a cholecystectomy Rationale: Morphine can cause billiard colic. It should not be administered to a client who has had billiard tract surgery. ie. cholecystectomy

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 reactions?

-Urinary retention -Respiratory Depression -Sedation -Orthostatic hypotension

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 Rationale: can prevent an upset stomach

a nurse is caring for a client who's currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations current concurrent use of the two drugs?

Hypokalemia Rationale: Prednisone, a glucocorticoid, can cause hypokalemia. The risk for this 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 an opioid dep. and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations of abstinence syndrome (SATA)?

-Vomiting -Abdominal Cramps -Hypertension

A nurse is reviewing the MR 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 Rationale: Acetaminophen can cause liver toxicity. Clients who have a history of alcohol use disorder should not take acetaminophen.

A nurse is caring for a client who has a new order for prednisone for LT treatment of Rhuematoid Arthritis. The nurse should monitor the client for which of the following adverse drug reaction?s

Bone Loss Rationale: Prednisone, a glucocorticoid, can cause osteoporosis, especially with long-term use. Clients 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 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 Rationale: Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Clients should report chest pain, shortness of breath, headache, numbness, weakness, or confusion. Providers should prescribe the lowest effective dosage of the drug for the shortest time period possible.

A nurse is caring for a patient who is taking allopurinol to treat gout. the nurse should monitor the patient for which on the following manifestations of hypersensitivity syndrome?

Fever Rationale: The nurse should monitor the client for rash, itching, or fever, as manifestations of hypersensitivity syndrome, which can lead to renal or liver dysfunction. Clients who develop this type of reaction should stop taking the drug.

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

Monitor the client's blood glucose Rationale: Prednisone can cause hyperglycemia. The nurse should monitor the client's blood glucose regularly.

A nurse is reviewing the medical record of a client who has a new prescription for tramadol. the nurse should identify which conditions is a contraindication of tramadol?

Seizure Disorder

A nurse is reviewing the MR 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 Rationale: Clients who are allergic to sulfonamides can have severe allergic reactions to celecoxib, a COX-2 inhibitor. Clients who are allergic to salicylates can also react adversely to celecoxib.

A nurse is caring for a client who has a prescription for aspirin to treat an ankle sprain, The nurse should instruct patient to report the following adverse drug reactions?

weight gain rationale: Aspirin use 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 caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which manifestations of Salicylism?

-Fever -Tinnitus -Diaphoresis -Dizziness

Ibuprofen will reduce the cardio protective effects of low-dose aspirin Rationale: ibuprofen, an NSAID, reduces cardio protective effects of low-dose aspirin. Clients taking LD aspirin for its ability to decrease platelet aggregation should not take ibuprofen.

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 RA. Which of the following responses should the nurse make?

A nurse is teaching a client who has a new prescription for allopurinol. Which of the following instructions should be included?

Avoid driving or activities the require mental alertness.

A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor client for the following adverse drug reactions?

- Nausea -Dizziness -Headache

A nurse is caring for a client who asks about 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 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? (SATA)

-Diaphoresis -Nausea -Diarrhea Acetaminophen toxicity can cause diarrhea, lethargy, and, eventually, liver damage.

A nurse is teaching a client who has a new prescription for prednisone. Which of the following should the nurse include?

-Discontinue Drug Gradually -Report illness or infection -Increase Calcium and vitamin D -Monitor for signs of Gastric bleeding

A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. the nurse should monitor for these adverse reactions (SATA)

-Increased respiratory rate -increased Pain -Ventricular Arrhythmias -hypertension

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? (SATA)

-Sore throat -Vertigo -Bruising -Vision Changes

A nurse is teaching a client who has a new prescription for tramadol. Which should the nurse include (SATA)?

- Increase fiber and fluid intake - take drug with food - Avoid driving after taking drug -Change positions gradually