Nokea
A client has had minor surgery and asks the nurse what he can use for pain. Which of the following would be most appropriate for the nurse to suggest?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: D
Rationale: Acetaminophen is preferred post-surgery to avoid the bleeding risk associated with salicylates.
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A nurse understands that aspirin would be contraindicated in a child with which of the following?
- A. Liver dysfunction
- B. High blood pressure
- C. Diabetes
- D. Chickenpox
Correct Answer: D
Rationale: Aspirin is contraindicated in children with chickenpox due to the risk of Reye's syndrome, a life-threatening condition.
A nurse is reviewing the medication history for a client who is to receive salicylate therapy. Which of the following if noted by the nurse would lead the nurse to closely monitor the client for salicylism?
- A. Antacids
- B. Anticoagulants
- C. Carbonic anhydrase inhibitors
- D. Activated charcoal
Correct Answer: C
Rationale: Carbonic anhydrase inhibitors increase the risk of salicylism when used with salicylates.
A nurse is developing a plan of care for a client with advanced rheumatoid arthritis who is experiencing moderate pain in the knees and hips. The client also has some deformities that make walking and moving about difficult. The primary health care provider has prescribed diflunisal. Which nursing diagnosis would be most appropriate for this client?
- A. Acute Pain
- B. Impaired Physical Mobility
- C. Ineffective Self Health Management
- D. Deficient Knowledge
- E. Imbalanced Nutrition: Less Than Body Requirements
Correct Answer: A,B
Rationale: Acute Pain and Impaired Physical Mobility are appropriate diagnoses based on the client's moderate pain and mobility issues due to rheumatoid arthritis.
A client is scheduled for outpatient surgery. When performing the preoperative teaching with the client, the nurse would instruct the client to avoid taking any salicylates for at least how many days before the surgery?
- A. 3
- B. 5
- C. 7
- D. 10
Correct Answer: C
Rationale: Salicylates should be avoided for at least 7 days before surgery to reduce the risk of postoperative bleeding.
A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
- A. Constipation
- B. Bradycardia
- C. Sleeplessness
- D. Flushing
Correct Answer: D
Rationale: Flushing is a symptom of salicylism. Tachycardia, not sleepliness or constipation, is associated with salicylism.