Nokea
A client is being discharged from the hospital on warfarin for atrial fibrillation. The client asks the nurse, 'What can I use if I have a headache?' The nurse responds by telling the client that which of the following would be appropriate to use?
- A. Bufferin
- B. Tylenol
- C. Ecotrin
- D. Empirin
Correct Answer: B
Rationale: Clients taking warfarin should avoid salicylates (Bufferin, Ecotrin, Empirin) due to increased bleeding risk and use Tylenol (acetaminophen) for pain relief.
You may also like to solve these questions
Which of the following drugs is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: A
Rationale: Aspirin reduces the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction due to its antiplatelet effects.
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.
A nurse recognizes the difference between an opioid and nonopioid analgesic. Which of the following would the nurse identify as nonopioid analgesics?
- A. Morphine
- B. Codeine
- C. Acetaminophen
- D. Oxycodone
- E. Diflunisal
Correct Answer: C,E
Rationale: The nonopioid analgesics can be divided into three categories: salicylates, nonsalicylates, and NSAIDs. Acetaminophen (nonsalicylate) and diflunisal (salicylate) are nonopioid analgesics, whereas morphine, codeine, and oxycodone are opioid analgesics.
While obtaining the medication history, a client tells the nurse that he takes acetaminophen every day. The nurse questions the client about the amount of the drug he takes in each dose and how many times a day he takes the drug based on the understanding that the total daily dose should be no greater than which amount?
- A. 2 grams
- B. 4 grams
- C. 6 grams
- D. 8 grams
Correct Answer: B
Rationale: The maximum daily dose of acetaminophen should not exceed 4 grams to prevent toxicity.
A nurse is administering a nonopioid analgesic to a client. Which of the following should the nurse perform during the ongoing assessment?
- A. Reassess client's pain rating 30 to 60 minutes after drug administration.
- B. Assess joints for greater mobility.
- C. Check vital signs every 4 hours.
- D. Document pain severity, location, and intensity if pain persists.
- E. Assess the joints for decreased inflammation
Correct Answer: A,B,C,D,E
Rationale: Ongoing assessment includes monitoring pain relief, reassessing pain every 30 to 60 minutes, documenting pain characteristics, checking vital signs every 4 hours, and assessing joints for reduced inflammation and improved mobility.