Nokea
A client is prescribed diflunisal. The nurse understands that this drug is being used for which of the following?
- A. Reducing elevated body temperature
- B. Decreasing the risk of myocardial infarction
- C. Reducing the risk of transient ischemic attacks
- D. Relieving mild to moderate pain
Correct Answer: D
Rationale: Diflunisal is used for mild to moderate pain relief, not for reducing body temperature, myocardial infarction risk, or transient ischemic attack risk.
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A nurse suspects that a client is developing salicylism. Which of the following would help confirm this suspicion?
- A. Tinnitus
- B. Bradycardia
- C. Sweating
- D. Impaired vision
- E. Mental confusion
Correct Answer: A,C,E
Rationale: Signs of salicylism include tinnitus, sweating, mental confusion, dizziness, impaired hearing, nausea, vomiting, flushing, rapid breathing, tachycardia, diarrhea, lassitude, drowsiness, respiratory depression, and coma.
A group of nursing students are reviewing information about the actions of aspirin. The students demonstrate understanding of the information when they identify which action as being responsible for reducing fever?
- A. Inhibition of prostaglandins
- B. Dilation of peripheral blood vessels
- C. Inhibition of platelet aggregation
- D. Reduction in endorphins
Correct Answer: B
Rationale: Aspirin reduces fever by dilating peripheral blood vessels, allowing heat dissipation.
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 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.
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.