Nokea
A client is prescribed tolmetin to be taken at home. The nurse would instruct the client to monitor for which of the following? Select all that apply.
- A. Dark, tarry stools
- B. Jaundice
- C. Hot, dry, flushed skin
- D. Increased urine output
- E. Unusual or prolonged bleeding
Correct Answer: A,C,E
Rationale: The nurse should instruct the client or caregiver to monitor for dark, tarry stools; hot, dry, flushed skin; decreased urine output, and unusual or prolonged bleeding.
You may also like to solve these questions
A nurse is reviewing the medical records of several clients. In which of the following clients would the nurse identify that the use of an NSAID would be contraindicated? Select all that apply.
- A. A female client who is lactating
- B. A female client with a hypersensitivity to aspirin
- C. A female client in the first trimester of pregnancy
- D. A female client in the second trimester of pregnancy
- E. A female client in the third trimester of pregnancy
Correct Answer: A,B,E
Rationale: NSAIDs are contraindicated in clients with a hypersensitivity to aspirin. In general, NSAIDs are contraindicated during the third trimester of pregnancy (because they can induce labor) and during lactation.
Which of the following would a nurse integrate into the explanation for a client about the mechanism of action for almotriptan? Select all that apply.
- A. Vasoconstriction
- B. Vasodilation
- C. Decreased neurotransmission
- D. Increased neurotransmission
- E. Inhibition of prostaglandin synthesis
Correct Answer: A,C
Rationale: Selective serotonin agonists like almotriptan (Axert) exert their effects by causing vasoconstriction and decreased neurotransmission.
A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply.
- A. Oliguria
- B. Dysuria
- C. Hematuria
- D. Glucosuria
- E. Polyuria
Correct Answer: A,B,C,E
Rationale: Clients receiving NSAIDs should be monitored for the following renal adverse effects: polyuria, dysuria, oliguria, hematuria, eystitis, elevated BUN, and acute renal failure.
A nurse is preparing a presentation for a local community group about over-the-counter analgesics, including NSAIDs. Which of the following would the nurse integrate into the presentation as a serious risk with this class of drugs?
- A. Increased granulocyte count
- B. Cardiovascular thrombosis
- C. Increased WBC count
- D. Sickle cell anemia
Correct Answer: B
Rationale: A serious risk involved with the use of NSAIDs is cardiovascular thrombosis. Increased granulocyte count, increased WBC count, or sickle cell anemia is not caused by NSAIDs. Sickle cell anemia results from an inherited abnormality of hemoglobin. NSAIDs may cause decreased granulocyte count, decreased WBC count, or aplastic anemia.
A client is prescribed frovatriptan. Which of the following would the nurse expect to include in the client's teaching plan? Select all that apply.
- A. Frovatriptan is used to prevent migraines.
- B. Frovatriptan should be administered at the earliest onset of migraine symptoms.
- C. Frovatriptan will decrease the number of migraine headaches experienced.
- D. No more than two doses of the drug should be used in a 24-hour period.
- E. The dose of frovatriptan may be repeated every hour until symptoms subside.
Correct Answer: B,D
Rationale: Frovatriptan does not prevent migraines or reduce the number of migraines. If should be taken at the earliest onset of migraine symptoms and the dose may be repeated one time after 1 hour if no relief is obtained. The client should never take more than two doses of frovatriptan in a 24-hour period.