A group of nursing students are reviewing information about salicylates. The students demonstrate understanding of the information when they identify which of the following as a salicylate?
- A. Ecotrin
- B. Bufferin
- C. Tylenol
- D. Dolobid
- E. Motrin
Correct Answer: A,B,D
Rationale: Ecotrin (acetylsalicylic acid), Bufferin (magnesium salicylate), and Dolobid (diflunisal) are salicylates. Tylenol is a nonsalicylate, and Motrin is an NSAID.
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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.
Which of the following points should a nurse include in the teaching plan for a patient who has been prescribed a nonopioid analgesic?
- A. Discontinue the dosage of the drug immediately if symptoms disappear.
- B. Take any over-the-counter (OTC) drug if pain increases.
- C. Contact physician if temperature remains high even after 3 days.
- D. Contact physician if severe or recurrent pain persists for more than 10 days.
Correct Answer: D
Rationale: Patients should consult a provider if severe or recurrent pain persists for more than 10 days. OTC drugs should not be taken without consulting a provider, and fever persisting beyond 1 day requires attention.
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.
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 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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