Nokea
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.
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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.
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 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.
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 is administering acetaminophen to a client who has diabetes. Which of the following would be most important for the nurse to monitor?
- A. Arterial blood pH
- B. Blood pressure
- C. Blood glucose levels
- D. Blood creatinine levels
Correct Answer: C
Rationale: Acetaminophen may alter blood glucose test results in diabetic patients, potentially causing falsely lower values, making glucose monitoring critical.