Nokea
A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets. The nurse will assess for which most common signs of salicylate intoxication in children?
- A. Photosensitivity and nervousness
- B. Tinnitus and hearing loss
- C. Acute gastrointestinal bleeding
- D. Hyperventilation and drowsiness
Correct Answer: D
Rationale: The most common manifestations of chronic salicylate intoxication in children are hyperventilation and CNS effects, such as dizziness, drowsiness, and behavioral changes.
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The nurse notes in a patient's medication history that the patient is taking allopurinol. Based on this finding, the nurse interprets that the patient has which disorder?
- A. Rheumatoid arthritis
- B. Gout
- C. Osteoarthritis
- D. Systemic lupus erythematosus
Correct Answer: B
Rationale: Allopurinol is indicated for the treatment of gout but is not indicated for the other disorders listed.
The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs), which include which effect?
- A. Anxiolytic
- B. Sedative
- C. Antipyretic
- D. Antimicrobial
Correct Answer: C
Rationale: NSAIDs have antipyretic effects but not the other effects listed.
The nurse is teaching a patient who is taking colchicine for the treatment of gout. Which instruction will the nurse include during the teaching session?
- A. Fluids should be restricted while on colchicine therapy.
- B. Take colchicine with meals.
- C. The drug will be discontinued when symptoms are reduced.
- D. Call your doctor if you have increased joint pain or blood in the urine.
Correct Answer: D
Rationale: Colchicine may cause renal effects; therefore, the presence of blood in the urine must be reported immediately. In addition, the therapeutic effect should be decreased joint pain, not increased pain. The drug is taken on an empty stomach for better absorption, and fluids should be increased unless contraindicated. Successful treatment depends upon continuing the medication as ordered.
A patient with gout has been treated with allopurinol for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
- A. Decreased uric acid levels
- B. Decreased prothrombin time
- C. Decreased white blood cell count
- D. Increased hemoglobin and hematocrit levels
Correct Answer: A
Rationale: Treatment of gout with allopurinol should result in decreased uric acid levels.
There is a new order for Naproxen 250 mg PO twice daily. The drug is available as an oral suspension that contains 125 mg/5 mL. Identify how many milliliters the nurse will administer for 1 dose of this medication.
Correct Answer: 10 mL
Rationale: Calculate dose: 125 mg:5 mL::250 mg:x mL. (125 ?? x) = (5 ?? 250); 125x = 1250; x = 10 mL.