Nokea
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.
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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.
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.
A client is being discharged from the hospital on warfarin for atrial fibrillation. The client asks the nurse, 'What can I use if I have a headache?' The nurse responds by telling the client that which of the following would be appropriate to use?
- A. Bufferin
- B. Tylenol
- C. Ecotrin
- D. Empirin
Correct Answer: B
Rationale: Clients taking warfarin should avoid salicylates (Bufferin, Ecotrin, Empirin) due to increased bleeding risk and use Tylenol (acetaminophen) for pain relief.
A nurse is reviewing the medication history for a client who is to receive salicylate therapy. Which of the following if noted by the nurse would lead the nurse to closely monitor the client for salicylism?
- A. Antacids
- B. Anticoagulants
- C. Carbonic anhydrase inhibitors
- D. Activated charcoal
Correct Answer: C
Rationale: Carbonic anhydrase inhibitors increase the risk of salicylism when used with salicylates.
A client with edema is receiving a loop diuretic. The client is also receiving acetaminophen for mild pain. The nurse would assess the client for which of the following?
- A. Increasing edema
- B. Bone pain
- C. Gastric upset
- D. Diarrhea
Correct Answer: A
Rationale: Acetaminophen can decrease the effectiveness of loop diuretics, leading to increased edema.