Nokea
A nurse is caring for a client who is required to take NSAIDS on an outpatient basis. Which of the following would the nurse include in the teaching plan for the client and family?
- A. Take aspirin if necessary strictly with a full glass of water.
- B. Use the drug on a very regular basis during treatment.
- C. Call your primary care provider if you have no relief after 2 weeks.
- D. Take the drugs strictly with a glass of milk or juice.
Correct Answer: C
Rationale: The nurse should instruct the patient to consult the primary health care provider if the pain, swelling, inflammation, or tendemess is not relieved after 2 weeks. The drug takes several days to relieve the discomfort, so it is important for the patient to give the drug time to work. The nurse should instruct the patient to avoid the use of aspirin. The drug should be taken with a full glass of water or with food. It is not necessary to take NSAIDs strictly with a glass of juice or milk. These drugs are not to be used on a regular basis unless the patient is strictly instructed to do so by the primary health care provider.
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A nurse informs a client who is prescribed meloxicam that he might experience visual disturbances. The client asks the nurse what types of visual disturbances may occur. Which of the following would the nurse include in the response? Select all that apply.
- A. Double vision
- B. Irreversible loss of color vision
- C. Sensitivity to light
- D. Blurred vision
- E. Halos around objects
Correct Answer: A,C,D
Rationale: The nurse should tell the client that NSAIDs like meloxicam can cause visual disturbances including blurred or diminished vision, double vision, swollen or irritated eyes, photophobia, and reversible loss of color vision.
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.
When describing the properties of ibuprofen to a group of individuals attending a community health promotion presentation, the nurse would integrate knowledge of which of the following? Select all that apply.
- A. Anti-inflammatory
- B. Analgesic
- C. Antipruritic
- D. Antipyretic
- E. Antibacterial
Correct Answer: A,B,D
Rationale: Like the salicylates, the NSAIDS have anti-inflammatory, antipyretic, and analgesic effects. They do not exert antipruritic or antibacterial properties.
A nurse is caring for a client who is hospitalized with arthritis. Celecoxib is prescribed. The nurse reviews the client's medical record for which of the following that would contraindicate the use of this drug?
- A. Allergy to sulfonamides
- B. Diabetic retinopathy
- C. Cataract
- D. Acute gout
Correct Answer: A
Rationale: Celecoxib is contraindicated among clients with allergy to sulfonamides. Ethambutol is contraindicated in clients with diabetic retinopathy and clients with cataracts. Pyrazinamide is contraindicated among clients with acute gout.
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.