A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
- A. Constipation
- B. Bradycardia
- C. Sleeplessness
- D. Flushing
Correct Answer: D
Rationale: Flushing is a symptom of salicylism. Tachycardia, not sleepliness or constipation, is associated with salicylism.
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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.
Which of the following drugs is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: A
Rationale: Aspirin reduces the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction due to its antiplatelet effects.
A client is prescribed diflunisal. The nurse understands that this drug is being used for which of the following?
- A. Reducing elevated body temperature
- B. Decreasing the risk of myocardial infarction
- C. Reducing the risk of transient ischemic attacks
- D. Relieving mild to moderate pain
Correct Answer: D
Rationale: Diflunisal is used for mild to moderate pain relief, not for reducing body temperature, myocardial infarction risk, or transient ischemic attack risk.
A patient who has been prescribed aspirin wants to know more about willow bark as a substitute for aspirin. Which of the following would the nurse integrate into the response as an advantage of willow bark as compared to aspirin?
- A. Willow bark is ideal for patients with peptic ulcers.
- B. Willow bark works relatively quickly as compared to aspirin.
- C. Small amounts of willow bark produce a noticeable effect.
- D. Willow bark has fewer adverse reactions than other salicylates.
Correct Answer: D
Rationale: Willow bark has fewer adverse reactions than other salicylates but is not ideal for peptic ulcer patients, takes longer to work, and requires larger amounts for effect.
A patient has taken a 15-gram (15,000-mg) dose of acetaminophen and is brought by her parents to the emergency department. As the dosage is relatively high, there is a chance of acute acetaminophen poisoning. Which of the following assessment findings would indicate acute acetaminophen toxicity?
- A. Hypotension
- B. High fever
- C. Sweating
- D. Rapid, deep breathing
Correct Answer: A
Rationale: Hypotension is a sign of acute acetaminophen toxicity. High fever, sweating, and rapid, deep breathing are not typically associated with it.
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