A nurse is conducting a presentation for a local community about salicylates and nonsalicylates. When describing aspirin and acetaminophen, which of the following properties would the nurse describe as these two drugs sharing?
- A. Anti-inflammatory
- B. Analgesic
- C. Antipyretic
- D. Inhibition of prostaglandins
- E. Inhibition of platelet aggregation
Correct Answer: B,C
Rationale: Aspirin and acetaminophen share analgesic and antipyretic properties. Acetaminophen lacks anti-inflammatory effects and does not inhibit prostaglandins or platelet aggregation.
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A nurse would be especially alert for the development of liver failure in which client when administering acetaminophen?
- A. Client with diabetes
- B. Client who consumes alcohol habitually
- C. Client with hypertension
- D. Client with a urinary tract infection
Correct Answer: B
Rationale: Habitual alcohol consumption increases the risk of liver failure during acetaminophen therapy due to enhanced liver toxicity.
A nurse suspects that a client is experiencing acute acetaminophen toxicity based on assessment of which of the following?
- A. Nausea
- B. Jaundice
- C. Hypertension
- D. Cardiac arrhythmias
- E. Confusion
Correct Answer: A,B,E
Rationale: Signs of acute acetaminophen toxicity include nausea, vomiting, confusion, liver tenderness, hypotension, cardiac arrhythmias, jaundice, and acute hepatic and renal failure.
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 nurse recognizes the difference between an opioid and nonopioid analgesic. Which of the following would the nurse identify as nonopioid analgesics?
- A. Morphine
- B. Codeine
- C. Acetaminophen
- D. Oxycodone
- E. Diflunisal
Correct Answer: C,E
Rationale: The nonopioid analgesics can be divided into three categories: salicylates, nonsalicylates, and NSAIDs. Acetaminophen (nonsalicylate) and diflunisal (salicylate) are nonopioid analgesics, whereas morphine, codeine, and oxycodone are opioid analgesics.
After administering diflunisal to a client, the nurse would be alert for which of the following as an adverse reaction?
- A. Diarrhea
- B. Tarry stools
- C. Weight loss
- D. Heartburn
- E. Constipation
Correct Answer: B,C,D
Rationale: Adverse effects of diflunisal, a salicylate, include gastric upset, heartburn, nausea, vomiting, anorexia, and GI bleeding (dark, tarry stools). Weight loss is also a potential adverse effect.
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