Nokea
A nurse is describing the overall effects associated with aspirin to a client. The nurse integrates knowledge of which of the following when describing this drug?
- A. Analgesic
- B. Antipyretic
- C. Anti-inflammatory
- D. Anti-infective
- E. Antiviral
Correct Answer: A,B,C
Rationale: Aspirin is a salicylate with analgesic, antipyretic, and anti-inflammatory effects. It does not have anti-infective or antiviral properties.
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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.
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.
A nurse understands that aspirin would be contraindicated in a child with which of the following?
- A. Liver dysfunction
- B. High blood pressure
- C. Diabetes
- D. Chickenpox
Correct Answer: D
Rationale: Aspirin is contraindicated in children with chickenpox due to the risk of Reye's syndrome, a life-threatening condition.
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.
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.