Nokea
A nurse is providing care to a client who is receiving NSAIDs. The nurse would be especially alert for which of the following? Select all that apply.
- A. Oliguria
- B. Dysuria
- C. Hematuria
- D. Glucosuria
- E. Polyuria
Correct Answer: A,B,C,E
Rationale: Clients receiving NSAIDs should be monitored for the following renal adverse effects: polyuria, dysuria, oliguria, hematuria, eystitis, elevated BUN, and acute renal failure.
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A nurse is teaching a client who is prescribed sumatriptan about the possible adverse reactions associated with the drug. The nurse determines that the teaching was successful when the client identifies which of the following as most common? Select all that apply.
- A. Flushing
- B. Bradycardia
- C. Dry mouth
- D. Impaired vision
- E. Fatigue
Correct Answer: A,C,E
Rationale: The most common adverse reactions associated with the selective serotonin agonists like sumatriptan (Imitrex) include dizziness, nausea, fatigue, pain, dry mouth, and flushing.
A nurse is assessing pain in a 3-year-old child. Which of the following would be most appropriate for the nurse to use? Select all that apply.
- A. Number scale
- B. Color scale
- C. Letter scale
- D. Facial expression scale
- E. Shape scale
Correct Answer: B,D
Rationale: Color and facial expression scales are especially helpful with children who have trouble understanding or cannot tell the nurse about their pain using numbers.
A nurse is reviewing the medical record of a client who is diagnosed with migraine headaches. The history also reveals that the client has phenylketonuria. Which of the following would the nurse least expect to be prescribed as treatment for the client's migraine headaches? Select all that apply.
- A. Rizatriptan (Maxalt)
- B. Almotriptan (Axert)
- C. Eletriptan (Relpax)
- D. Sumatriptan (Imitrex)
- E. Zolmitriptan (Zomig)
Correct Answer: A,E
Rationale: Rizatriptan (Maxalt) and zolmitriptan (Zomig) are not used as treatment for migraines in a client with phenylketonuria because both medications contain phenylalanine.
Prior to administering an NSAID to a client, the nurse should obtain which of the following? Select all that apply.
- A. History of allergies
- B. Pain assessment
- C. Current medical conditions
- D. Past medical conditions
- E. Vital signs
Correct Answer: A,B,C,D,E
Rationale: Before administering an NSAID, the nurse should obtain a history of allergies and past medical conditions. Other preadministration assessment includes pain, current medical conditions and vital signs.
A 60-year-old client with rheumatoid arthritis visits the health care facility for a regular checkup. The client informs the nurse that he has been using an over-the-counter NSAID for the last few days. The nurse cautions the client about the use of NSAIDs on a long-term basis because of the increased risk for which of the following?
- A. Ulcer disease
- B. CNS disorders
- C. Hearing impairment
- D. Blindness
Correct Answer: A
Rationale: Age appears to increase the possibility of adverse reactions to NSAIDs. The risk of serious ulcer disease in adults older than 65 years is increased with higher doses of NSAIDs. CNS disorders, hearing impairment, and blindness are not effects associated with using NSAIDs on a long-term basis in older clients.