Nokea
A nurse is reviewing the medication history for a client who is to receive salicylate therapy. Which of the following if noted by the nurse would lead the nurse to closely monitor the client for salicylism?
- A. Antacids
- B. Anticoagulants
- C. Carbonic anhydrase inhibitors
- D. Activated charcoal
Correct Answer: C
Rationale: Carbonic anhydrase inhibitors increase the risk of salicylism when used with salicylates.
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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.
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 with edema is receiving a loop diuretic. The client is also receiving acetaminophen for mild pain. The nurse would assess the client for which of the following?
- A. Increasing edema
- B. Bone pain
- C. Gastric upset
- D. Diarrhea
Correct Answer: A
Rationale: Acetaminophen can decrease the effectiveness of loop diuretics, leading to increased edema.
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 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.