Nokea
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.
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While obtaining the medication history, a client tells the nurse that he takes acetaminophen every day. The nurse questions the client about the amount of the drug he takes in each dose and how many times a day he takes the drug based on the understanding that the total daily dose should be no greater than which amount?
- A. 2 grams
- B. 4 grams
- C. 6 grams
- D. 8 grams
Correct Answer: B
Rationale: The maximum daily dose of acetaminophen should not exceed 4 grams to prevent toxicity.
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.
A client has had minor surgery and asks the nurse what he can use for pain. Which of the following would be most appropriate for the nurse to suggest?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: D
Rationale: Acetaminophen is preferred post-surgery to avoid the bleeding risk associated with salicylates.
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 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.