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A nurse should monitor a client taking nonopioid analgesics for gastrointestinal bleeding. Which of the following would indicate to the nurse that the client is experiencing this adverse reaction?
- A. Abdominal distention
- B. Blood-streaked vomit
- C. Vomit that looks like coffee grounds
- D. Dark, tarry stools
- E. Bright red blood in stool
Correct Answer: A,B,C,D,E
Rationale: Signs of gastrointestinal bleeding include abdominal distention, blood-streaked or coffee-ground vomit, and stools that are black, tarry, bright red, or red-streaked.
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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.
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 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 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 developing salicylism. Which of the following would help confirm this suspicion?
- A. Tinnitus
- B. Bradycardia
- C. Sweating
- D. Impaired vision
- E. Mental confusion
Correct Answer: A,C,E
Rationale: Signs of salicylism include tinnitus, sweating, mental confusion, dizziness, impaired hearing, nausea, vomiting, flushing, rapid breathing, tachycardia, diarrhea, lassitude, drowsiness, respiratory depression, and coma.