Nokea
A nurse would expect to administer prescribed NSAIDs as part of the treatment plan for clients with which conditions? Select all that apply.
- A. Osteoarthritis
- B. Fever
- C. Rheumatoid arthritis
- D. Severe postoperative pain
- E. Primary dysmenorrhea
Correct Answer: A,B,C,E
Rationale: NSAIDs are used to treat fever and the mild to moderate pain that may be associated with osteoarthritis, rheumatoid arthritis, and primary dysmenorrhea. Severe postoperative pain would most likely require an opioid analgesic.
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The nurse would question an order for a selective serotonin agonist as treatment for a migraine headache for a client with which condition? Select all that apply.
- A. Diabetes
- B. Uncontrolled hypertension
- C. Angina
- D. Hyperlipidemia
- E. Transient ischemic attacks
Correct Answer: B,C,E
Rationale: 5-HT agonists should not be used in patients with ischemic heart disease (such as angina or myocardial infarction), transient ischemic attacks (TIA), uncontrolled hypertension, or those patients taking monoamine oxidase inhibitor (MAOI) antidepressants.
After teaching a group of students about NSAIDs and their uses, the instructor determines that additional teaching is needed when the students identify which of the following as being used to treat osteoarthritis or rheumatoid arthritis? Select all that apply.
- A. Sulindac (Clinoril)
- B. Ketorolac (Toradol)
- C. Piroxicam (Feldene)
- D. Mefenamic (Ponstel)
- E. Oxaprozin (Daypro)
Correct Answer: B,D
Rationale: Ketorolac and mefenamic are NSAIDs that are not used to treat osteoarthritis or rheumatoid arthritis.
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.
A client comes to the clinic complaining of muscle aches and asks the nurse about using an over-the-counter NSAID. The client tells the nurse that he takes a medication to control his high blood pressure. The nurse cautions the client against using an NSAID while on antihypertensive drug therapy for which reason?
- A. It increases the metabolism of the antihypertensive drug.
- B. It increases absorption of the antihypertensive drug.
- C. It decreases the effectiveness of the antihypertensive drug.
- D. It decreases the metabolism of NSAIDs.
Correct Answer: C
Rationale: The nurse should inform the patient that taking an NSAID while on antihypertensive drug therapy decreases the effectiveness of antihypertensive drugs. Interactions of NSAIDs and antihypertensive drugs do not include increased metabolism of antihypertensive drugs, increased absorption of antihypertensive drugs, or decreased metabolism of NSAIDs.
A nurse informs a client who is prescribed meloxicam that he might experience visual disturbances. The client asks the nurse what types of visual disturbances may occur. Which of the following would the nurse include in the response? Select all that apply.
- A. Double vision
- B. Irreversible loss of color vision
- C. Sensitivity to light
- D. Blurred vision
- E. Halos around objects
Correct Answer: A,C,D
Rationale: The nurse should tell the client that NSAIDs like meloxicam can cause visual disturbances including blurred or diminished vision, double vision, swollen or irritated eyes, photophobia, and reversible loss of color vision.