Nokea
A nursing instructor is preparing a class that will describe aspirin. Which of the following would the instructor include about aspirin's effects on platelets?
- A. Aspirin increases platelet aggregation.
- B. Aspirin inhibits platelet aggregation.
- C. Aspirin shortens bleeding time.
- D. The effect of aspirin on platelets is irreversible.
- E. The effect of aspirin on platelets is reversible.
Correct Answer: B,D
Rationale: Aspirin inhibits platelet aggregation, prolonging bleeding time, and its effect on platelets is irreversible, lasting for the life of the platelet (7 to 10 days).
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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 is administering acetaminophen to a client who has diabetes. Which of the following would be most important for the nurse to monitor?
- A. Arterial blood pH
- B. Blood pressure
- C. Blood glucose levels
- D. Blood creatinine levels
Correct Answer: C
Rationale: Acetaminophen may alter blood glucose test results in diabetic patients, potentially causing falsely lower values, making glucose monitoring critical.
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 client is scheduled for outpatient surgery. When performing the preoperative teaching with the client, the nurse would instruct the client to avoid taking any salicylates for at least how many days before the surgery?
- A. 3
- B. 5
- C. 7
- D. 10
Correct Answer: C
Rationale: Salicylates should be avoided for at least 7 days before surgery to reduce the risk of postoperative bleeding.
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.