Nokea
A patient who has been prescribed aspirin wants to know more about willow bark as a substitute for aspirin. Which of the following would the nurse integrate into the response as an advantage of willow bark as compared to aspirin?
- A. Willow bark is ideal for patients with peptic ulcers.
- B. Willow bark works relatively quickly as compared to aspirin.
- C. Small amounts of willow bark produce a noticeable effect.
- D. Willow bark has fewer adverse reactions than other salicylates.
Correct Answer: D
Rationale: Willow bark has fewer adverse reactions than other salicylates but is not ideal for peptic ulcer patients, takes longer to work, and requires larger amounts for effect.
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Which of the following are important points for the nurse to cover when performing discharge teaching for a client receiving a salicylate?
- A. Inform all health care providers of salicylate use.
- B. Discard salicylates if they smell like vinegar.
- C. Take salicylates with food.
- D. Store salicylates in the bathroom.
- E. Keep salicylate container closed tightly.
Correct Answer: A,B,C,E
Rationale: Discharge teaching includes taking salicylates with food, informing providers of use, discarding salicylates with a vinegar smell, and storing in a tightly closed container away from humidity, not in the bathroom.
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 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.
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 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.