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After administering diflunisal to a client, the nurse would be alert for which of the following as an adverse reaction?
- A. Diarrhea
- B. Tarry stools
- C. Weight loss
- D. Heartburn
- E. Constipation
Correct Answer: B,C,D
Rationale: Adverse effects of diflunisal, a salicylate, include gastric upset, heartburn, nausea, vomiting, anorexia, and GI bleeding (dark, tarry stools). Weight loss is also a potential adverse effect.
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Foods containing salicylates may increase the risk of adverse reactions in clients receiving salicylates. The nurse recommends that a client avoid the intake of which of the following?
- A. Turkey
- B. Pepper
- C. Paprika
- D. Tea
- E. Prunes
Correct Answer: C,D,E
Rationale: Paprika, tea, and prunes contain salicylates, which can increase the risk of adverse reactions in clients taking salicylate medications.
A client is being discharged from the hospital on warfarin for atrial fibrillation. The client asks the nurse, 'What can I use if I have a headache?' The nurse responds by telling the client that which of the following would be appropriate to use?
- A. Bufferin
- B. Tylenol
- C. Ecotrin
- D. Empirin
Correct Answer: B
Rationale: Clients taking warfarin should avoid salicylates (Bufferin, Ecotrin, Empirin) due to increased bleeding risk and use Tylenol (acetaminophen) for pain relief.
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.
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 is prescribed diflunisal. The nurse understands that this drug is being used for which of the following?
- A. Reducing elevated body temperature
- B. Decreasing the risk of myocardial infarction
- C. Reducing the risk of transient ischemic attacks
- D. Relieving mild to moderate pain
Correct Answer: D
Rationale: Diflunisal is used for mild to moderate pain relief, not for reducing body temperature, myocardial infarction risk, or transient ischemic attack risk.