Nokea
After teaching a client about his prescribed NSAID therapy, the nurse determines that the teaching was successful when the client states which of the following?
- A. I will take the drug with high-fiber foods.
- B. I must take the drug on an empty stomach.
- C. I should take the drug with food and milk.
- D. I need to take it with a calcium supplement.
Correct Answer: C
Rationale: The client should take the drug with food and milk to promote an optimal response to NSAID therapy, this helps minimize the risk of GI effects. The client does not need to take an NSAID with fiber-rich food or with calcium supplements. He should not take it on an empty stomach.
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A nurse is providing care to a client with arthritis in several large weight-bearing joints who is receiving NSAID therapy. Which nursing diagnosis would be most likely?
- A. Risk for Unstable Blood Glucose Levels
- B. Impaired Gas Exchange
- C. Risk for Imbalanced Body Temperature
- D. Impaired Physical Mobility
Correct Answer: D
Rationale: The client has arthritis and is receiving NSAID therapy most likely for pain relief and reduction of inflammation. The affected joints would interfere with the client's mobility. Therefore, Impaired Physical Mobility would be most appropriate. There is no indication that the client has diabetes, respiratory problems, or fever. Therefore, the other nursing diagnoses would be inappropriate.
A nursing instructor is preparing a class discussion on the use of NSAIDs and interactions with other drugs. The instructor would emphasize that the effects of which of the following can increase with NSAID therapy? Select all that apply.
- A. Lithium
- B. Cyclosporine
- C. Furosemide
- D. Lisinopril
- E. Phenytoin
Correct Answer: A,B,E
Rationale: The use of NSAIDs can increase the effectiveness of lithium, cyclosporine, and phenytoin, possibly leading to toxicity.
When discussing effective pain management with a group of nursing students, the instructor would include barriers that need to be overcome. Which of the following would the instructor most likely include? Select all that apply.
- A. Pharmacists do not provide an adequate supply of pain medication.
- B. Primary health care providers prescribe improper pain medicine doses.
- C. Nurses do not administer adequate medication for pain relief.
- D. Clients do not report accurate levels of pain.
- E. Clients have misperceptions about receiving pain medication.
Correct Answer: B,C,D
Rationale: The main barriers a nurse must overcome to obtain effective pain management in a client are primary health care providers who do not prescribe proper pain medicine doses, nurses who do not administer adequate medication for pain relief, and clients who do not report accurate levels of pain.
A nurse is caring for a client who is hospitalized with arthritis. Celecoxib is prescribed. The nurse reviews the client's medical record for which of the following that would contraindicate the use of this drug?
- A. Allergy to sulfonamides
- B. Diabetic retinopathy
- C. Cataract
- D. Acute gout
Correct Answer: A
Rationale: Celecoxib is contraindicated among clients with allergy to sulfonamides. Ethambutol is contraindicated in clients with diabetic retinopathy and clients with cataracts. Pyrazinamide is contraindicated among clients with acute gout.
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.