Nokea
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.
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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.
Which of the following points should a nurse include in the teaching plan for a patient who has been prescribed a nonopioid analgesic?
- A. Discontinue the dosage of the drug immediately if symptoms disappear.
- B. Take any over-the-counter (OTC) drug if pain increases.
- C. Contact physician if temperature remains high even after 3 days.
- D. Contact physician if severe or recurrent pain persists for more than 10 days.
Correct Answer: D
Rationale: Patients should consult a provider if severe or recurrent pain persists for more than 10 days. OTC drugs should not be taken without consulting a provider, and fever persisting beyond 1 day requires attention.
A nurse is reviewing the medication history for a client who is to receive salicylate therapy. Which of the following if noted by the nurse would lead the nurse to closely monitor the client for salicylism?
- A. Antacids
- B. Anticoagulants
- C. Carbonic anhydrase inhibitors
- D. Activated charcoal
Correct Answer: C
Rationale: Carbonic anhydrase inhibitors increase the risk of salicylism when used with salicylates.
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).
A group of nursing students are reviewing information about the actions of aspirin. The students demonstrate understanding of the information when they identify which action as being responsible for reducing fever?
- A. Inhibition of prostaglandins
- B. Dilation of peripheral blood vessels
- C. Inhibition of platelet aggregation
- D. Reduction in endorphins
Correct Answer: B
Rationale: Aspirin reduces fever by dilating peripheral blood vessels, allowing heat dissipation.