Nokea
Prior to administering an NSAID to a client, the nurse should obtain which of the following? Select all that apply.
- A. History of allergies
- B. Pain assessment
- C. Current medical conditions
- D. Past medical conditions
- E. Vital signs
Correct Answer: A,B,C,D,E
Rationale: Before administering an NSAID, the nurse should obtain a history of allergies and past medical conditions. Other preadministration assessment includes pain, current medical conditions and vital signs.
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A nurse would expect to administer prescribed NSAIDs as part of the treatment plan for clients with which conditions? Select all that apply.
- A. Osteoarthritis
- B. Fever
- C. Rheumatoid arthritis
- D. Severe postoperative pain
- E. Primary dysmenorrhea
Correct Answer: A,B,C,E
Rationale: NSAIDs are used to treat fever and the mild to moderate pain that may be associated with osteoarthritis, rheumatoid arthritis, and primary dysmenorrhea. Severe postoperative pain would most likely require an opioid analgesic.
After teaching a client receiving NSAID therapy about the drug, the nurse determines that the teaching was successful when the client identifies the need to notify the primary health care provider for which of the following? Select all that apply.
- A. Skin rash
- B. Visual disturbances
- C. Edema
- D. Chest pain
- E. Diarrhea
Correct Answer: A,B,C,D,E
Rationale: The client should notify the primary health care provider if any of the following adverse reactions occur: skin rash, itching, visual disturbances, weight gain, edema, diarrhea, black stools, nausea, vomiting, chest or leg pain, numbness, or persistent headache.
A nurse is preparing a presentation for a local community group about over-the-counter analgesics, including NSAIDs. Which of the following would the nurse integrate into the presentation as a serious risk with this class of drugs?
- A. Increased granulocyte count
- B. Cardiovascular thrombosis
- C. Increased WBC count
- D. Sickle cell anemia
Correct Answer: B
Rationale: A serious risk involved with the use of NSAIDs is cardiovascular thrombosis. Increased granulocyte count, increased WBC count, or sickle cell anemia is not caused by NSAIDs. Sickle cell anemia results from an inherited abnormality of hemoglobin. NSAIDs may cause decreased granulocyte count, decreased WBC count, or aplastic anemia.
Which of the following would a nurse integrate into the explanation for a client about the mechanism of action for almotriptan? Select all that apply.
- A. Vasoconstriction
- B. Vasodilation
- C. Decreased neurotransmission
- D. Increased neurotransmission
- E. Inhibition of prostaglandin synthesis
Correct Answer: A,C
Rationale: Selective serotonin agonists like almotriptan (Axert) exert their effects by causing vasoconstriction and decreased neurotransmission.
A nurse is preparing to administer NSAID therapy to a client. The nurse would be alert to a decrease in the effectiveness of which drug if given together? Select all that apply.
- A. Lithium
- B. Cyclosporine
- C. Furosemide
- D. Lisinopril
- E. Phenytoin
Correct Answer: C,D
Rationale: The use of NSAIDs can decrease the effectiveness of furosemide and lisinopril, possibly leading to increased edema or increased blood pressure.