Nokea
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.
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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.
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 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.
A client is scheduled for outpatient surgery. When performing the preoperative teaching with the client, the nurse would instruct the client to avoid taking any salicylates for at least how many days before the surgery?
- A. 3
- B. 5
- C. 7
- D. 10
Correct Answer: C
Rationale: Salicylates should be avoided for at least 7 days before surgery to reduce the risk of postoperative bleeding.
Which of the following drugs is used to decrease the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction?
- A. Aspirin
- B. Diflunisal
- C. Magnesium salicylate
- D. Acetaminophen
Correct Answer: A
Rationale: Aspirin reduces the risk of myocardial infarction in patients with unstable angina or previous myocardial infarction due to its antiplatelet effects.