Nokea
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.
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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.
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 nurse is describing the overall effects associated with aspirin to a client. The nurse integrates knowledge of which of the following when describing this drug?
- A. Analgesic
- B. Antipyretic
- C. Anti-inflammatory
- D. Anti-infective
- E. Antiviral
Correct Answer: A,B,C
Rationale: Aspirin is a salicylate with analgesic, antipyretic, and anti-inflammatory effects. It does not have anti-infective or antiviral properties.
A nurse suspects that a client is developing salicylism. Which of the following would help confirm this suspicion?
- A. Tinnitus
- B. Bradycardia
- C. Sweating
- D. Impaired vision
- E. Mental confusion
Correct Answer: A,C,E
Rationale: Signs of salicylism include tinnitus, sweating, mental confusion, dizziness, impaired hearing, nausea, vomiting, flushing, rapid breathing, tachycardia, diarrhea, lassitude, drowsiness, respiratory depression, and coma.