Nokea
Which of the following interventions should a nurse perform for a patient who is experiencing gastric upset while taking magnesium salicylate?
- A. Administer the drug with orange juice.
- B. Include fiber-rich food in the patient's diet
- C. Administer antacids to minimize GI distress
- D. Ensure drug is given at least 3 hours before meals.
Correct Answer: C
Rationale: Administering antacids can minimize gastric distress from magnesium salicylate. Milk or food, not orange juice or fasting, also helps.
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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.
A nurse recognizes the difference between an opioid and nonopioid analgesic. Which of the following would the nurse identify as nonopioid analgesics?
- A. Morphine
- B. Codeine
- C. Acetaminophen
- D. Oxycodone
- E. Diflunisal
Correct Answer: C,E
Rationale: The nonopioid analgesics can be divided into three categories: salicylates, nonsalicylates, and NSAIDs. Acetaminophen (nonsalicylate) and diflunisal (salicylate) are nonopioid analgesics, whereas morphine, codeine, and oxycodone are opioid analgesics.
A nurse suspects that a client is experiencing acute acetaminophen toxicity based on assessment of which of the following?
- A. Nausea
- B. Jaundice
- C. Hypertension
- D. Cardiac arrhythmias
- E. Confusion
Correct Answer: A,B,E
Rationale: Signs of acute acetaminophen toxicity include nausea, vomiting, confusion, liver tenderness, hypotension, cardiac arrhythmias, jaundice, and acute hepatic and renal failure.
A group of nursing students are reviewing information about salicylates. The students demonstrate understanding of the information when they identify which of the following as a salicylate?
- A. Ecotrin
- B. Bufferin
- C. Tylenol
- D. Dolobid
- E. Motrin
Correct Answer: A,B,D
Rationale: Ecotrin (acetylsalicylic acid), Bufferin (magnesium salicylate), and Dolobid (diflunisal) are salicylates. Tylenol is a nonsalicylate, and Motrin is an NSAID.
A nurse is caring for a patient who is receiving a salicylate for pain relief. The nurse would assess the client for which of the following suggesting salicylism?
- A. Constipation
- B. Bradycardia
- C. Sleeplessness
- D. Flushing
Correct Answer: D
Rationale: Flushing is a symptom of salicylism. Tachycardia, not sleepliness or constipation, is associated with salicylism.