Nokea
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.
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A nurse is administering acetaminophen to a client who has diabetes. Which of the following would be most important for the nurse to monitor?
- A. Arterial blood pH
- B. Blood pressure
- C. Blood glucose levels
- D. Blood creatinine levels
Correct Answer: C
Rationale: Acetaminophen may alter blood glucose test results in diabetic patients, potentially causing falsely lower values, making glucose monitoring critical.
While obtaining the medication history, a client tells the nurse that he takes acetaminophen every day. The nurse questions the client about the amount of the drug he takes in each dose and how many times a day he takes the drug based on the understanding that the total daily dose should be no greater than which amount?
- A. 2 grams
- B. 4 grams
- C. 6 grams
- D. 8 grams
Correct Answer: B
Rationale: The maximum daily dose of acetaminophen should not exceed 4 grams to prevent toxicity.
A nurse would be especially alert for the development of liver failure in which client when administering acetaminophen?
- A. Client with diabetes
- B. Client who consumes alcohol habitually
- C. Client with hypertension
- D. Client with a urinary tract infection
Correct Answer: B
Rationale: Habitual alcohol consumption increases the risk of liver failure during acetaminophen therapy due to enhanced liver toxicity.
A nurse is conducting a presentation for a local community about salicylates and nonsalicylates. When describing aspirin and acetaminophen, which of the following properties would the nurse describe as these two drugs sharing?
- A. Anti-inflammatory
- B. Analgesic
- C. Antipyretic
- D. Inhibition of prostaglandins
- E. Inhibition of platelet aggregation
Correct Answer: B,C
Rationale: Aspirin and acetaminophen share analgesic and antipyretic properties. Acetaminophen lacks anti-inflammatory effects and does not inhibit prostaglandins or platelet aggregation.
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.