Question 1

During assessment of a patient with osteoarthritis pain,the nurse knows that which condition is a contraindication to the use of nonsteroidal anti-inflammatory drugs (NSAIDs)?&#10;A) Renal disease&#10;B) Diabetes mellitus&#10;C) Headaches&#10;D) Rheumatoid arthritis

Accepted Answer

Renal disease is a contraindication to the use of NSAIDs. NSAIDs can cause renal toxicity and worsen existing renal disease. Patients with renal disease should be closely monitored and alternative pain management options should be considered.

Question 2

A 6-year-old child who has chickenpox also has a fever of 102.9&#176; F (39.4&#176; C).The child's mother asks the nurse if she should use aspirin to reduce the fever.What is the best response by the nurse?&#10;A) &#34;It's best to wait to see if the fever gets worse.&#34;&#10;B) &#34;You can use the aspirin,but watch for worsening symptoms.&#34;&#10;C) &#34;Acetaminophen (Tylenol)should be used to reduce his fever,not aspirin.&#34;&#10;D) &#34;You can use aspirin,but be sure to follow the instructions on the bottle.&#34;

Accepted Answer

Aspirin is contraindicated in children with viral infections such as chickenpox due to the risk of Reye's syndrome. Acetaminophen (Tylenol) is a safer option to reduce fever in children with chickenpox.

Question 3

A mother brings her toddler into the emergency department and tells the nurse that she thinks the toddler has eaten an entire bottle of chewable aspirin tablets.The nurse will assess for which most common signs of salicylate intoxication in children?

A) Photosensitivity and nervousness
B) Tinnitus and hearing loss
C) Acute gastrointestinal bleeding
D) Hyperventilation and drowsiness

Accepted Answer

The most common signs of salicylate intoxication in children include hyperventilation (rapid breathing) and drowsiness. Tinnitus (ringing in the ears) and hearing loss are also common but not as prevalent as hyperventilation and drowsiness. Acute gastrointestinal bleeding is a more severe symptom that may occur in severe cases of salicylate intoxication, but it is not one of the most common signs. Photosensitivity and nervousness are not commonly associated with salicylate intoxication in children.

Question 4

A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day.The patient asks about the purpose of this aspirin.Which response by the nurse is correct?

A) "Aspirin is given reduce anxiety."
B) "It helps to reduce inflammation."
C) "Aspirin is given to relieve pain."
D) "It will help to prevent clot formation."

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Accepted Answer

Aspirin in lower doses (such as 81 mg) is given to prevent clot formation and reduce the risk of heart attack or stroke in patients with a history of coronary artery disease. It does not primarily reduce anxiety, inflammation, or pain.

Question 5

The nurse is teaching a patient who is taking colchicine for the treatment of gout.Which instruction will the nurse include during the teaching session?&#10;A) &#34;Fluids should be restricted while on colchicine therapy.&#34;&#10;B) &#34;Take colchicine with meals.&#34;&#10;C) &#34;The drug will be discontinued when symptoms are reduced.&#34;&#10;D) &#34;Call your doctor if you have increased pain or blood in the urine.&#34;

Accepted Answer

Option A is incorrect as adequate hydration is important to prevent kidney damage which can be caused by colchicine. Option B is incorrect as colchicine should be taken on an empty stomach as this increases its absorption. Option C is incorrect as colchicine is not a drug that can be discontinued once symptoms have subsided, it should be continued as prescribed. Option D is the correct option as increased pain or blood in the urine can be signs of severe side effects of colchicine and require immediate medical attention.

Question 6

There is a new order for Naproxen (Naprosyn)250 mg PO every 6 hours.The drug is available as an oral suspension that contains 125 mg/5 mL.Identify how many milliliters will the nurse administer for 1 dose of this medication._______

Accepted Answer

The answer of There is a new order for Naproxen...

Question 7

A patient has used enteric aspirin for several years as treatment for osteoarthritis.However,the symptoms are now worse and she is given a prescription for a nonsteroidal anti-inflammatory drug and misoprostol (Cytotec).The patient asks the nurse,"Why am I now taking two pills for arthritis?" What is the nurse's best response?

A) "Cytotec will also reduce the symptoms of your arthritis."
B) "Cytotec helps the action of the NSAID so that it will work better."
C) "Cytotec reduces the mucous secretions in the stomach,which reduces gastric irritation."
D) "Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs."

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Accepted Answer

Misoprostol (Cytotec) is often prescribed with NSAIDs to help prevent gastric ulcers, which can be a side effect of long-term NSAID use. It does not directly reduce arthritis symptoms or enhance the action of the NSAID. It helps reduce mucous secretions in the stomach lining to protect the stomach from the effects of the NSAID.

Question 8

The nurse is reviewing the therapeutic effects of nonsteroidal anti-inflammatory drugs (NSAIDs),which include which effect?&#10;A) Anxiolytic&#10;B) Sedative&#10;C) Antipyretic&#10;D) Antimicrobial

Accepted Answer

The therapeutic effects of NSAIDs include being antipyretic, reducing fever. They are not anxiolytic, sedative or antimicrobial.

Question 9

A patient with gout has been treated with allopurinol (Zyloprim)for 2 months.The nurse will monitor laboratory results for which therapeutic effect?&#10;A) Decreased uric acid levels&#10;B) Decreased prothrombin time&#10;C) Decreased white blood cell count&#10;D) Increased hemoglobin and hematocrit levels

Accepted Answer

Allopurinol is used to lower uric acid levels in patients with gout. Therefore, the nurse would monitor laboratory results for a decrease in uric acid levels to determine if the medication is effective.

Question 10

A patient is taking the nonsteroidal anti-inflammatory drug indomethacin (Indocin)as treatment for pericarditis.The nurse will teach the patient to watch for which adverse effect?&#10;A) Tachycardia&#10;B) Nervousness&#10;C) Nausea and vomiting&#10;D) Dizziness

Accepted Answer

Nausea and vomiting are common adverse effects of indomethacin, which can affect the gastrointestinal tract. Tachycardia, nervousness, and dizziness may occur as a result of other medications, but they are not commonly associated with indomethacin use for pericarditis.

Question 11

The nurse notes in a patient's medication history that the patient is taking allopurinol (Zyloprim).Based on this finding,the nurse interprets that the patient has which disorder?&#10;A) Rheumatoid arthritis&#10;B) Gout&#10;C) Osteoarthritis&#10;D) Systemic lupus erythematosus

Accepted Answer

The answer of The nurse notes in a patient's medication...

Question 12

The nurse is reviewing the history of a patient who has a new order for a nonsteroidal anti-inflammatory drug (NSAID)to treat tendonitis.Which conditions are contraindications to the use of NSAIDs? (Select all that apply.)

A) Vitamin K deficiency
B) Arthralgia
C) Peptic ulcer disease
D) Neuropathy
E) Pericarditis

Accepted Answer

The answer of The nurse is reviewing the history of...

Question 13

A patient calls the clinic to ask about taking a glucosamine-chondroitin supplement for arthritis.The nurse reviews the medication history and notes that there will be a concern for drug interactions if the patient is also taking medications for which disorder?

A) Type 2 diabetes mellitus
B) Hypothyroidism
C) Hypertension
D) Angina

Accepted Answer

The answer of A patient calls the clinic to ask...

Deck 44: Anti-Inflammatory and Antigout Drugs