ATI Week 4 Flashcards
A clients is about to start taking aspirin (NSAID) [Salicylic acid] to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin (NSAID) [Salicylic acid]?
Petechiae (purple - red spots)
What is the classification: Ibuprofen
NSAID (COX-1 or COX-2
What is the classification: Morphine
Opioid analgesic
What is the classification: Naloxone
Opioid antagonist (antagonist block the receptor site of a cell and prevent the actions of naturally occurring body substances and hormones)
What is the classification: Prednisone (corticosteroid)
Glucocorticoid
A client is about to start taking oral morphine [opioid] to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine?
- Take with food
- Rise slowly from sitting or reclining
- Increase fluid and fiber intake
- Do not take before driving
A provider prescribes prednisone (corticosteroid) for a client who has Type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to the prednisone (corticosteroid), which of the following precautions should the PCP take for the client?
Increase serum glucose monitoring
A client is about to start taking tramadol to treat moderate pain. Which of the following instruction should you include when talking with the client about taking this drug?
Allow 1 hr for it to take effect
A client who is receiving chemotherapy take allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] prior to the chemotherapy to reduce the risk for which condition?
Hyperuricemia (high levels of uric acid)
What is the therapeutic effect: Acetaminophen
Fever reduction
What is the therapeutic effect: Morphine
Sedation
What is the therapeutic effect: Prednisone (corticosteroid)
Prevention of organ rejection
What is the therapeutic effect: Butorphanol
Anesthesia adjunct
A client arrives to the emergency room immediately following an acetaminophen overdose. Which drug should you prepare to administer?
Acetylcysteine
Butorphanol is an unsafe analgesic choice for clients who:
Use a fentanyl patch for chronic pain
A client is about to begin celecoxib (Celebrex) [COX-2] therapy for osteoarthritis. You should instruct the client to watch and report which of the following possible indication of a serious reaction to this drug?
Black tarry stools
A nurse is teaching a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. Which of the following instructions should the nurse include?
Avoid driving or activities that require mental alertness
A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?
A client who had a cholecystectomy
A nurse reviewing the drug list for a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. The nurse should identify that which of the following drugs interacts with allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]?
Warfarin (Coumadin)
A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?
- Nausea
- Dizziness
- Headache
A nurse is caring for a client who has a prescription for aspirin (NSAID) [Salicylic acid] to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions?
Weight gain
A nurse is caring for a child who has a viral infection. The nurse should identify that which of the following drugs can increase the risk of Reye Syndrome in children who have viral infections?
Aspirin (NSAID) [Salicylic acid]
A nurse is teaching a client who has a new prescription for prednisone (corticosteroid). Which of the following instructions should the nurse include:
- Discontinue the drug gradually
- Report illness or infection
- Increase intake of calcium and vitamin D
- Monitor signs of gastric bleeding
A nurse is teaching a client who has a new prescription for allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor]. The nurse should instruct the client to report which of the following adverse drug reactions?
- Sore throat
- Vertigo (sensation of dizziness/spinning)
- Bruising
- Vision
A nurse caring for a client who currently take furosemide and has a new prescription for prednisone (corticosteroid). The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs?
HypoKalemia
A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following condition is a contraindication for tramadol?
Seizure disorder
A nurse is caring for a client who has a new prescription for celecoxib (Celebrex) [COX-2]. The nurse should tell the client to report which of the following adverse drug reactions?
Chest pain
A nurse is reviewing the medical record of a client who has a new prescription for celecoxib (Celebrex) [COX-2]. The nurse should identify that which of the following condition is a contraindication to celecoxib (Celebrex) [COX-2]?
Sulfonamide allergy (synthetic drugs that prevent pathogenic bacteria from multiplying)
A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity?
- Diaphoresis (sweating)
- Nausea
- Diarrhea
A nurse is teaching a client who is taking allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] about minimizing adverse effects. Which of the following instructions should the nurse include?
Eat a small meal before taking the drug
A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include?
- Increase fiber and fluid intake
- Take the drug with food
- Avoid driving after taking the drug
- Change positions gradually
A nurse is caring for a client who is opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestation of abstinence syndrome?
- Vomiting
- Abdominal cramps
- Hypertension
A nurse is caring for a patient for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions:
- Urinary retention
- Respiratory depression
- Sedation
- Orthostatic HYPOtension
A nurse is caring for a patient who has a new prescription for prednisone (corticosteroid) for long-term treatment of RA. The nurse should monitor the client for which of the following drug reactions?
Bone loss (prednisone [glucocorticoid] can cause osteoporosis with long-term use)
A nurse is caring for a client who is taking allopurinol (Aloprim, Zyloprim) [Uric Acid Synthesis inhibitor] to treat gout. The nurse should monitor the client for which of the following manifestation of HYPERsensitivity syndrome?
Fever
A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions:
- Increased respiratory rate
- Increased pain
- Ventricular arrhythmias
- Hypertension
A nurse is planning care for a client who has started taking prednisone (corticosteroid). Which of the following interventions should the nurse include?
Monitor the clients blood glucose
A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions?
- To reduce fever
2. To relieve mild pain
A nurse is caring for a client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism?
- Fever
- Tinnitus
- Diaphoresis
- Dizziness
A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?
Ibuprofen will reduce the cardioprotective effect of low-dose aspirin
A nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen?
Alcohol use disorder
