Chapter 44: Antiinflammatory and Antigout Drugs Flashcards
The nurse is reviewing the therapeutic effects of nonsteroidal antiinflammatory drugs (NSAIDs), which include which effect?
Antipyretic (antifever)
A patient is taking the nonsteroidal antiinflammatory drug indomethacin (Indocin) as treatment for pericarditis. The nurse will teach the patient to watch for which adverse effect?
Nausea and vomiting
An elderly patient tells the nurse that he uses aspirin for “anything that hurts.” The nurse will assess for which most common signs of chronic salicylate intoxication in adults?
Tinnitus and hearing loss
A patient with gout has been treated with allopurinol (Zyloprim) for 2 months. The nurse will monitor laboratory results for which therapeutic effect?
Decreased uric acid levels
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?
Call your doctor if you have increased pain or blood in the urine.
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?
Hyperventilation and drowsiness
A 6 year old child who has chickenpox also has a fever of 102.9 (39.4). The child’s mother asks the nurse if she should use aspirin to reduce the fever. What is the best response by the nurse?
Acetaminophen (Tylenol) should be used to reduce his fever, not aspirin.
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 antiinflammatory drug (NSAID) and misoprostol (Cytotec). The patient asks the nurse, “Why am I now taking two pills for arthritis?” What is the nurse’s best response?
Cytotec may help to prevent gastric ulcers that may occur in patients taking NSAIDs.
A patient who has a history of coronary artery disease has been instructed to take one 81-mg aspirin tablet a day. The nurse is aware that the purpose of this dose of aspirin is to
prevent thrombus formation
During assessment of a patient with osteoarthritis pain, the nurse knows that which condition is a contraindication to the use of nonsteroidal antiinflammatory drugs (NSAIDs)?
Renal disease
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?
Gout
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?
Type 2 diabetes mellitus
The nurse is reviewing the history of a patient who has a new order for a nonsteroidal antiinflammatory drug (NSAID) to treat tendonitis. Which conditions are contraindications to the use of NSAIDs?
Rhinitis (nosebleed) and peptic ulcer diseas
A 75-year-old woman has been given a nonsteroidal antiinflammatory drug (NSAID) for the treatment of rheumatoid arthritis. The nurse is reviewing the patient’s medication history and notes that which types of medications could have an interaction with the NSAID?
Anticoagulants, diuretics, and corticosteroids
