Pharm chapter 16 Flashcards
A nurse has admitted a 10-year-old child to the short-stay unit. The child has complained of chronic headaches and his or her mother reports that he or she gives him or her acetaminophen (Tylenol) at least twice a day. What will the nurse evaluate?
Hepatic (liver) function
The nurse is discussing ethnic differences in response to medication with your nursing students. What group of people would the nurse tell the students may have a decreased sensitivity to pain-relieving effects of anti-inflammatory drugs and should be educated concerning signs and symptoms of gastrointestinal bleeding from use of these drugs?
African Americans
A patient, newly diagnosed with ulcerative colitis, has been admitted to the short-stay unit. What salicylates does the nurse anticipate will be ordered for this patient?
Balsalazide (Colazal)
The nurse is caring for a 66-pound child with orders for choline magnesium trisalicylate (Tricosal). The orders read 50 mg/kg/d PO in two divided doses. How many milligram will the patient receive per dose?
750 mg
A nurse is caring for a patient with severe rheumatoid arthritis who takes anti-inflammatory agents on a regular basis. What medication should the nurse question if ordered by the physician to be taken in addition to the anti-inflammatory agent?
Beta-blocker
A nurse is assessing a patient who has been taking nonsteroidal anti-inflammatory drugs (NSAID). What statement by the patient indicates to the nurse that the patient has a good understanding of the use of this therapy?
I asked my doctor to check for blood in my stool regularly
A salicylate has been prescribed for a 15-year-old patient who has been diagnosed with arthritis. The mother is concerned about giving her child a salicylate. What salicylates could the nurse tell this mother are recommended for use in children?
Choline magnesium trisalicylate (Tricosal)
A mother has brought her 6-year-old child to the clinic. The child has a fever of 102.8oF and is diagnosed with the flu. What medication will the nurse suggest for this child?
Tylenol
A nurse is presenting an educational event for a group of new parents. One topic that the nurse addresses is the overuse of acetaminophen, which can cause liver toxicity. What would the nurse tell the parents it is important to do?
Check the label of OTC meds carefully to watch for inclusions of acetaminophen in the ingredients
A mother asks the nurse how acetaminophen works. What statement best describes the therapeutic action of acetaminophen?
Acetaminophen acts directly on the hypothalamus to cause vasodilation and sweating.
Antipyretic drugs (e.g., aspirin, ibuprofen, acetaminophen) often are used to alleviate the discomforts of fever and to protect vulnerable organs, such as the brain, from extreme elevations in body temperature. However, the use of aspirin in children is limited due to the possibility of what disease?
Reye’s Syndrome
A patient has been diagnosed with severe rheumatoid arthritis and hylan G-F 20 has been ordered. How is this drug given?
Injected into the joint
A nurse is caring for a patient in the early stage of rheumatoid arthritis. The nurse would expect what medication classification to be used in the treatment of this patient?
NSAIDs
The nurse is caring for a patient who receives anakinra (Kineret) for arthritis. By what route will the nurse administer this medication?
SubQ
The nurse is preparing to administer a nonsteroidal anti-inflammatory drug (NSAID) to an older patient. What NSAID is associated with increased toxicity and should be avoided if possible?
Naproxen
What medication used to treat rheumatic arthritis not only has anti-inflammatory effects but is also used in premature infants to close a patent ductus arteriosus?
Indomethacin
When the nurse learns that the patient with rheumatic arthritis is complaining of stomatitis, the nurse should further assess the patient for the adverse effects of what medication?
Gold-containing compounds
A patient with rheumatoid arthritis is taking gold salts. What drugs should the nurse teach this patient that are contraindicated when taking gold salts? (Select all that apply.)
Penicillamine, antimalarials, cytotoxic drugs, or immunosuppresives
The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to monitor himself or herself for what?
Tinnitus
The nurse assesses laboratory results related to blood clotting when the assigned patient takes what drug regularly? (Select all that apply.)
Salicylates and NSAIDs
What is chrysotherapy?
Treatment with gold salts
What drugs used to treat rheumatoid arthritis are contraindicated in a patient who has a history of toxic levels of heavy metals?
Gold salts
Which of these anti-inflammatory drugs have geriatric warnings? (Select all that apply.)
Toradol, Naproxen, Ketoprofen
A patient presents at the emergency department complaining of dizziness, mental confusion, and difficulty hearing. What should the nurse suspect is wrong with the patient?
Salicylism
