474 exam 2 practice questions

474 exam 2 practice questions A client diagnosed with gastritis asks the nurse at a screening clinic about analgesics that will not cause epigastric distress. The nurse would tell the client to take which medication? a. Aspirin - irritating to GI tract b. Naproxen c. Ibuprofen d. acetaminophen - answeracetaminophen A 4 year old child was brought to the emergency room for continued fever despite taking aspirin. Which statement is correct about a 4 year old receiving aspirin? a. Aspirin has the potential to cause gastrointestinal GI bleeding in children b. Aspirin has the potential to cause ringing in the ears in children c. Aspirin has the potential to cause hyperglycemia in children d. Aspirin has the potential to cause Reye syndrome in children - answerAspirin has the potential to cause Reye syndrome in children When preparing discharge teaching for a patient who has been prescribed ibuprofen for arthritis, which statement would the nurse provide to the patient on the mechanism of action? a. Ibuprofen is a selective COX-2 inhibitor b. Ibuprofen inhibits prostaglandin synthesis c. Ibuprofen binds with opiate receptor sites d. Ibuprofen promotes vasodilation to increase blood flow - answerIbuprofen inhibits prostaglandin synthesis A client has been prescribed ibuprofen 400 mg three times a day (TID) for arthritis. Which statement by the client would indicate a need for further education? a. This drug may cause gastrointestinal (GI) upset b. Now i wont have to drink so much water c. I know this drug might cause some diarrhea d. I will need to stop taking this drug if i get pregnant - answerNow i wont have to drink so much water You are the nurse manager of a pediatric unit. You are preparing a continuing education in- service on the use of acetaminophen for your staff. You decide to include the following in your presentation: What are the signs and symptoms of acute poisoning with acetaminophen? What are the nursing interventions for managing acute poisoning of acetaminophen? - answerEarly symptoms: nausea, vomiting, abdominal discomfort, diarrhea Principle: hepatic necrosis, can lead to death Medication given for overdose of acetaminophen = acetylcysteine (antidote) !!! given by PO or IV The nurse provides education for an older adult client who is diagnosed with chronic pain and prescribed opioid analgesics. Which instruction should the nurse provide to the client? a. It is important to increase your intake of fiber to decrease the risk for diarrhea b. You may take a medication to treat any associated heartburn c. Make sure to eat six small meals per day to avoid weight loss while taking the medication d. Drink at least eight, 8 oz glasses of water to avoid constipation - answerDrink at least eight, 8 oz glasses of water to avoid constipation The nurse provides care for a client who is postoperative and prescribed morphine 10mg every 4 hours, as needed for pain. Which assessment data indicates a priority need for the nurse to hold the next dose of prescribed opioid analgesic?