Pharm ATI Musculoskeletal | Nursing Pharmacology Q&A with Rationales

Pharm ATI
Musculoskeletal

, A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the foll
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owing instructions should the nurse include?
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A. "Take this medication with food if nausea develops."
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B. "Monitor for muscle pain."
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C. "Expect to have increased bruising."
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D. "Increase your intake of grapefruit juice."
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B. "Monitor for muscle pain."Rationale: This medication can cause rhabdomyolysis. The clie
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nt should monitor and report muscle pain.
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A nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for he
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r to take aspirin. The nurse should recognize which of the following findings in the client's history is
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a contraindication to this medication?
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A. Report of recent migraine headaches
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B. History of gastric ulcers
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C. Current diagnosis of glaucoma
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D. Prior reports of amenorrhea
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Rationale: Aspirin is contraindicated for clients who have a history of gastrointestinal bleeding and
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peptic ulcer disease because it impedes platelet aggregation. An adverse effect of aspirin is gastric
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bleeding.

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The
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nurse should include to monitor for which of the following adverse effects of this medication?
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A. Constipation
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B. Bleedingkr




C. Blurred vision
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D. Insomniakr B. Bleeding kr




Rationale: Aspirin can cause bleeding, tinnitus, gastric ulceration, nausea, and heartburn. The clien
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t should monitor and report manifestations of bleeding, such as black tarry stools.
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