Answer to Question 1
Correct Answer: 4
Rationale 1: Salicylates are rarely given by the IM or IV route; most are provided orally.
Rationale 2: Salicylates inhibit platelet aggregation.
Rationale 3: In addition to GI bleeding, aspirin can cause dyspepsia, nausea, and ulcer perforation. When taken for long periods of time, salicylism (toxicity) could occur.
Rationale 4: Salicylates are given as anti-inflammatory agents to reduce pain and fever.
Global Rationale: Salicylates have indication for analgesia, reduction of mild to moderate inflammation, lowering body temperature, and suppression of platelet aggregation. They are typically given by the oral route, but do have side effects such as inhibiting platelet aggregation.
Answer to Question 2
Correct Answer: 4
Rationale 1: Chronic rhinitis, acute bronchospasm, and congestive heart failure are not the aspirin triad.
Rationale 2: Ibuprofen allergy, nasal congestion, and asthma are not the aspirin triad.
Rationale 3: History of head trauma, congestive heart failure, and asthma are not the aspirin triad.
Rationale 4: Clients who have the aspirin triad, which includes aspirin allergy, nasal polyps, and asthma, should not be administered aspirin.
Global Rationale: The aspirin triad includes aspirin allergy, nasal polyps, and asthma. Patients who have these conditions concurrently should not receive aspirin therapy. The other conditions are not part of this triad.