Author Question: The nurse is caring for a client with a fever. Which medications are appropriate for the nurse to ... (Read 33 times)

mmm · **on:** Jul 23, 2018

The nurse is caring for a client with a fever. Which medications are appropriate for the nurse to administer to this client?(Select all that apply.)

1. Acetaminophen (Tylenol)
2. Ibuprofen (Advil)
3. Aspirin (ASA)
4. Prednisolone (Prelone)
5. Methylprednisolone (Depo-Medrol, Medrol)

Question 2

The nurse is caring for a client who was recently placed on anti-inflammatory drugs. What is the goal of treatment for this client?

1. Decrease the intensity of the inflammatory response.
2. Keep the client taking a constant dose of anti-inflammatory medications indefinitely.
3. Increase range of motion.
4. Treat all inflammation with glucocorticoids.

mistyjohnson · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1, 2, 3

Rationale 1:Acetaminophen (Tylenol) is an antipyretic agent that is appropriate to decrease fever.
Rationale 2: Ibuprofen (Advil) is an NSAID and an antipyretic agent that is appropriate to decrease fever.
Rationale 3: Aspirin (ASA) is an NSAID and an antipyretic agent that is appropriate to decrease fever.
Rationale 4: Prednisolone (Prelone) is a glucocorticoid that is appropriate for inflammation and not an antipyretic agent.
Rationale 5: Methylprednisolone (Depo-Medrol, Medrol) is a glucocorticoid that is appropriate for inflammation and not an antipyretic agent.

Global Rationale: Acetaminophen (Tylenol) is an antipyretic agent that is appropriate to decrease fever. Ibuprofen (Advil) and aspirin (ASA) are both NSAIDs and antipyretic agents that is appropriate to decrease fever. Prednisolone (Prelone) and methylprednisolone (Depo-Medrol, Medrol) are both glucocorticoids appropriate for inflammation; they are not antipyretic agents.

Answer to Question 2

1

Rationale 1: The goal of pharmacotherapy with anti-inflammatory drugs is to prevent or decrease the intensity of the inflammatory response and reduce fever, if present. Most anti-inflammatory agents are nonspecific; the drug will exhibit the same inhibitory actions regardless of the cause of the inflammation.
Rationale 2:Keep the client taking a constant dose of anti-inflammatory medications indefinitely is incorrect because the goal is to decrease the inflammatory response.
Rationale 3:Increase range of motion is incorrect because not all inflammation causes limited range of motion.
Rationale 4:Glucocorticoids are used to treat severe inflammation.

Global Rationale: The goal of pharmacotherapy with anti-inflammatory drugs is to prevent or decrease the intensity of the inflammatory response and reduce fever, if present. Most anti-inflammatory agents are nonspecific; the drug will exhibit the same inhibitory actions regardless of the cause of the inflammation.