Author Question: The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to ... (Read 112 times)

yoroshambo · **on:** Jul 23, 2018

The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to monitor himself or herself for what?

A) Tinnitus
B) Visual changes
C) Stomatitis
D) Hirsutism

Question 2

As the nurse settles the patient into his room after returning from the post-anesthesia care unit (PACU), the patient says he is in severe pain.

The nurse checks the medical record and sees the patient has an order for morphine 4 to 8 mg every 1 to 2 hour IV as needed for pain. The nurse sees this medication has not been administered yet so the nurse administers 4 mg. After administering the drug, the PACU nurse calls to say a dose of morphine was given and not documented. What drug will the nurse be prepared to administer if the patient's respiratory rate is depressed? A) Naloxone hydrochloride tartrate (Narcan)
B) Butorphanol
C) Buprenorphine (Buprenex)
D) Nalbuphine hydrochloride (Nubain)

Question 3

The nurse receives a call from a frantic mother saying, My child swallowed some of my birth control pills. Should I give Ipecac? What is the nurse's best response?

A) Yes, give Ipecac and follow the dosage directions on the bottle.
B) Ipecac is not effective for this use so you should not give it to your child.
C) Give the Ipecac only if you are absolutely sure your child swallowed the pills.
D) No, don't give Ipecac because it will cause your child to vomit and make a mess.

yifu223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Tinnitus is associated with salicylates. The disease-modifying antirheumatic drug (DMARD) category of antimalarials may cause visual changes, GI upset, skin rash, headaches, photosensitivity, and bleaching of hair. Eighth cranial nerve damage and stomatitis are associated with gold therapy. Hirsutism is associated with corticosteroid therapy.

Answer to Question 2

A
Feedback:
Naloxone is the drug of choice for treatment of opioid overdose. Butorphanol (INN) is a morphinan-type synthetic opioid analgesic that would not reverse the effects of an opioid. Buprenex (buprenorphine hydrochloride) is a narcotic-agonist-antagonist and would suppress respirations further. Nalbuphine is a synthetic opioid used commercially as an analgesic that would also depress respirations.

Answer to Question 3

B
Feedback:
Ipecac is a drug that the Food and Drug Administration tested in 2003 and found, despite its use for many years, that it was not effective in inducing vomiting in children suspected of poisoning. As a result, it is no longer used. The mother should be instructed not to give it and to call poison control to get up-to-date instructions on how to deal with this emergency. Whether the pills were swallowed, this child requires appropriate intervention because it is better to err on the side of caution. Making a mess is not a concern.