A client who was admitted with gastrointestinal bleeding ...

[KWilfred]

A client who was admitted with gastrointestinal bleeding secondary to aspirin use therapy is being discharged. The client asks why acetaminophen (Tylenol) doesn't work as well as the aspirin the client had been taking.
 
  What would be the nurse's best response?
 
  1. You should take double the prescribed dose of Tylenol.
  2. Tylenol does not reduce inflammation.
  3. Tylenol is only appropriate for severe pain.
  4. Tylenol and aspirin are the same drug.

Question 2

What is the mechanism of action of sumatriptan (Imitrex) and other triptans?
 
  1. They cause vasoconstriction of cranial arteries.
  2. They block prostaglandin synthesis.
  3. They block COX-2.
  4. They affect mu receptors.

[ebenov]

Answer to Question 1

Correct Answer: 2

Rationale 1: You should take double the prescribed dose of Tylenol is incorrect because the client should not double the dose of Tylenol. Increased doses of Tylenol can lead to liver damage.
Rationale 2: Tylenol does not reduce inflammation and is not an NSAID.
Rationale 3: Tylenol is only appropriate for severe pain is incorrect because Tylenol is appropriate for mild-to-moderate pain.
Rationale 4: Tylenol and aspirin are the same drug is incorrect because they are not the same drug.

Global Rationale: Tylenol does not reduce inflammation and is not an NSAID. You should take double the prescribed dose of Tylenol is incorrect because the client should not double the dose of Tylenol. Increased doses of Tylenol can lead to liver damage. Tylenol is only appropriate for severe pain is incorrect because Tylenol is appropriate for mild-to-moderate pain. Tylenol and aspirin are the same drug is incorrect because they are not the same drug.

Answer to Question 2

Correct Answer: 1

Rationale 1: Triptans cause vasoconstriction of cranial arteries.
Rationale 2: They block prostaglandin synthesis is incorrect because triptans cause vasoconstriction of cranial arteries.
Rationale 3: They block COX-2 is incorrect because triptans cause vasoconstriction of cranial arteries.
Rationale 4: They affect mu receptors is incorrect because triptans cause vasoconstriction of cranial arteries.

Global Rationale: Triptans cause vasoconstriction of cranial arteries. They block prostaglandin synthesis is incorrect because triptans cause vasoconstriction of cranial arteries. They block COX-2 is incorrect because triptans cause vasoconstriction of cranial arteries. They affect mu receptors is incorrect because triptans cause vasoconstriction of cranial arteries.

[KWilfred]

Thanks

[ebenov]

Welcome