Question: Because the client is taking celecoxib (Celebrex) for osteoarthritis, he knows to watch for and report which of the following possible indications of an adverse reaction to celecoxib?

Answer: Weight Gain

Question: In addition to celecoxib (Celebrex) the client takes low-dose aspirin daily for which of the following purposes?

Answer: Reduces the risks of a cardiovascular event

Question: Which of the following instructions should the health care provider give the client regarding the use of aspirin prior to the surgery?

Answer: Stop taking one week before surgery.

Question: The health care provider prepares to give the client morphine IV for pain. Knowing the adverse drug reactions of morphine, she should monitor the client for which of the following?

Answer: respiratory depression

Question: As a health care provider prepares to give the client morphine IV for pain, she makes sure she has which of the following drug available?

Answer: Naloxone

Question: A client is about to start taking aspirin to prevent cardiovascular events. You should instruct the client to watch for and report which adverse drug reaction of aspirin?

Answer: Petechiae

Question: Morphine (opioid analgesic)Prednisone (glucocorticoid)Ibuprofen (non-steroidal anti-inflammatory drug) Naloxone (opioid antagonist)

Answer: ...

Question: Client is about to start taking oral morphine to treat acute pain from an injury. Which of the following instructions should you include when talking with the client about taking morphine? (Select all that apply)

Answer: Take it with food Rise slowly from sitting or reclining Increase fluid and fiber intake Do not take it before driving

Question: A provider prescribes prednisone for a client who has type 1 diabetes mellitus. Recognizing the risk for an adverse drug reaction to prednisone, which of the following precautions should the primary care provider take for this client?

Answer: Increase serum glucose monitoring

Question: A client is about to start taking tramadol to treat moderate pain. Which of the following instructions should you include when talking with the client about taking this drug?

Answer: Allow 1 hr for it to take effect

Question: A client who is receiving chemotherapy takes allopurinol prior to the chemotherapy to reduce the risk for which condition?

Answer: Hyperuricemia

Question: Morphine (sedation) Acetaminophen (fever reduction) Butorphanol (anesthesia adjunct) Prednisone (prevention of organ rejection)

Answer: ...

Question: A client arrives at the emergency room immediately following an acetaminophen overdose. Which drug should you prepare to administer?

Answer: Acetylcysteine

Question: Butorphanol is an unsafe analgesic choice for clients who

Answer: Use a fentanyl patch for chronic pain

Question: A client is about to begin celecoxib therapy for osteoarthritis. You should instruct the client to watch for and report which of the following possible indications of a serious reaction to this drug?

Answer: Black, tarry stools

Question: A nurse is teaching a client who has a new prescription of allopurionol. Which of the following instructions should the nurse include?

Answer: Avoid driving or activities that require mental alertness

Question: A nurse is caring for a group of postoperative clients. The nurse should identify that morphine is contraindicated for which of the following clients?

Answer: A client who had a cholecystectomy

Question: A nurse is reviewing the drug list form a client who has a new prescription for allopurinol. The nurse should identify that which of the following drugs interact with allopurinol?

Answer: Warfarin

Question: A nurse is caring for a client who has a new prescription for butorphanol. The nurse should monitor the client for which of the following adverse drug reactions?

Answer: Nausea Dizziness Headache

Question: A nurse is caring for a patient who has a prescription for aspirin to treat an ankle sprain. The nurse should instruct the client to report which of the following adverse drug reactions?

Answer: Weight gain

Question: A nurse is caring for a child who has a viral infection. The nurse should identify that which if the following drugs can increase the risk of Reye Syndrome in children who have viral infections?

Answer: Aspirin

Question: A nurse is teaching a client who has a new prescription for prednisone. Which of the following instructions should the nurse include. (Select all that apply)

Answer: Discontinue the drug gradually Report illness or infection Increase intake of calcium and vitamin D Monitor for signs of gastric bleeding

Question: A nurse is teaching a client who has a new prescription for allopurinol. The nurse should instruct the client to report which of the following adverse effects? (Select all that apply)

Answer: Sore throatVertigo Bruising Vision changes

Question: A nurse is caring for a client who currently takes furosemide and has new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs

Answer: Hypokalemia

Question: A nurse is reviewing the medical record of a client who has a new prescription for tramadol. The nurse should identify that which of the following conditions is a contraindication for tramadol?

Answer: Seizure disorder

Question: A nurse is caring for a client who has a new prescription for celecoxib. The nurse should tell the client to report which of the following adverse drug reactions?

Answer: Chest pain

Question: A nurse is reviewing the medical record of a client who has a new prescription for celecoxib. The nurse should identify that which of the following conditions is a contraindication to celecoxib?

Answer: Sulfamide allergy

Question: A nurse is caring for a client who is taking acetaminophen at regular intervals for mild discomfort. The nurse should tell the client to report which of the following early indications of acetaminophen toxicity? (Select all that apply)

Answer: Diaphoresis Nausea Diarrhea

Question: A nurse is teaching a client who is talking allopurinol about minimizing adverse effects. Which of the flowing instructions should the nurse include?

Answer: Eat a small meal before taking this drug

Question: A nurse is teaching a client who has a new prescription for tramadol. Which of the following instructions should the nurse include? (Select all that apply.)

Answer: Increase fiber and fluid intake Take the drug with food Change position gradually Reduce exercise level temporarily

Question: A nurse is caring for a client who is a opioid dependent and has a new prescription for butorphanol. The nurse should monitor the client for which of the following manifestations. (Select all that apply.)

Answer: Vomiting Abdominal cramps Hypertension

Question: A nurse is caring for a client who is receiving morphine to relieve severe pain. The nurse should monitor the client for which of the following adverse drug reactions? (Select al that apply.)

Answer: Urinary retention Respiratory depression Sedation Orthostatic hypotension

Question: A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse drug reaction?

Answer: Bone loss

Question: A nurse is caring for a client who is taking allopurinol to treat gout. The nurse should monitor the client for which of the following manifestations of hypersensitivity syndrome

Answer: Fever

Question: A nurse is caring for a client who is taking naloxone to treat acute morphine toxicity. The nurse should monitor the client for which of the following adverse drug reactions? (Select all that apply)

Answer: Increased respiratory rateIncreased pain Ventricular arrhythmias Hypertension

Question: A nurse is planning for a client who has started taking prednisone. Which of the following interventions should the nurse include?

Answer: Monitor the clients blood glucose

Question: A nurse is caring for a client who asks about taking acetaminophen. The nurse should identify that acetaminophen is indicated for which of the following conditions? (Select all that apply.)

Answer: To reduce fever To relieve mild pain

Question: A nurse is caring for for client who is about to begin taking aspirin. The nurse should instruct the client to report which of the following manifestations of salicylism? (Select all that apply)

Answer: Fever Tinnitus Diaphoresis Dizziness

Question: A nurse is caring for a client who takes low-dose aspirin to prevent cardiovascular events. The client asks the nurse about taking ibuprofen to treat rheumatoid arthritis. Which of the following responses should the nurse make?

Answer: "Ibuprofen will reduce the cardioprotective effects of low-dose aspirin"

Question: W nurse is reviewing the medical record of a client who reports taking acetaminophen at home. The nurse should identify that which of the following client conditions is a contraindication for acetaminophen?

Answer: Alcohol use disorder