Podcast
Questions and Answers
What should the client watch for as indications of an adverse reaction to celecoxib?
What should the client watch for as indications of an adverse reaction to celecoxib?
Weight gain
What is the purpose of the client taking low-dose aspirin daily?
What is the purpose of the client taking low-dose aspirin daily?
Reduces the risks of a cardiovascular event
What instruction should the health care provider give regarding aspirin use before surgery?
What instruction should the health care provider give regarding aspirin use before surgery?
Stop taking one week before surgery
What should be monitored when administering morphine IV for pain?
What should be monitored when administering morphine IV for pain?
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What drug should the health care provider have available when administering morphine IV?
What drug should the health care provider have available when administering morphine IV?
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What adverse drug reaction should a client taking aspirin look for?
What adverse drug reaction should a client taking aspirin look for?
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Which instructions should be included when talking to a client about taking oral morphine? (Select all that apply)
Which instructions should be included when talking to a client about taking oral morphine? (Select all that apply)
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What precaution should a provider take when prescribing prednisone for a client with type 1 diabetes?
What precaution should a provider take when prescribing prednisone for a client with type 1 diabetes?
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How long does it take for tramadol to take effect?
How long does it take for tramadol to take effect?
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What condition does allopurinol help prevent in clients receiving chemotherapy?
What condition does allopurinol help prevent in clients receiving chemotherapy?
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What should the client watch for as an adverse reaction to celecoxib?
What should the client watch for as an adverse reaction to celecoxib?
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Why does the client take low-dose aspirin in addition to celecoxib?
Why does the client take low-dose aspirin in addition to celecoxib?
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What instruction should be given regarding aspirin use prior to surgery?
What instruction should be given regarding aspirin use prior to surgery?
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What should the health care provider monitor for when administering morphine IV?
What should the health care provider monitor for when administering morphine IV?
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What drug should be available when administering morphine?
What drug should be available when administering morphine?
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What adverse drug reaction should be monitored for when taking aspirin?
What adverse drug reaction should be monitored for when taking aspirin?
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Match the following drugs with their classifications:
Match the following drugs with their classifications:
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Which instructions should be given to a client about taking oral morphine? (Select all that apply)
Which instructions should be given to a client about taking oral morphine? (Select all that apply)
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What precaution should be taken when prescribing prednisone to a client with type 1 diabetes mellitus?
What precaution should be taken when prescribing prednisone to a client with type 1 diabetes mellitus?
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What is the expected time to onset of tramadol when used for pain management?
What is the expected time to onset of tramadol when used for pain management?
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What condition should allopurinol be given to reduce the risk of during chemotherapy?
What condition should allopurinol be given to reduce the risk of during chemotherapy?
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Match the drug with its indication:
Match the drug with its indication:
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What should be prepared for a client immediately following an acetaminophen overdose?
What should be prepared for a client immediately following an acetaminophen overdose?
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Who should butorphanol not be given to?
Who should butorphanol not be given to?
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What should a client on celecoxib monitor for that indicates a serious reaction?
What should a client on celecoxib monitor for that indicates a serious reaction?
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What precautions should a nurse teach a client prescribed allopurinol?
What precautions should a nurse teach a client prescribed allopurinol?
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In which scenario is morphine contraindicated?
In which scenario is morphine contraindicated?
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Which drug interacts with allopurinol?
Which drug interacts with allopurinol?
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What adverse drug reactions should be monitored for in a client taking butorphanol? (Select all that apply)
What adverse drug reactions should be monitored for in a client taking butorphanol? (Select all that apply)
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What should a client report when taking aspirin for an ankle sprain?
What should a client report when taking aspirin for an ankle sprain?
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Which drug increases the risk of Reye Syndrome in children with viral infections?
Which drug increases the risk of Reye Syndrome in children with viral infections?
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What instructions for prednisone should the nurse provide? (Select all that apply)
What instructions for prednisone should the nurse provide? (Select all that apply)
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What adverse effects should a client taking allopurinol report? (Select all that apply)
What adverse effects should a client taking allopurinol report? (Select all that apply)
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What should be monitored for in a client taking furosemide and prednisone together?
What should be monitored for in a client taking furosemide and prednisone together?
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What is a contraindication for prescribing tramadol?
What is a contraindication for prescribing tramadol?
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What adverse drug reactions should the nurse tell the client taking celecoxib to report?
What adverse drug reactions should the nurse tell the client taking celecoxib to report?
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What is a contraindication for celecoxib?
What is a contraindication for celecoxib?
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What early indications of acetaminophen toxicity should a client report? (Select all that apply)
What early indications of acetaminophen toxicity should a client report? (Select all that apply)
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What instruction should be given about taking allopurinol?
What instruction should be given about taking allopurinol?
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What instructions should be given to a client who has a new prescription for tramadol? (Select all that apply)
What instructions should be given to a client who has a new prescription for tramadol? (Select all that apply)
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What manifestations should be monitored in an opioid-dependent client prescribed butorphanol? (Select all that apply)
What manifestations should be monitored in an opioid-dependent client prescribed butorphanol? (Select all that apply)
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What adverse drug reactions should be monitored in a client receiving morphine? (Select all that apply)
What adverse drug reactions should be monitored in a client receiving morphine? (Select all that apply)
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What adverse drug reaction should a nurse monitor for in a client taking prednisone for rheumatoid arthritis?
What adverse drug reaction should a nurse monitor for in a client taking prednisone for rheumatoid arthritis?
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What manifestation of hypersensitivity syndrome should a nurse monitor in a client taking allopurinol?
What manifestation of hypersensitivity syndrome should a nurse monitor in a client taking allopurinol?
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What adverse drug reactions should be monitored in a client receiving naloxone? (Select all that apply)
What adverse drug reactions should be monitored in a client receiving naloxone? (Select all that apply)
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What intervention should a nurse include for a client taking prednisone?
What intervention should a nurse include for a client taking prednisone?
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What conditions is acetaminophen indicated for? (Select all that apply)
What conditions is acetaminophen indicated for? (Select all that apply)
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What manifestations of salicylism should a nurse instruct the client taking aspirin to report? (Select all that apply)
What manifestations of salicylism should a nurse instruct the client taking aspirin to report? (Select all that apply)
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What should a client taking low-dose aspirin to prevent cardiovascular events know about ibuprofen?
What should a client taking low-dose aspirin to prevent cardiovascular events know about ibuprofen?
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What client condition is a contraindication for acetaminophen?
What client condition is a contraindication for acetaminophen?
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Study Notes
Pain Management and Related Medications
- Celecoxib (Celebrex) used for osteoarthritis may cause weight gain; clients should monitor and report this.
- Aspirin is taken with celecoxib to reduce cardiovascular event risk.
- Clients must discontinue aspirin one week before surgery to prevent bleeding.
- Morphine IV can lead to respiratory depression; monitoring is essential during administration.
- Naloxone should be readily available when administering morphine for potential overdose reversal.
Aspirin and Adverse Reactions
- Clients starting aspirin for cardiovascular prevention must watch for petechiae as a potential adverse effect.
- Weight gain should be reported by clients taking aspirin for conditions like ankle sprains.
- Aspirin poses a risk of Reye Syndrome in children with viral infections.
Opioid and Non-Opioid Analgesics
- Instructions for oral morphine include taking it with food and rising slowly to prevent dizziness.
- Tramadol takes about one hour for effect; clients should be informed accordingly.
- Butorphanol is contraindicated for clients using fentanyl patches due to potential safety issues.
Monitoring and Precautions
- Increased serum glucose monitoring is essential for clients prescribed prednisone, especially those with diabetes.
- Clients on allopurinol must monitor for sore throat, bruising, vertigo, and vision changes as adverse effects.
- Concurrent use of furosemide and prednisone may result in hypokalemia; appropriate monitoring is advised.
- Bone loss is a potential adverse reaction for clients on long-term prednisone treatment.
Toxicity and Overdoses
- In cases of acetaminophen overdose, acetylcysteine is the antidote to prepare for administration.
- Clients taking acetaminophen should report early toxicity signs like diaphoresis, nausea, and diarrhea.
- Naloxone treatment for opioid toxicity requires monitoring for increased pain and respiratory rate changes.
Drug Interactions and Contraindications
- Warfarin interacts with allopurinol; healthcare providers should review concurrent medications for potential interactions.
- Celecoxib is contraindicated in clients with a sulfamide allergy; awareness of allergies is crucial for safe prescribing.
- Acetaminophen is contraindicated in clients with alcohol use disorder due to liver safety concerns.
Client Education
- Safety measures for clients starting new medications include instruction on gradual dose discontinuation for prednisone and monitoring for signs of gastric bleeding.
- Clients taking tramadol should be informed to increase fiber and fluid intake to mitigate constipation risks.
- Clients should be advised against driving or activities requiring alertness when starting new medications like allopurinol.
Summary of Common Analgesics
- Effective use of analgesics includes knowing the adverse effects, monitoring requirements, and safe practices to minimize risks while managing pain.
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Description
Test your knowledge on the pharmacological aspects of pain and inflammation management in this flashcard quiz. Focus on the use of celecoxib and its interactions, indications, and possible adverse reactions. Ideal for nursing and pharmacy students preparing for exams.
