Chapter 14, Nonopioid Analgesics: Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) and Migraine Headache Medications TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford

TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford 1. A nurse is performing discharge teaching for a client who is prescribed ibuprofen. After teaching the client about the possible cardiovascular effects of the drug, the nurse determines that additional teaching is needed when the client states which comment? A) “My blood pressure may increase.” B) “My blood pressure won't change.” C) “I could develop congestive heart failure.” D) “I could experience a heart attack.” Answer: B Rationale: The client should be counseled that NSAIDs including ibuprofen may result in the following cardiovascular effects: increased or decreased blood pressure, congestive heart failure, cardiac arrhythmias, and myocardial infarction. Question Format: Multiple Choice Chapter: 14 Learning Objective: 7 Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 177, Cardiovascular System Reactions 2. A nurse is preparing a presentation for a local community group about over-the-counter analgesics, including NSAIDs. Which possible reaction would the nurse integrate into the presentation as a serious risk with this class of drugs? A) Increased granulocyte count B) Cardiovascular thrombosis C) Increased WBC count D) Sickle cell anemia Answer: B Rationale: A serious risk involved with the use of NSAIDs is cardiovascular thrombosis. Increased granulocyte count, increased WBC count, or sickle cell anemia is not caused by NSAIDs. Sickle cell anemia results from an inherited abnormality of hemoglobin. NSAIDs may cause decreased granulocyte count, decreased WBC count, or aplastic anemia. Question Format: Multiple Choice Chapter: 14 Learning Objective: 4 TEST BANK INTRODUCTORY CLINICAL PHARMACOLOGY 12TH EDITION By Susan M Ford Cognitive Level: Apply Client Needs: Physiological Integrity: Pharmacological Therapies Integrated Process: Teaching/Learning Reference: p. 184, Key Points