NURS 180 Week 3 Quiz V2 (Latest 2026/2027) | Pharmacology Study Guide | Questions & Verified Answers | Pass Guaranteed | Grade A | WCU

NURS 180 Week 3 Quiz V2 (Latest 2026/2027) | Pharmacology Study Guide | Questions & Verified Answers | Pass Guaranteed | Grade A | WCU Q: It is important for the nurse teaching the patient regarding secobarbital to include which information about the drug? Answer It is a short-acting drug that may cause one to awaken early in the morning. Q: A patient taking lorazepam asks the nurse how this drug works. The nurse should respond by stating that it is benzodiazepine that acts by which mechanism? Answer Increasing the action of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA) to GABA receptors. Q: A patient is taking ramelton for insomnia. The nurse prepares a care plan that includes monitoring of the patient for side effects/adverse reactions of this drug. Which is a side effect of ramelteon? Answer Sleep-related behaviors Q: A patient received spin anesthesia. Which is the most important for the nurse to monitor? Answer Hypotension and headaches Q: A nurse is teaching a patient about zolpidem. Which is important for the nurse to include in the teaching of this drug? Answer It is used for short-term treatment less than 10 days. Q: A patient is taking triazolam. Which instructions about this drug are important for the nurse to include? Answer Avoid alcohol and smoking while taking this drug. Q: A patient is to receive conscious sedation for a minor surgical procedure. Which drug administration should the nurse expect? (Select all that apply.) Answer Propofol to reduce anxiety. Lidocaine to provide local anesthesia. Midazolam to promote sedation and following of commands. Q: What is the nurse's best explanation of the pathophysiology of myasthenia gravis? Answer A decreased amount of acetylcholine to cholinergic receptors produces weak muscles and reduced nerve impulses. Q: The nurse is teaching a patient recently diagnosed with multiple sclerosis about the disease. Which statement is not correct concerning multipe sclerosis? Answer Goals of treatment are to decrease the inflammation in the nervous system. Q: A patient with multiple sclerosis is having muscle spasticity. The nurse anticipates which drug will be prescribed to treat the patient's spasticity? Answer Cyclobenzaprine Q: The nurse anticipates that the health care provider will prescribe which medication to treat a patient with relapsing-remitting multiple sclerosis? Answer Glatiramer acetate Q: The nurse is providing medication instructions to a patient with acute muscle spasms who has been prescribed cyclobenzaprine. Which statement indicates to the nurse that the patient understands the instructions? Answer I plan to take this medication with a glass of milk. Q: Which instrcutions will the nurse include in the teaching plan for a patient who is taking pyridostigmine? (Select all that apply.) Answer Pyridostigmine must always be taken on time. Take the prescribed dose every other week. Underdosing can result in myasthenic crisis. Report the adverse effect of tachycardia to teh health care provider (HCP). Q: A patient is beginning to take cyclobezaprine for treatment of acute back spasms. Which interventions will the nurse include in the care of this patient? (Select all that apply.) Answer Inform the patient not to abruptly stop taking the muscle relaxant. Tell the patient to report dizziness and double vision to the HCP. Advise the patient to avoid consuming alcohol beverages. Taking narcotics at the same time can cause serious side effects. Q: The patient was just prescribed cycobezaprine for back spasms. The nurse is reviewing the patient's drug profile and plans to contact the HCP about which drug on the patient's daily profile? Answer Valerian Q: A patient taking cyclobezaprine might experience which of the following anticholinergic side effects? (Select all that apply.) Answer Blurred vision Dry mouth Constipation Urinary retention Q: A patient is taking ibuprofen. The nurse understands that COX-1 and COX-2 inhbitors are different in that inbuprofen is more likely than celecoxib to cause which adverse effect? Answer Peptic ulcer disease Q: When teaching a patient who is receiving allopurinol, what should the nurse encourage the patient to do? Answer Have annual eye examinations. Q: A patient is admitted to the hospital with an acute gout attack. The nurse expects that which medication will be ordered to treat acute gout? Answer Colchicine Q: A patient is taking aspirin for arthritis. Which adverse reaciton should the nurse teach the patient to report to the health care provider? Answer Weight loss Q: The nurse is teaching a patient about taking aspirin. Which are important points to include? (Select all that apply.) Answer Advise the patient to avoid alcohol while taking aspirin. Instruct the patient to inform the dentist of the aspirin dosage before having dental work. Instruct the patient to inform the surgeon of the aspirin dosage before having surgery. Q: A patient is taking infliximab and asks the nurse what side effects/adverse reactions to expect from this drug. The nurse lists which side effects? (Select all that apply.) Answer Fatigue Headache Chest pain Severe infections Q: A patient requires a nonopioid medication. The nurse knows that which medication will cause the least gastrointestinal distress? Answer Celecoxib Q: A patient states during a medical history that he takes several acetaminophen tablets throughout the day for acute pain. The nurse teaches the patient that the dosage should not exceed which amount? Answer 3 g/day Q: For the patient receiving periodic morphine via intravenous push, which of the following findings would be of utmost concern to the nurse? Answer Increased temperature Q: A patient is admitted to the emergency department with signs of respiratory distress after self-injection with hydromorphone. The admitting nurse knows that which drug will reverse respiratory depression caused by opioid overdose? Answer Naloxone Q: Assessing a patient after intravenous morphine administration, the nurse notes cold, clammy skin; a pulse of 40 beats/min; respirations of 10 breaths/min; and constricted pupils. Which medication will the patient likely need next? Answer Naloxone Q: For the patient taking acetaminophen, what should the nurse do? Answer Monitor routine liver enzyme tests. Encourage the patient to check package labels of over-the-counter drugs to avoid overdosing. Report side effects immediately, as toxicity can cause severe hepatic damage. Q: For the patient who is taking nalbuphine, what should the nurse do? (Select all that apply.) Answer Monitor any changes in respirations. Administer intravenous nalbuphine undiluted. Instruct the patient to avoid alcohol when taking nalbuphine to avoid respiratory depression. Q: A patient is having a migraine attack. The nurse should know that which drugs are used to treat migraine attacks? Answer Triptans A health care professional should understand that naloxone can reverse the effects of an excessive dosage of which of the following drugs? Answer -Aspirin -Acetaminophen (Tylenol) -Morphine -Prednisone Morphine - Naloxone, an opioid antagonist, reverses the effects of morphine, an opioid analgesic. Health care professionals should monitor respirations and reassess patients after the effects of naloxone have diminished (20 to 40 min) for recurrence of the adverse effects of morphine. NOT:_____ Aspirin Naloxone, an opioid antagonist, does not reverse the effects of an overdose of aspirin. The treatment of salicylism, a result of high doses of aspirin, involves stopping aspirin therapy until symptoms resolve and then resuming with lower doses. There is no specific reversal agent. Acetaminophen (Tylenol) Answer Naloxone, an opioid antagonist, does not reverse the effects of acetaminophen, a nonopioid analgesic. Acetylcysteine (Acetadote) treats acetaminophen overdose. Prednisone Answer Naloxone, an opioid antagonist, does not reverse the effects of prednisone, a glucocorticoid. High-dose glucocorticoid therapy can cause serious effects, such as myopathy, glaucoma, and peptic ulcer disease. The treatment involves stopping glucocorticoids or reducing the dose. There is no specific reversal agent. PT takes Furosemide (Lasix) and is about to take prednisone to treat IBD. The health care professional should monitor the patient for which of the following results of concurrent use of the two drugs? Answer -Hypercalcemia -Hypoglycemia -Hypothermia -Hypokalemia Hypokalemia - Prednisone, a glucocorticoid, can cause hypokalemia. The risk for this electrolyte imbalance increases with potassium-depleting diuretics, such as furosemide. Health care professionals should monitor potassium levels of patients who are taking both drugs or recommend the primary care provider prescribe a safer combination. -cal - Concurrent use of prednisone and furosemide is unlikely to cause hypercalcemia. Prednisone, however, can cause hypernatremia and edema. - hypoglycemia - Concurrent use of prednisone and furosemide is unlikely to cause hypoglycemia. Both prednisone and furosemide can cause hyperglycemia, however. - hypothermia - Concurrent use of prednisone and furosemide is unlikely to cause hypothermia. Prednisone can, however, suppress the immune response and cause infection. About to begin Celecoxib (Celebrex) for rheumatoid arthritis. Report which adverse reactions? Chest pain Tinnitus Constipation Diaphoresis Chest pain Celecoxib, a COX-2 inhibitor, can cause cardiovascular or cerebrovascular events. Patients should report chest pain, shortness of breath, headache, numbness, weakness, or confusion. Primary care providers should prescribe the lowest effective dosage for the shortest time period possible. NOT:_________ Tinnitus Celecoxib, a COX-2 inhibitor, is unlikely to cause tinnitus. Aspirin is more likely to cause ringing or buzzing in the ears. Constipation Celecoxib, a COX-2 inhibitor, is more likely to cause diarrhea than constipation. Diaphoresis Celecoxib, a COX-2 inhibitor, is unlikely to cause diaphoresis. Salicylism, due to aspirin toxicity, can cause diaphoresis, tinnitus, and headache. A patient who takes low-dose aspirin to prevent cardiovascular events asks a health care professional about taking ibuprofen (Advil) to treat rheumatoid arthritis. The health care professional should respond with which of the following statements? "Ibuprofen will increase the risk for salicylism." "Ibuprofen will reduce the antiplatelet effects of low-dose aspirin." "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." "Low-dose aspirin will reduce the analgesic effects of ibuprofen." Ibuprofen will reduce the antiplatelet effects of low-dose aspirin. - Ibuprofen, an NSAID, reduces the antiplatelet effects of low-dose aspirin. Patients taking low dose aspirin for its antiplatelet effects should not take ibuprofen. ____________ "Ibuprofen will increase the risk for salicylism." -Ibuprofen, an NSAID, does not increase the risk for salicylism, a complication of salicylates such as aspirin. However, when patients take ibuprofen with anticoagulants or glucocorticoids, their risk for bleeding increases. "Low-dose aspirin will reduce the anti-inflammatory effects of ibuprofen." -Low-dose aspirin can add a slight anti-inflammatory effect to that of ibuprofen; however, patients should not take the drugs together. "Low-dose aspirin will reduce the analgesic effects of ibuprofen." -Low-dose aspirin can add a slight analgesic effect to that of ibuprofen; however, patients should not take the drugs together. P/t is taking Allopurinol (Zyloprim) to prevent hyperuricemia. Report effects? Palpitations Sore throat Vertigo Bruising Vision changes Sore throat Vertigo Bruising Vision changes Sore throat is correct. Allopurinol, an antigout drug, can cause agranulocytosis. Health care professionals should monitor WBC counts, and tell patients to report fever or sore throat and avoid crowds or exposure to people who might have communicable diseases. Vertigo is correct. Allopurinol, an antigout drug, can cause drowsiness and vertigo. Patients should avoid activities that require mental alertness until they know how the drug will affect them. They should also report vertigo. Bruising is correct. Allopurinol, an antigout drug, can cause thrombocytopenia. Health care professionals should monitor platelets and have patients report any bleeding or bruising. Vision changes is correct. Allopurinol, an antigout drug, can cause cataracts with extended use. Patients should report vision changes, such as cloudiness or halos around lights, and have eye examinations at recommended intervals. NOT: Palpitations is incorrect. Allopurinol, an antigout drug, is unlikely to cause palpitations. It can cause liver or kidney dysfunction, so patients should increase fluid intake and report any abdominal pain, jaundice, or reduced urine output. Opioid-dependent pt who is about to take butorphanol (Stadol). Risk? -Bronchospasm -Vomiting -Peripheral edema -Abdominal cramps -Hypertension Vomiting Abdominal Cramps Hypertension Vomiting is correct. Abstinence syndrome can cause nausea, vomiting, and anorexia. Abdominal cramps is correct. Abstinence syndrome can cause abdominal cramps and anorexia. Hypertension is correct. Abstinence syndrome can cause hypertension, tremors, and fever. ________________ Bronchospasm is incorrect. Abstinence syndrome, due to sudden drug withdrawal or use of an opioid agonist-antagonist such as butorphanol by a patient who is opioid-dependent, can cause fever and tremors. However, it is unlikely to cause bronchospasm. Peripheral edema is incorrect. Abstinence syndrome can cause fever, anxiety, and restlessness. However, it is unlikely to cause peripheral edema. Older adult patient about take prednisone for long-term treatment of rheumatoid arthritis. Monitor effects? -Pulmonary embolism -Hepatitis -Bone loss -Breast cancer Bone loss -Prednisone, a glucocorticoid, can cause osteoporosis, especially with long-term use. Patients taking the drug should increase weight-bearing activity and report back pain. Health care professionals should monitor bone density. -Pulmonary embolism - Prednisone, a glucocorticoid, is unlikely to cause blood clots or pulmonary embolism. It can cause myopathy, however, so patients should report muscle pain or weakness. -Hepatitis - Prednisone, a glucocorticoid, is unlikely to cause hepatitis. However, it can delay wound healing and mask an infection. -Breast cancer - Prednisone, a glucocorticoid, is unlikely to cause breast cancer. Hormone replacement with estrogen can increase the risk of breast cancer. Naloxone to treat morphine overdose. Monitor Adverse? Tachypnea Increased pain Thrombophlebitis Tachycardia Hypertension Tachypnea Increased Pain Tachycardia Hypertension Tachypnea is correct. Naloxone treats respiratory depression, but it can cause hyperventilation. It is essential for the health care professional to monitor respiration and oxygenation for patients receiving the drug. Increased pain is correct. Naloxone reverses the analgesic effects of opioids and can cause increased pain and discomfort. It is essential for the health care professional to assess pain frequently for patients receiving the drug. Tachycardia is correct. Naloxone can increase heart rate. It is essential for the health care professional to monitor patients receiving the drug for tachycardia and ventricular dysrhythmias. Hypertension is correct. Naloxone can cause hypertension. It is essential for the health care professional to monitor blood pressure for patients receiving the drug. NOT:______ Thrombophlebitis is incorrect. Naloxone can increase partial thromboplastin time, causing bleeding. It is unlikely to cause a blood clot. A patient recovering from a total knee arthroplasty has been prescribed acetaminophen (Tylenol) for mild discomfort that does not require an opioid. The health care professional should tell the patient to report which of the following early indications of acetaminophen overdose? (Select all that apply.) Diaphoresis Palpitations Shortness of breath Nausea Diarrhea Diaphoresis Nausea Diarrhea Diaphoresis is correct. It is excessive sweating. Acetaminophen toxicity can cause diaphoresis, anorexia, and, eventually, liver damage. Patients should following the dosage guidelines on the labels of over-the-counter drugs carefully to avoid overdose. Nausea is correct. Acetaminophen toxicity can cause nausea, vomiting, and anorexia and can lead to liver damage. Diarrhea is correct. Acetaminophen toxicity can cause diarrhea, lethargy, and, eventually, liver damage. NOT:_____ Palpitations is incorrect. Acetaminophen toxicity is unlikely to cause tachycardia and palpitations. Naloxone, an opioid antagonist, can cause tachycardia. Shortness of breath is incorrect. Acetaminophen toxicity is unlikely to cause shortness of breath. Celecoxib (Celebrex) can cause shortness of breath. Beginning aspirin to treat ankle sprain. Report adverse reactions? Polyuria Bone pain Weight gain Infection Weight Gain - renal dysfunction. - Weight gain Aspirin use can cause renal dysfunction, especially in older adults and patients who have pre existing renal or liver dysfunction and heart failure. Patients should report reduced urine output, weight gain, edema, or bloating. Health care professionals should monitor BUN and creatinine values, and stop aspirin therapy for patients who develop signs of renal dysfunction. NOT:_____ Polyuria Aspirin can cause reduced urine production, not polyuria. Polyuria often indicates hyperglycemia. Prednisone, a glucocorticoid, can reduce the effectiveness of insulin or oral hypoglycemic drugs, causing hyperglycemia. Bone pain Aspirin is unlikely to cause bone pain; however, it can cause prolonged bleeding time and petechiae. Infection Aspirin is unlikely to cause infection, but it can cause thrombocytopenia and increased bleeding. Patients should report bruising, black tarry stools, or coffee-ground or bloody emesis. A health care professional is caring for a patient who is about to begin taking allopurinol (Zyloprim) to treat gout. The health care professional should monitor the patient for hypersensitivity syndrome, which causes which of the following clinical manifestations? Fever Muscle pain Anxiety Tremors Fever rash, itching, or fever, as hypersensitivity reactions can lead to renal or liver dysfunction. Patients who develop this type of reaction should stop taking the drug. NOT:__________ Muscle pain Allopurinol, an antigout drug, is unlikely to cause muscle pain. It can, however, cause nausea, vomiting, and diarrhea. Anxiety Allopurinol, an antigout drug, is unlikely to cause anxiety. It can, however, cause a metallic taste and headache. Tremors Allopurinol, an antigout drug, is unlikely to cause tremors. It can, however, cause drowsiness and malaise. About to begin butorphanol for pain control. Monitor patient for: Infection Nausea Tachycardia Dizziness Headache Nausea Dizziness Headache Nausea is correct. Butorphanol, an opioid agonist-antagonist, can cause nausea. Patients taking the drug should lie down when feeling nauseated. Dizziness is correct. Butorphanol, an opioid agonist-antagonist, can cause dizziness and drowsiness. Patients taking the drug should avoid activities that require alertness. Headache is correct. Butorphanol, an opioid agonist-antagonist, can cause headaches and increased intracranial pressure. Patients taking the drug should report severe headaches. NOT:______ Tachycardia is incorrect. Butorphanol, an opioid agonist-antagonist, is more likely to cause bradycardia than tachycardia. Infection is incorrect. Butorphanol, an opioid agonist-antagonist, is unlikely to cause infection. Prednisone, a glucocorticoid, is a drug that suppresses the immune response and increases patients' susceptibility to infection. Pt is about to take Prednisone to treat systemic lupus erythematosus. Instructions to provide are? -Reduce the dose during periods of stress. -Discontinue the drug gradually. -Report illness or infection. -Increase intake of calcium and vitamin D. -Monitor for signs of gastric bleeding. -Discontinue the drug gradually -Report Illness or infection -Increase intake of calcium and vitamin D -Monitor signs of gastric bleeding. Discontinue the drug gradually is correct. Prednisone, a glucocorticoid, suppresses adrenal function. Patients taking the drug should taper the dosage before discontinuing it to allow for resumption of adrenal activity. Report illness or infection is correct. Patients can need higher doses of prednisone during illness or infection. Health care professionals should tell patients taking the drug to report signs of infection. Increase intake of calcium and vitamin D is correct. Prednisone, a glucocorticoid, can cause bone loss and reduced calcium absorption. Patients should increase their intake of calcium and vitamin D. Monitor for signs of gastric bleeding is correct. Prednisone, a glucocorticoid, can cause peptic ulcer disease. Patients should report signs of gastric bleeding, such as hematemesis or black tarry stools. NOT: ____ Reduce the dose during periods of stress is incorrect. Patients can need higher doses of prednisone during times of stress. Health care professionals should tell patients taking the drug to report stressful events. Question Morphine for patient recovering from? Mastectomy Knee arthroplasty Cystoscopy Cholecystectomy Cholecystectomy Morphine can cause biliary colic. It is inappropriate for patients who have just had biliary tract surgery, such as a cholecystectomy. NOT:______ Mastectomy Morphine, an opioid analgesic, is an appropriate choice post mastectomy. It is inappropriate for patients who have a head injury or have just had intracranial surgery. Knee arthroplasty Morphine, an opioid analgesic, is an appropriate choice following knee arthroplasty. It is inappropriate for patients who have cardiovascular disease or dysrhythmias. Cystoscopy Morphine, an opioid analgesic, is an appropriate choice post cystoscopy. It is inappropriate for patients who have renal failure or benign prostatic hypertrophy. A health care professional should advise patients to take acetaminophen (Tylenol) for which of the following? (Select all that apply.) To reduce fever To decrease inflammation To relieve mild pain To promote sedation To alleviate anxiety To reduce fever - To reduce fever is correct. Acetaminophen reduces fever. It is important, however, to monitor patients taking the drug for signs of hepatotoxicity. To relieve mild pain - To relieve mild pain is correct. Acetaminophen relieves mild to moderate pain. It is important, however, to monitor patients who might take high doses for early signs of toxicity, including sweating, nausea, diarrhea, and abdominal discomfort. __________ To decrease inflammation is incorrect. Acetaminophen does not have anti-inflammatory properties. Aspirin and ibuprofen (Advil) are drugs that reduce inflammation. To promote sedation is incorrect. Acetaminophen does not cause sedation. Morphine, an opioid analgesic, promotes sedation. To alleviate anxiety is incorrect. Acetaminophen does not reduce anxiety. Morphine, an opioid analgesic, reduces anxiety. A health care professional should advise a patient who has which of the following to stop taking ibuprofen (Advil) to treat an occasional headache or muscle strain? Penicillin allergy Peptic ulcer disease Dysmenorrhea Hyperthyroidism Peptic ulcer disease Dysmenorrhea Hyperthyroidism Peptic ulcer disease. - Ibuprofen, an NSAID, is inappropriate for patients who have peptic ulcer disease. Health care professionals should monitor patients who are taking over-the-counter analgesics for gastric bleeding, and test or treat patients who have Helicobacter pylori prior to long-term or repeated treatment with these drugs. NOT:______ Penicillin allergy Patients who are allergic to penicillin may take ibuprofen, an NSAID. NSAIDs are unsafe for patients who have hypersensitivity to these drugs. Dysmenorrhea Ibuprofen, an NSAID, treats dysmenorrhea. NSAIDs are inappropriate for patients who have bleeding disorders. However, dysmenorrhea is not considered a bleeding disorder. It is painful menstruation associated with abd cramps. Hyperthyroidism Patients who have hyperthyroidism may take ibuprofen, an NSAID. NSAID use requires caution for patients who have hypertension or heart failure. A health care professional should question the use of acetaminophen (Tylenol) for patients who have which of the following? -Asthma -DM -Heart Failure -Alcohol use disoprder Alcohol use disorder (liver toxicity). - Acetaminophen can cause liver toxicity. Patients who have a history of alcohol use disorder should not take the drug. NOT:___ Asthma Patients who have asthma can take acetaminophen but should use caution when taking celecoxib (Celebrex). Diabetes mellitus Patients who have diabetes can take acetaminophen but should use caution when taking celecoxib (Celebrex). Heart failure Patients who have heart failure can take acetaminophen but should use caution when taking celecoxib (Celebrex). A health care professional should question the use of morphine for a patient who is taking which of the following drugs? - Phenobarbital (Luminal) for a seizure disorder - Warfarin (Coumadin) for anticoagulation - Glipizide (Glucotrol) for diabetes mellitus - Alendronate (Fosamax) for osteoporosis Phenobarbital (luminal) for seizure disorder. -Phenobarbital (Luminal) for a seizure disorder Taking morphine and phenobarbital together can cause increased CNS depression. Lower morphine doses are essential for patients who are taking phenobarbital. Health care professionals should monitor patients who are taking both drugs for decreased respirations and blood pressure and increased sedation. Warfarin (Coumadin) for anticoagulation Patients may take morphine and warfarin concurrently. Morphine can, however, increase the anticholinergic effects of antihistamines and tricyclic antidepressants. Glipizide (Glucotrol) for diabetes mellitus Patients may take morphine and glipizide concurrently. However, morphine can induce a hypertensive crisis in patients who are taking monoamine oxidase inhibitors. Alendronate (Fosamax) for osteoporosis Patients may take morphine and alendronate concurrently. However, antihypertensive drugs can increase the hypotensive effects of morphine. A health care professional should question the use of tramadol (Ultram) for patients who have which of the following? Seizure disorder -Tramadol, a nonopioid analgesic, can cause seizure activity. Patients who have seizure disorders, head injuries, or increased intracranial pressure should not take the drug. NOT:_____ Hyperthyroidism Patients who have hyperthyroidism may take tramadol, a nonopioid analgesic. Patients who have hypothyroidism, however, should use caution when taking the drug. Rheumatoid arthritis Patients who have rheumatoid arthritis may take tramadol, a nonopioid analgesic. Patients older than 75 years, however, should use caution when taking the drug. Urinary incontinence Tramadol, a nonopioid analgesic, is more likely to cause urinary retention than urinary incontinence. A health care professional is caring for a patient who has osteoarthritis and is about to begin taking aspirin. The health care professional should tell the patient to report which of the following possible indications of salicylism (Aspirin poisoning or salicylism is acute or chronic poisoning with aspirin or other salicylates)? (Select all that apply.) Fever Tinnitus Diaphoresis Thrombophlebitis Dizziness Tinnitus Diaphoresis Dizziness Tinnitus is correct. Ringing or buzzing in the ears can indicate salicylism. Patients should report this reaction, and stop taking aspirin at least until tinnitus resolves. Diaphoresis is correct. Sweating and headache can indicate salicylism. Patients should report these effects, and stop taking aspirin at least until the effects resolve. Dizziness is correct. Dizziness can indicate salicylism. Patients should report this effect, and stop taking aspirin at least until it resolves. NOT:_______ Thrombophlebitis is incorrect. Aspirin is unlikely to cause thrombophlebitis. However, non aspirin NSAIDs can cause thromboembolic events. Patients should report chest pain, shortness of breath, or confusion, and watch for redness or swelling in the calf. Fever is incorrect. Aspirin helps reduce fever, and salicylism does not cause fever. Prednisone, a glucocorticoid, is a drug that suppresses the immune response and increases patients' susceptibility to infection and fever. A health care professional is preparing for administer butorphanol (Stadol) to a patient for pain control. During administration, the health care professional should take which of the following actions? Caution the patient about the drug's potential for abuse. Withhold the drug for respiratory rates below 12/min. Administer one nasal spray into each nostril. Give the drug with an opioid agonist for maximal effects. Withhold the drug for respiratory rates below 12/min. - Butorphanol, an opioid agonist-antagonist, can cause respiratory depression. It is essential to monitor respiratory rate prior to administration and withhold the drug for rates below 12/min. NOT:___________ Caution the patient about the drug's potential for abuse. Butorphanol, an opioid agonist-antagonist, has a low potential for abuse. It is a schedule IV controlled substance. Administer one nasal spray into each nostril. An intranasal dose is one spray into one nostril, with repeated doses every 60 to 90 min as needed. Give the drug with an opioid agonist for maximal effects. Butorphanol, an opioid agonist-antagonist, would reduce the effects of the opioid agonist. A health care professional should question the use of celecoxib (Celebrex) for a patient who has which of the following? Rheumatoid arthritis Ankylosing spondylitis An allergy to sulfonamides Adrenocortical insufficiency An allergy to sulfonamides -Patients who are allergic to sulfonamides can have severe allergic reactions to celecoxib, a COX 2 inhibitor. Patients who are allergic to salicylates can also react adversely to the drug. NOT:_______ Rheumatoid arthritis Celecoxib, a COX-2 inhibitor, treats rheumatoid arthritis. Caution is essential, however, when using the drug with patients who have heart failure or diabetes mellitus. Ankylosing spondylitis Celecoxib, a COX-2 inhibitor, treats ankylosing spondylitis. Caution is essential, however, when using the drug with patients who have hypertension or asthma. Adrenocortical insufficiency Patients who have adrenocortical insufficiency may take celecoxib, a COX-2 inhibitor. The drug is an unsafe choice, however, for patients who have advanced renal or liver disease. A health care professional is caring for a patient who is about to begin taking tramadol (Ultram) to treat moderate acute pain from a shoulder injury. When talking with the patient about the drug, the health care professional should include which of the following instructions? (Select all that apply.) Increase fiber and fluid intake. Take the drug with food. Avoid driving after taking the drug. Change positions gradually. Reduce exercise level temporarily. Increase fiber and fluid intake Take the drug with food. Avoid driving after taking the drug Change positions gradually. Increase fiber and fluid intake is correct. Tramadol can cause constipation and dry mouth. Patients taking the drug should increase fluid and fiber intake to minimize constipation, and sip water, suck on hard candy, or chew gum to relieve dry mouth. Take the drug with food is correct. Tramadol can cause nausea and vomiting. Patients should take the drug with food or milk and lie down if feeling nauseated. Avoid driving after taking the drug is correct. Tramadol can cause sedation and drowsiness. Patients taking the drug should avoid driving or other activities that require alertness. Change positions gradually is correct. Tramadol can cause sedation and dizziness. Patients taking the drug should use caution when changing positions and ambulating. NOT:______ Reduce exercise level temporarily is incorrect. Tramadol can cause constipation. Patients taking the drug should increase exercise as tolerated to minimize constipation. Receiving morphine to relieve severe pain. Monitor which effects? Select all that apply: Diarrhea Urinary retention Respiratory depression Sedation Orthostatic hypotension Urinary retention Respiratory depression Sedation Orthostatic hypotension Urinary retention is correct. Morphine can cause urinary retention. Health care professionals should monitor fluid intake and output and assess for bladder distention. Respiratory depression is correct. Morphine can cause severe respiratory depression. Health care professionals should withhold the drug for respiratory rates below 12/min. Sedation is correct. Morphine can cause sedation, dizziness, and lightheadedness. Patients taking the drug should avoid activities that require alertness. Orthostatic hypotension is correct. Morphine can cause hypotension and postural hypotension. Patients taking the drug should change positions gradually. NOT:_____ Diarrhea is incorrect. Morphine is more likely to cause constipation than diarrhea. Patients taking the drug should increase fluid and fiber intake to minimize constipation. Which Drug can increase risk of Reye's syndrome in children with viral infections? Butorphanol (Stadol) Acetaminophen (Tylenol) Tramadol (Ultram) Aspirin Aspirin. -NSAIDs, especially aspirin, can increase the risk for Reye's syndrome in children who have a viral infection, particularly chickenpox or influenza. Manifestations of Reye's syndrome include lethargy and persistent vomiting. NOT:______ Butorphanol (Stadol) Butorphanol, an opioid agonist-antagonist, does not increase the risk for Reye's syndrome in children. The drug is inappropriate for children younger than 18 years. Acetaminophen (Tylenol) Acetaminophen, a nonopioid analgesic, does not increase the risk for Reye's syndrome in children. It is an appropriate choice for symptomatic relief of viral infections in children. It can, however, cause liver damage, especially in high doses and with prolonged use. Tramadol (Ultram) Tramadol, a nonopioid analgesic, does not increase the risk for Reye's syndrome in children. The drug is inappropriate for children younger than 16 years.