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TABLE 2 2012 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults Due to DrugDisease or DrugSyndrome Interactions That May Exacerbate. Pharm Final Prep U Flashcards. A female client is crying and states that everyone thinks she is a drug seeker, and that no one will listen to her. She states she is not an addict, but she has abdominal pain and must have something to make the pain subside. What is the best response of the nurseTell me more about your pain. Nurses must lessen the barriers to good pain management by showing sensitivity to the client and conducting a through assessment. Behind-the-Ear-Motion-Sickness-Patch-for-Children-and-Adults-20-Pcs-lot-Transdermal-Patch-for.jpg_350x350.jpg' alt='Scopolamine Patch Used To Dry Secretions During Death' title='Scopolamine Patch Used To Dry Secretions During Death' />The nurse needs to encourage the client to share information regarding pain so that an appropriate treatment plan can be designed. Nurses must demonstrate nonjudgmental attitudes with clients. Antipyretic drugs, such as aspirin, ibuprofen, and acetaminophen, often are used to alleviate the discomforts of fever and protect vulnerable organs, such as the brain, from extreme elevations in body temperature. Start studying Pharm Final Prep U. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Prescribing information for Transderm Scop patch by Sandoz, a Scopolamine patch for the treatment of motion sickness. However, the use of aspirin in children is limited due to the possibility of what disease Which patients are at a greater risk for liver failure during administration of acetaminophenScopolamine Patch Used To Dry Secretions In ThroatPatients who consume alcohol habitually. Facebook Messenger For Android 2.3. A nurse is caring for a patient in the early stage of rheumatoid arthritis. The nurse would expect which medication classification to be used in the treatment of this patient NSAIDs The NSAIDs are indicated for relief of the signs and symptoms of rheumatoid arthritis and osteoarthritis, for relief of mild to moderate pain, for treatment of primary dysmenorrhea, and for fever reduction. A nurse is caring for a patient who has self administered large doses of ibuprofen for several consecutive days. The nurse should caution the patient that overuse of ibuprofen may cause GI bleeding Adverse effects of ibuprofen and other nonsteroidal anti inflammatory drugs include GI irritation, ulceration, and bleeding. A 6. 0 year old patient with rheumatoid arthritis visits the health care facility for a regular checkup. The patient informs the nurse that the patient has been using an over the counter NSAID for the last few days. Why should the nurse caution the patient against the use of NSAIDs on a long term basisIncreased risk of GI bleeding. A patient is taking a nonsteroidal anti inflammatory agent. Which instruction should the patient be given in regards to administration Administer medication with food To prevent gastrointestinal irritation, instruct the patient to administer the medication with food. The administration of an NSAID with orange juice will increase gastric acid and not protect the gastric mucosa. Crushing enteric coated tablets will eliminate the protection of the gastric mucosa. Nonsteroidal anti inflammatory agents administered every other day will not protect the patient from gastric irritation. A patient is admitted to the emergency department with a suspected overdose of acetaminophen Tylenol. What adverse effect is most common in acute or chronic overdose of acetaminophen Tylenol The nurse explains to the client that NSAIDs act by which actions Inhibiting the synthesis of prostaglandins. The nurse teaches a patient with rheumatic disease who is being prescribed salicylate therapy to monitor themself for A patient with arthritis is on NSAID therapy. What should be evaluated by the nurse to determine the effectiveness of NSAID therapy What effects are exerted by aspirin Select all that apply. A patient enters the emergency room with reports of visual changes, drowsiness, and tinnitus. The patient is confused and hyperventilating. These symptoms may be attributable to salicylate intoxication Salicylate intoxication may occur with an acute overdose of aspirin. Manifestations of salicylism include nausea, vomiting, fever, fluid and electrolyte deficiencies, tinnitus, decreased hearing, visual changes, drowsiness, confusion, hyperventilation, and others. Acute acetaminophen toxicity results in potentially fatal hepatotoxicity. Ibuprofen overdose will cause gastric mucosal damage. Caffeine overdose will produce tachycardia. A nurse is presenting an educational event for a group of new parents. One factor that the nurse addresses is the overuse of acetaminophen, which can cause liver toxicity. What would the nurse tell the parents it is important to do To check the label of OTC medications carefully to watch for inclusions of acetaminophen. The client reports to the nurse that the client is having ringing in the ears. The nurse questions the client on use of what medication Morphine has been prescribed for a 2. The nurse will advise the patient to avoid A nurse is caring for two clients who are status postoperative for abdominal surgery. What is the best way to evaluate pain response after administering analgesiaWhile assessing clients receiving opioid analgesics for pain management, what would require health care provider notification The client with a pulse of 1. BP of 8. 06. 0The patient returns to the unit following surgery. The patient reports being in pain. After checking the medication administration record in the patients chart, the nurse sees that the patient has not received the morphine the physician has ordered for over an hour. As the order reads q 1 2 hours, the nurse administers the low dose of the morphine. The PACU nurse calls to tell the floor nurse that the nurse forgot to chart the last dose of morphine the patient had received just before the patient was transferred to the floor. What drug would the floor nurse be sure to have on the unit that is used to reverse the effects of opioidsNaloxone hydrochloride Narcan tartrate. An opioid nave patient experiences acute pain after surgery and is put on opioid therapy. Which severe adverse reactions of opioid treatment should the nurse monitor for in the patient A clients past experience with pain has little impact on the patients perception of pain. A patient has been given MS Contin. The nurse enters the room and find the patient is unresponsive. The patients respirations are 8 per minute. What medication will be ordered for the patientA nurse is instructing a patient on the administration of an opioid medication. What medication effect will develop A 7. After the patient returns to the floor, the patients daughter tells the nurse she is concerned that her mother will overdose on morphine because she keeps pressing the button on her PCA pump. What would be the nurses best responseThe device is preset, so your mother cannot get more than a specific amount. A geriatric client received a narcotic analgesic before leaving the post anesthesia care unit to return to the regular unit. What is the priority nursing intervention for the nurse receiving the client on the regular unit Put side rails up and place bed in low position. A male client is given morphine for myocardial ischemic pain. The nurse needs to monitor the patient more frequently for which adverse effect The client has difficulty swallowing and requests the nurse crush all medications. The nurse notes that the client has been prescribed an extended release opioid. The nurse should contact the health care provider because chewing or crushing destroys the long acting feature and constitutes an overdose.