Question

b. "I am hopeful that this drug will get rid of this awful disease." c. "I understand I might need a transfusion. d. "I should take acetaminophen (Tylenol), not aspirin, if I get a fever." 19. An adult client has been diagnosed as having rheumatoid arthritis and is started on Piroxicam (Feldene) 20 mg daily. Two days later, the client calls the nurse and says that her joints still hurt. What is the best response for the nurse to make? a. "It may take up to tow weeks before results are seen with Feldene." b. "Take aspirin with the Feldene. It has an additive effect." c. "Come in to see the physician. You should have pain relief by now." d. "You may need more medication. Take one additional pill each day." d to the emergency room with salicylate poisoning. Her 20. A 13-month-old child is admitte mother found her beside the empty bottle of adult aspirin. She says there were "about 10" aspiring left in the bottle. What manifestations would the nurse most expect to see in the child? a. Bradypnea and pallor b. Hyperventilation and hyperpyrexia. c. Subnormal temperature and bleeding. d. Melena and bradycardia 21. A toddler who has swallowed several adult aspirin is admitted to the emergency room. admitted, the child is breathing but is difficult to arouse. What is the immediate priority of care? a. Administration of syrup of ipecac b. Cardiopulmonary resuscitation. c. Ventilatory support. d. Gastric lavage. When 22. An adult client is on call for the operating room. The meperidine HCI (Demerol) 100 mg IM and atropine 0.4 mg IM. The operating room calls at II a.m. and requests that the client be medicated. The nurse notes that the client lasts received meperidine for pain at 10 a.m. What is the most pre-op medication order is for take? a. Give the pre-op medication as ordered. b. Give half the dose of meperidine and all of the atropine c. Check with the anesthesiologist before administering the medication. d. Withhold both the meperidine and the atropine 23. An adult client had an abdominal hysterectomy this morning. Meperidine HCI (Demerol) 75 mg IM q 3-4 hrs prn for pain is ordered. At 9 p.m., she complains of lower abdominal pain. She was last medicated at 5:45 p.m. What is the most appropriate initial action for the nurse to take? a. Offer her a bed pan and a back rub. b. Reposition her. c. Administer meperidine HCI 75 mg IM.

Answer 1

19.Piroxicam after administration starts acting in 3 to 5 hours.The actual effect begins a week ,in certain cases the action may take up to two weeks.In patient education,  the patient has to informed about this the medicines will take time to reacts

Ans:a.It may take up to two weeks before results are seen with Feldene

20.Aspirin belongs to one of the pain killer prescribed mostly for adults and the childrens are prescribed. Accidental intake is possible the toxicity of 5ml  can result in death.The toxicity symptoms are

GI:Nausea, vomiting,

Sensory:tinnitus

Respiratory :hypoxia,hyoerventilation followed hypoventilation,pulmonary edema,respiratory failure,tachpenea

Kidney failure

CNS:Confusion,

CVS:Hypotension,tachycardia

General :fever ,dehydration

Ans:B.Hyoerventilation and hyperpyrexia

21.After an aspirin injection by a child the first thing to be done is to prevent its absorption by gastric lavage,correcting the symptoms and administration of antidote

Ans:d.Gastric lavage

22.It is a opiate analgesics and has effects similar to morphine .It cannot be administered in less than a hour nor a half dose is recommended.So 7t has to be confirmed with anestheologist before administration for order

Ans:C.Check with anestheosiolgist before administering the medication