Pharmacology EDAPT - Nursing Application: Nonsteroidal Antiinflammatory Drugs

Pharmacology EDAPT - Nursing Application: Nonsteroidal Antiinflammatory Drugs A patient is prescribed ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID). Which of the following are the therapeutic actions of NS ...

Pharmacology EDAPT - Nursing Application: Nonsteroidal Antiinflammatory Drugs A patient is prescribed ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID). Which of the following are the therapeutic actions of NSAIDs, including ibuprofen? Select all that apply. - ✔✔analgesic, antipyretic, anti-inflammatory A patient is prescribed an NSAID to help prevent heart attack and stoke. Which of the following prescriptions would the nurse anticipate? - ✔✔aspirin A patient is prescribed Naproxen to be taken three times per day for Rheumatoid Arthritis. The nurse is concerned about a prolonged bleeding time drug-to-drug interaction with which other medication the patient is already taking? - ✔✔warfarin A patient is prescribed Celecoxib. Which of the following from the patient's history should raise a concern to the nurse? Click to select the correct answer(s) from the sentences below. - ✔✔sulfa Before starting NSAID therapy the nurse must assess several things. Match the correct assessment item with the rationale. - ✔✔All NSAIDS: assess for an allergy to aspirin Celecoxib (Celebrex) should be avoided in these patients: assess for a sulfa allergy Increased risk for hypersensitivity reactions: assess for asthma contraindicated with NSAID therapy due to risk of bleeding: assess for GI lesions Drag and drop the appropriate patient discharge teaching related to NSAIDs. - ✔✔Correct Do not crush or chew enteric-coated tablets Monitor for bleeding in stool or any other unusual bleeding take NSAIDS with a full glass of water and remain upright Notify your prescriber if severe bleeding or GI pain occur Take after or with food Therapeutic effects may take 3-4 weeks The patient asks the nurse how long it will take for the prescribed NSAID to work for her systemic inflammation from rheumatoid arthritis. What should be the nurse's response? - ✔✔3-4 weeks A patient received a prescription for an NSAID for relief of a pain level of 7/10 associated with osteoarthritis. How will the nurse assess if the medication is working? Select all that apply. - ✔✔reported pain level of 4/10 decreased joint tenderness The nurse is providing patient teaching for the side effects of NSAIDs. Which of the following should be included? Select all that apply. - ✔✔hepatotoxicity increased risk of MI and stroke severe GI bleeding In which of the following patients are NSAIDs contraindicated? Select all that apply. - ✔✔patient with acute kidney failure patient with active GI bleed patient pregnant in her 3rd trimester A patient is prescribed ketorolac (Toradol) for 5 days for lower back pain. What is the rationale for the prescribed length of time? - ✔✔Ketorolac may only be prescribed for 5 days due to renal and GI adverse effects A patient is taking ibuprofen 800 mg three times a day by mouth for rheumatoid arthritis. The patient mentions that on weekends he tends to have 3 or 4 beers. What is of highest concern to the nurse at this time? - ✔✔Increased chance for GI bleed from Ibuprofen and alcohol interactions A patient is prescribed low-dose aspirin to prevent heart attacks and strokes. The nurse checks the patient for a history of which conditions to ensure there is not an increased risk for bleeding? Select all that apply. - ✔✔ulcer vitamin k deficiency Select the item(s) that would be a safety concern to the nurse regarding this prescription? - ✔✔allergic to aspirin Which of the following patients have an indication of use for an NSAID? Select all that apply. - ✔✔72 year old patient with osteoarthritis 25 year old patient with a headache 9 year old with juvenile arthritis 3 year old with a fever Please match the medication with the correct fact. - ✔✔The most commonly used NSAID: ibuprofen The second most used NSAID: naproxen The only NSAID medication with antiplatelet action: aspirin the only COX-2 inhibitor under the NSAID class of medications: celecoxib