Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is educating a client about interactions with acetylsalicylic acid (Aspirin). Which of the following supplements increases the risk of bleeding in clients who are taking NSAIDs? (Select All That Apply.)
A. Ginger
Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D
Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew
Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic
Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.
This question is an excerpt from Nurse Dive's nursing test bank - Ati nurs 180 pharmacology proctored exam. Take the full exam now
Full Explanation
A. Ginger is known to increase the risk of bleeding when taken with NSAIDs like aspirin because it has anticoagulant properties that can enhance the bleeding effects.
B. Vitamin D does not have an effect on bleeding and is not associated with an increased risk when taken with NSAIDs.
C. Feverfew also has anticoagulant effects and can increase the risk of bleeding, especially when combined with NSAIDs.
D. Garlic has natural blood-thinning properties and can increase the risk of bleeding, particularly when combined with NSAIDs.
Similar Questions
A client has been newly prescribed with morphine sulfate (Astramorph) for severe acute pain after seeing the physician for a follow-up appointment. However, the nurse noted that the client has a history of biliary colic. What is an alternative to morphine sulfate (Astramorph) for this client?
A. Morphine (MS Contin
Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B. Acetaminophen (Tylenol)
Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C. Meperidine (Demerol)
Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D. Naloxone (Narcan)
Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.
Full Explanation
A. Morphine is contraindicated for clients with a history of biliary colic because it can cause spasm of the bile ducts, worsening the condition.
B. Acetaminophen is an effective pain reliever for mild to moderate pain but does not provide the same level of pain relief as morphine for severe pain.
C. Meperidine (Demerol) is a safer alternative for clients with biliary colic because it has less effect on the sphincter of Oddi, reducing the risk of spasm.
D. Naloxone is an opioid antagonist used to reverse opioid toxicity, not for pain management.
A nurse is caring for a client that was overdosed with fentanyl. The nurse is concerned that the client is experiencing opioid toxicity triad. Which of the following signs indicate that the client is experiencing opioid toxicity triad? (Select All That Apply.).
A. Coma
Coma is a common symptom of opioid toxicity, including toxicity from fentanyl.
B. Respiratory depression
Respiratory depression is a hallmark of opioid toxicity and can be life-threatening.
C. Dilated pupils
Dilated pupils are generally associated with stimulant overdose, not opioid toxicity. Opioid toxicity typically causes pinpoint pupils.
D. Pinpoint pupils
Pinpoint pupils (miosis) are a classic sign of opioid toxicity and are present in the opioid toxicity triad.
Full Explanation
A. Coma is a common symptom of opioid toxicity, including toxicity from fentanyl.
B. Respiratory depression is a hallmark of opioid toxicity and can be life-threatening.
C. Dilated pupils are generally associated with stimulant overdose, not opioid toxicity. Opioid toxicity typically causes pinpoint pupils.
D. Pinpoint pupils (miosis) are a classic sign of opioid toxicity and are present in the opioid toxicity triad.
A nurse is caring for a client who has overdosed on morphine sulfate (Astramorph) and was provided naloxone (Narcan) via subcutaneous route 15 minutes ago. Which of the following signs indicate that the client has abstinence syndrome? (Select All That Apply.).
A. Coma
Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils
Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever
Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting
Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.
Full Explanation
A. Coma is typically a symptom of opioid overdose, not abstinence syndrome.
B. Pinpoint pupils are commonly associated with opioid toxicity, not abstinence syndrome.
C. Fever is a sign of abstinence syndrome, which can occur after opioid withdrawal.
D. Vomiting is also a symptom of abstinence syndrome, which is a withdrawal reaction that can occur when naloxone reverses opioid effects.