Chapter 12: Nonopioid Analgesics: Salicylates and Nonsalicylates - Nurselytic

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Roach's Introductory Clinical Pharmacology 11th Edition

Chapter 12 Questions

Question 1 of 5

A nurse recognizes the difference between an opioid and nonopioid analgesic. Which of the following would the nurse identify as nonopioid analgesics?

Correct Answer: C,E

Rationale: The nonopioid analgesics can be divided into three categories: salicylates, nonsalicylates, and NSAIDs. Acetaminophen (nonsalicylate) and diflunisal (salicylate) are nonopioid analgesics, whereas morphine, codeine, and oxycodone are opioid analgesics.

Question 2 of 5

A nurse is describing the overall effects associated with aspirin to a client. The nurse integrates knowledge of which of the following when describing this drug?

Correct Answer: A,B,C

Rationale: Aspirin is a salicylate with analgesic, antipyretic, and anti-inflammatory effects. It does not have anti-infective or antiviral properties.

Question 3 of 5

A group of nursing students are reviewing information about salicylates. The students demonstrate understanding of the information when they identify which of the following as a salicylate?

Correct Answer: A,B,D

Rationale: Ecotrin (acetylsalicylic acid), Bufferin (magnesium salicylate), and Dolobid (diflunisal) are salicylates. Tylenol is a nonsalicylate, and Motrin is an NSAID.

Question 4 of 5

A nursing instructor is preparing a class that will describe aspirin. Which of the following would the instructor include about aspirin's effects on platelets?

Correct Answer: B,D

Rationale: Aspirin inhibits platelet aggregation, prolonging bleeding time, and its effect on platelets is irreversible, lasting for the life of the platelet (7 to 10 days).

Question 5 of 5

After administering diflunisal to a client, the nurse would be alert for which of the following as an adverse reaction?

Correct Answer: B,C,D

Rationale: Adverse effects of diflunisal, a salicylate, include gastric upset, heartburn, nausea, vomiting, anorexia, and GI bleeding (dark, tarry stools). Weight loss is also a potential adverse effect.

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