An 18-year-old basketball player fell and twisted his ankle during a game. The nurse will expect to administer which type of analgesic?

Correct Answer: D

Rationale: The correct answer is D: Nonopioid analgesic, such as indomethacin (Indocin). Given the ankle injury, nonopioid analgesics like indomethacin are appropriate for managing pain as they target inflammation and reduce pain without the risk of opioid-related side effects. Synthetic opioids (A) and opium alkaloids (B) are not typically indicated for mild to moderate pain like an ankle twist. Opioid antagonists (C) like naloxone are used to reverse opioid overdose, not for pain relief. In this case, the nonopioid analgesic is the most suitable choice for managing the player's pain effectively.

Correct Answer: B

Rationale: The correct answer is B: Signs of cinchonism, such as tinnitus, loss of hearing, or slight blurring of vision, may occur. Cinchonism is a potential side effect of quinidine sulfate, characterized by symptoms like tinnitus, loss of hearing, and blurred vision. It is essential for the nurse to educate the patient about these potential adverse effects to ensure early recognition and prompt reporting to the healthcare provider. This information is crucial for monitoring the patient's response to the medication and preventing further complications. Incorrect choices: A: The medication should not be stopped abruptly, and it is important to complete the prescribed course even if symptoms subside to prevent recurrence. C: While photosensitivity can be a side effect of some medications, it is not specifically associated with quinidine sulfate. It is not a priority teaching point for this medication. D: Seeing the tablet in the stool does not necessarily indicate treatment failure or danger. It is more likely due to the extended

Correct Answer: D

Rationale: The correct answer is D because antitussive drugs are used to suppress coughing. In the case of a patient who has developed bronchitis 2 days after abdominal surgery, coughing can be painful and may strain the surgical site. Therefore, using antitussive drugs to reduce the coughing can help prevent complications and promote healing post-surgery. A, B, and C are incorrect: A: Antitussive drugs are not appropriate for a patient with pneumonia and productive cough because coughing helps clear the airways of excess mucus. B: Antitussive drugs are not suitable for a patient with a tracheostomy and thick mucus secretions as coughing helps clear the secretions and prevent infections. C: Antitussive drugs are not indicated for a patient with a productive cough for 2 weeks as this may be a sign of an underlying condition that needs to be addressed rather than suppressed.

Correct Answer: C

Rationale: Parenteral administration usually produces a more rapid response than oral administration because the medication bypasses the digestive system and is directly absorbed into the bloodstream. This route includes injections, intravenous infusions, and intramuscular injections, allowing for quicker onset of action. Option A is incorrect as parenteral administration can be used in unconscious patients. Option B is incorrect as parenteral administration can provide more accurate dosages. Option D is incorrect as parenteral administration is actually preferred in emergency situations due to its rapid effects.

Correct Answer: B

Rationale: Tachyphylaxis refers to a rapid decrease in response to a drug upon repeated or continuous administration. The correct answer is B because it specifically mentions "very rapidly developing tolerance," which accurately describes tachyphylaxis. Option A is incorrect because tachyphylaxis is not related to drug interactions. Option C is incorrect because tachyphylaxis is characterized by a quick onset of decreased responsiveness, not taking days or weeks to develop. Option D is incorrect as tachyphylaxis is a recognized phenomenon in pharmacology.