Exam 36: Aspirin and Nonsteroidal Antiinflammatory Drugs

A primary care NP prescribes a nonselective NSAID for a patient who has osteoarthritis.The patient expresses concerns about possible side effects of this medication.When counseling the patient about the medication,the NP should tell this patient:

A patient who has osteoarthritis is scheduled to have knee surgery.The patient takes aspirin for MI prophylaxis and naproxen (Naprosyn)for pain and inflammation.Which statement by the patient to the primary care NP indicates a need for further teaching?

A 70-year-old patient describes moderate to severe pain associated with osteoarthritis in fingers,thumbs,hips,and knees.The patient is currently taking high-dose acetaminophen.The patient has a strong family history of cardiovascular disease and has been diagnosed with hypertension.To help alleviate this patient's pain,the primary care NP should consider prescribing:

A patient with mild to moderate osteoarthritis pain has been taking acetaminophen for pain.The primary care NP prescribes a nonselective NSAID.At a follow-up visit,the patient reports mild GI side effects.The NP should:

The primary care NP is performing a medication reconciliation on a patient who takes digoxin for congestive heart failure and learns that the patient uses ibuprofen as needed for joint pain.The NP should counsel this patient to:

An 80-year-old patient has been taking naproxen (Naprosyn)for osteoarthritis for 6 months.The patient reports adequate pain relief but complains of feeling tired.The primary care NP will order:

A patient who has rheumatoid arthritis begins taking naproxen (Naprosyn)500 mg once daily for pain.After 1 week,the patient calls the primary care NP to report no change in inflammation.The NP should:

A patient is taking 81 mg of aspirin daily to decrease MI risk and uses acetaminophen for mild osteoarthritis symptoms.For flare-ups of osteoarthritis pain,the primary care NP should prescribe:

The primary care NP sees an adolescent who reports moderate to severe dysmenorrhea.The NP recommends an NSAID and counsels the patient about its use.Which statement by the patient indicates a need for further teaching?

A patient reports having persistent mild to moderate pain in both knees usually associated with standing.The patient reports knee stiffness for 15 to 20 minutes each morning.The primary care nurse practitioner (NP)learns that the patient has used heating pads and acetaminophen,which no longer relieve the pain.The NP orders an erythrocyte sedimentation rate,which is normal.The NP should consider prescribing: