A patient is taking ibuprofen 400 mg every 4 hours to treat moderate arthritis pain and reports that it is less effective than before. What action will the nurse take? Counsel the patient to discuss a change in dose or changing to a prescription NSAID with the provider. Recommend adding aspirin to increase the antiinflammatory effect. Suggest asking the provider about a short course of corticosteroids. Tell the patient to increase the dose to 800 mg every 4 hours, to achieve the therapeutic effect of the drug. A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL. The nurse will perform which action? Assess the patient for signs of toxicity, such as tinnitus. Monitor the patient for signs of Reye’s syndrome. Notify the provider of severe aspirin toxicity. Request an order for an increased aspirin dose.

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A patient is taking ibuprofen 400 mg every 4 hours to treat moderate arthritis pain and reports that it is less effective than before. What action will the nurse take?

  1. Counsel the patient to discuss a change in dose or changing to a prescription NSAID with the provider.
  2. Recommend adding aspirin to increase the antiinflammatory effect.
  3. Suggest asking the provider about a short course of corticosteroids.
  4. Tell the patient to increase the dose to 800 mg every 4 hours, to achieve the therapeutic effect of the drug.

A patient who takes high-dose aspirin to treat rheumatoid arthritis has a serum salicylate level of 35 mg/dL. The nurse will perform which action?

  1. Assess the patient for signs of toxicity, such as tinnitus.
  2. Monitor the patient for signs of Reye’s syndrome.
  3. Notify the provider of severe aspirin toxicity.
  4. Request an order for an increased aspirin dose.
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