A patient with a complicated medical history including hypertension, a-fib, and arthritis calls the health care provider's office to speak with a nurse about "all of these bruises I have all of a sudden." Which potential drug interaction should concern the nurse with these symptoms?

Aspirin and warfarin

Sulfasalazine and acetaminophen

Tolmetin and propranolol

Meloxicam and amlodipine

Answer and Explanation

The Correct Answer is A

A. Aspirin and warfarin

The combination of aspirin and warfarin poses a potential risk of increased bleeding and bruising. Both aspirin and warfarin are anticoagulants, and when used together, they can potentiate each other's effects, leading to a higher risk of bleeding events, including easy bruising.

B. Sulfasalazine and acetaminophen

Sulfasalazine is often used in the treatment of arthritis and inflammatory bowel disease, while acetaminophen is a commonly used pain reliever. There is no significant interaction between these two medications leading to increased bleeding or bruising.

C. Tolmetin and propranolol

Tolmetin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, and propranolol is a beta-blocker used for conditions such as hypertension. While both medications have their own potential side effects, there is no specific interaction between them that significantly increases the risk of bleeding or bruising.

D. Meloxicam and amlodipine

Meloxicam is an NSAID, and amlodipine is a calcium channel blocker used for hypertension. Similar to option C, there is no known significant interaction between these two medications that would lead to increased bleeding or bruising.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Bisacodyl (Dulcolax) increases peristalsis to produce a bowel movement." - This is correct. Bisacodyl is a stimulant laxative that works by irritating the intestines, leading to increased peristalsis and bowel movements.

B. "Bisacodyl (Dulcolax) is incompatible with alcohol consumption." - There is no specific information suggesting incompatibility with alcohol. However, excessive alcohol consumption can contribute to constipation, and it's generally advisable to stay hydrated, which can be affected by alcohol intake.

C. "Bisacodyl (Dulcolax) should be avoided during pregnancy as it is teratogenic." - There is no strong evidence to suggest that bisacodyl is teratogenic. However, it is recommended to use laxatives cautiously during pregnancy and under the guidance of a healthcare provider.

D. "Bisacodyl (Dulcolax) may lead to paralytic ileus." - Paralytic ileus is not a common side effect of bisacodyl. However, it's important to use laxatives cautiously in individuals with a history of bowel obstruction or other gastrointestinal issues.

A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children B. Aspirin has the potential to cause hyperglycemia C. Aspirin has the potential to cause ringing in the ears in children D. Aspirin has the potential to cause Reye's syndrome in children.

Correct Answer is D

Explanation

A. Aspirin has the potential to cause gastrointestinal (GI) bleeding in children.

While it is true that aspirin can cause GI bleeding, this is not the primary concern in this scenario. Reye's syndrome, a severe and potentially fatal condition, is the more significant worry when aspirin is given to children with viral infections.

B. Aspirin has the potential to cause hyperglycemia.

Hyperglycemia (high blood sugar) is not a known effect of aspirin in children. Aspirin is not typically associated with glucose metabolism issues.

C. Aspirin has the potential to cause ringing in the ears (tinnitus) in children.

Tinnitus can occur with aspirin use, but it is not the primary concern in this situation. Reye's syndrome is a more serious and immediate risk associated with aspirin use in children with viral infections.

D. Aspirin has the potential to cause Reye's syndrome in children.

This is the correct and most significant concern. Reye's syndrome is a rare but severe condition associated with aspirin use in children during or after viral infections. It affects the liver and brain and can be life-threatening.

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A patient with a complicated medical history including hypertension, a-fib, and arthritis calls the health care provider's office to speak with a nurse about "all of these bruises I have all of a sudden." Which potential drug interaction should concern the nurse with these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Bisacodyl (Dulcolax) has been ordered for a patient who is constipated. The nurse realizes the drug:

Correct Answer is A

Explanation

A father presents to the emergency department with his 4 year old son. The father explains that his son had a fever, so he gave the child baby aspirin to decrease the fever and it has not worked. What should concern the nurse about a 4 year old receiving aspirin?

Correct Answer is D

Explanation

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