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Practice Question

A patient with chronic arthritis pain reports taking acetaminophen 4 to 6 g/day for arthritis pain. Which health problem should you teach this patient that can occur as a result of taking this acetaminophen therapy?

Answer Choices:

Correct Answer:

"Liver toxicity can result as a result of high acetaminophen doses."

Rationale:

⚠️Acetaminophen at doses >4 g/day (and sometimes even lower in at-risk patients) can cause hepatic injury due to accumulation of the toxic metabolite NAPQI.

⚠️Chronic high intake increases risk of acute liver failure, especially with alcohol use, malnutrition, or underlying liver disease.

⚠️Educate that the maximum daily dose from all sources (including combination cold/analgesic products) should generally not exceed 3–4 g.

⚠️Early signs of toxicity can be nausea, vomiting, right upper quadrant pain, and elevated liver enzymes; severe cases progress to coagulopathy and encephalopathy.

⚠️Safer pain plans may include dose reduction, scheduled dosing within limits, or alternative agents under provider guidance.

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This question is from Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1) which contains 52 questions.

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A patient with acute gout asks you why allopurinol cannot be used at this time. What is your best response?

Answer Choices:

A. "Allopurinol can cause swelling of the feet, worsening your gout symptoms."
B. "Allopurinol is useful in rheumatoid arthritis, but not gout."
C. "Allopurinol does not lower uric acid levels."
D. "Allopurinol is used only for the prevention of gout attacks."
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An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
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An LPN is preparing a patient for general anesthesia prior to surgery. Which of the following is the most important nursing intervention to reduce the risk of complications related to general anesthesia?

Answer Choices:

A. Ensure the patient has followed NPO (nothing by mouth) instructions for at least 6 to 8 hours before the surgery.
B. Instruct the patient to avoid all physical activity in the days leading up to surgery.
C. Encourage the patient to drink plenty of fluids after the procedure to prevent dehydration.
D. Administer a mild sedative prior to the anesthesia to reduce anxiety.
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An LPN is caring for a patient who is receiving long-term corticosteroid therapy for chronic inflammation. Which of the following is the most important nursing implication to consider when planning care for this patient?

Answer Choices:

A. Encourage the patient to stop the corticosteroid therapy abruptly if they experience side effects like weight gain.
B. Monitor the patient's blood glucose levels, as corticosteroids can increase blood sugar.
C. Instruct the patient to take the corticosteroids with food to reduce the risk of gastrointestinal irritation.
D. Monitor the patient for signs of hypotension, as corticosteroids can lower blood pressure.
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An LPN is preparing a patient for surgery who is currently taking NSAIDs (nonsteroidal anti-inflammatory drugs). Which of the following is the most important nursing action before the procedure?

Answer Choices:

A. Encourage the patient to take NSAIDs with food to prevent stomach upset before the procedure.
B. Instruct the patient to continue taking NSAIDs until the day of the surgery for pain relief.
C. Advise the patient to stop taking NSAIDs at least 72 hours before the surgery to reduce the risk of bleeding.
D. Monitor the patient for signs of hypertension due to long-term NSAID use.
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Custom FRIEDMAN-PHARM-CH 12-13-15 (Pain-Inflam-Immune) (1)

52 Questions

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Question Details
  • Category: LPN Nursing Exam(s)
  • Subcategory: LPN ATI Exams
  • Domain: Pharmacology
  • Answer Choices: 4
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