acetaminophen

Question 1

acetaminophen slows the production of _____ in the central nervous system

Answer 1

slows production of prostaglandins

Question 2

what type of therapeutic effects does acetaminophen give

Answer 2

analgesic (pain relief) effects
antipyretic ( reduce fever) effects

Question 3

______ is preferred to NSAIDs for children suspected of having a viral illness such as chickenpox or flu

Answer 3

Acetaminophen

Question 4

adverse effects are rare at _____ dosages

Answer 4

rare at therapeutic dosages

Question 5

___ toxicity can be a complication of acetaminophen

Answer 5

acute toxicity

Question 6

acute toxicity of acetaminophen can result in ___ damage

Answer 6

liver damage

Question 7

what are the early manifestations of liver damage resulting from acute acetaminophen toxicity

Answer 7

nausea; vomiting; sweating; diarrhea; abdominal discomfort

Question 8

early manifestations of liver damage resulting from acute acetaminophen toxicity can progress to ______

Answer 8

progress to hepatic failure; coma; and death

Question 9

overt indications of hepatic injury resulting from acetaminophen use can appear ____ to _____ hours after ingestion

Answer 9

48 to 72 hrs

Question 10

to prevent risk of acute acetaminophen toxicity ensure the patient’s daily acetaminophen intake does not exceed ____ limits

Answer 10

do not exceed recommended limits

Question 11

what is the recommended limit of acetaminophen for most patients

Answer 11

4g/day

Question 12

what is the recommended limit of acetaminophen for undernourished clients

Answer 12

3g/day

Question 13

what is the recommended limit of acetaminophen for clients who consume more than 3 servings of alcohol daily

Answer 13

2g/day

Question 14

what is the antidote for acetaminophen toxicity

Answer 14

Acetylcysteine

Question 15

how is acetylcysteine administered for acetaminophen toxicity

Answer 15

via duodenal tube

Question 16

why is the antidote for acetaminophen given via a duodenal tube

Answer 16

to prevent emesis and aspiration

Question 17

clients should take acetaminophen as prescribed and should not ______ recommended daily dosage

Answer 17

do not exceed

Question 18

parents should follow provider’s advice regarding administration of acetaminophen to _____

Answer 18

children

Question 19

acetaminophen is a pregnancy risk category B for what uses

Answer 19

oral; rectal use

Question 20

acetaminophen is a pregnancy risk category C for _____ use

Answer 20

IV use

Question 21

clients who have a hypersensitivity to a component; severe liver impairment or disease; kidney impairment; chronic alcohol use disorder or malnutrition

should not use ____

Answer 21

acetaminophen

Question 22

IV form of acetaminophen should be used cautiously in clients who are

Answer 22

breastfeeding

Question 23

____used concurrently with acetaminophen can increase risk of liver damage

Answer 23

alcohol

Question 24

acetaminophen slows the metabolism of warfarin leading to increased levels of warfarin. This places the client at risk for

Answer 24

bleeding

Question 25

because acetaminophen slows the metabolism of warfarin which can place the client at risk for bleeding, a nurse should monitor _____ and ____ levels and adjust dosage of warfarin accordingly

Answer 25

prothrombin time and INR levels

Question 26

clients should observe indications for bleeding which are

Answer 26

bruising; petechiae (tiny spots(red/purple) of bleeding under the skin; hematuria (blood in urine)

Question 27

clients taking acetaminophen should be taught how to read ___ labels carefully so that they can determine the amount of medication contained in each dose

Answer 27

medication label

Question 28

clients should only take ___ product containing acetaminophen at a time

Answer 28

one

Question 29

acetaminophen administered orally should be taken with

Answer 29

full glass of water; with or without food

Question 30

if pain or fever lasts for more than ____ days, client should contact provider

Answer 30

lasts for more than 3 days

Question 31

adults should not take acetaminophen for more than ____ days

Answer 31

no more than 10 days

Question 32

children should not take acetaminophen for more than _____ days without provider approval

Answer 32

no more than 5 days

Question 33

how is the effectiveness of acetaminophen evaluated

Answer 33

relief of pain; fever reduction